The impact of severe mental disorders on mother-infant interaction: a systematic review

IF 2.7 3区医学 Q2 PSYCHIATRY Archives of Women's Mental Health Pub Date : 2025-02-06 DOI:10.1007/s00737-025-01561-6

Berta Vilaseca, Alba Roca-Lecumberri, Cristina García-Gibert, Florencia Forte, Anna Torres-Giménez, Eva Solé, Susana Andrés-Perpiñá, Ana Barajas, Estel Gelabert

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Abstract

Purpose

Mother-Infant Interaction (MII) is the first dynamic relationship that focuses on both mother-infant involvement and dyadic coordination and is associated with infant development. The main objective of this review is to summarize the evidence on the quality of MII in mothers with Severe Mental Illness (SMI).

Method

A systematic search for cross sectional, cohort or case control studies has been carried out in PubMed, Web of Science, PsycINFO and Scopus to extract studies addressing the relationship between the quality of MII and SMI.

Results

A total of 15 studies with a sample of 992 women were included. Studies showed worst outcomes for MII in mothers with psychotic disorder and bipolar disorder. The impairments were more pronounced in psychotic disorders.

Conclusions

There is evidence of impaired MII in SMI. Social cognition (SC) is essential for understanding and responding to infant cues, so it could partially explain the associations between SMI and interaction outcomes. The current evidence is limited due to substantial heterogeneity and methodological limitations in the studies. Therefore, such findings should be interpreted with caution.

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严重精神障碍对母婴互动的影响：一项系统综述。

目的：母亲-婴儿互动（MII）是第一种动态关系，主要关注母亲-婴儿参与和二元协调，并与婴儿发育有关。本综述的主要目的是总结重度精神疾病（SMI）母亲MII质量的证据。方法：在PubMed、Web of Science、PsycINFO和Scopus中系统检索横断面、队列或病例对照研究，以提取涉及MII和SMI质量之间关系的研究。结果：共纳入15项研究，992名女性样本。研究表明，患有精神障碍和双相情感障碍的母亲患MII的结果最差。这种损伤在精神障碍中更为明显。结论：重度精神分裂症患者存在MII受损的证据。社会认知（SC）对于理解和回应婴儿线索至关重要，因此它可以部分解释重度精神障碍与互动结果之间的关联。目前的证据是有限的，由于实质性的异质性和研究方法的局限性。因此，对这些发现应谨慎解释。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Women's Mental Health 医学-精神病学

CiteScore

8.00

自引率

4.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.