TY - JOUR
T1 - Postpartum bonding at the beginning of the second year of child’s life
T2 - the role of postpartum depression and early bonding impairment
AU - Faisal-Cury, Alexandre
AU - Bertazzi Levy, Renata
AU - Kontos, Alexandra
AU - Tabb, Karen
AU - Matijasevich, Alicia
N1 - Funding Information:
The study was funded by S?o Paulo Research Foundation?FAPESP (2013/03267?8). Funda??o de Amparo ? Pesquisa do Estado de S?o Paulo.
Publisher Copyright:
© 2019 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2020/7/2
Y1 - 2020/7/2
N2 - Background: We evaluated the association between mother–child bonding and maternal depression at 6–8 months after birth with bonding impairment at 12–15 months in a sample of mothers at high risk of postnatal depression. Methods: A prospective cohort study with 346 low-income postpartum women with antenatal depression. The Postpartum Bonding Questionnaire (PBQ) and the Patient Health Questionnaire-9 (PHQ-9) were used, at 6–8 and 12–15 months after delivery, to assess the mother–infant bonding and postnatal depression (PPD), respectively. Results: The percentage of the main outcome, bonding impairment (BI) at 12–15 months, was 9.9% (95% CI 6.6–13.7). Using logistic regression models, BI was associated with: having an occupation (OR = 2.82; 95% CI 1.00–7.94, p =.049), unplanned pregnancy (OR = 3.46; 95% CI 1.01–11.8, p =.047), and presence of BI at 6–8 months (OR= 13.0; 95% CI 3.76–45.4, p ≤.001). Maternal depression was marginally associated with BI at 12–15 months. Conclusions: BI affects 1 in 10 mothers, and although BI and PPD are strongly associated at 6–8 and 12–15 months after delivery, BI at 6–8 months is the main predictor of later BI. Based on the study findings, PPD screening in combination with BI assessment is highly recommended during the first year of child’s life.
AB - Background: We evaluated the association between mother–child bonding and maternal depression at 6–8 months after birth with bonding impairment at 12–15 months in a sample of mothers at high risk of postnatal depression. Methods: A prospective cohort study with 346 low-income postpartum women with antenatal depression. The Postpartum Bonding Questionnaire (PBQ) and the Patient Health Questionnaire-9 (PHQ-9) were used, at 6–8 and 12–15 months after delivery, to assess the mother–infant bonding and postnatal depression (PPD), respectively. Results: The percentage of the main outcome, bonding impairment (BI) at 12–15 months, was 9.9% (95% CI 6.6–13.7). Using logistic regression models, BI was associated with: having an occupation (OR = 2.82; 95% CI 1.00–7.94, p =.049), unplanned pregnancy (OR = 3.46; 95% CI 1.01–11.8, p =.047), and presence of BI at 6–8 months (OR= 13.0; 95% CI 3.76–45.4, p ≤.001). Maternal depression was marginally associated with BI at 12–15 months. Conclusions: BI affects 1 in 10 mothers, and although BI and PPD are strongly associated at 6–8 and 12–15 months after delivery, BI at 6–8 months is the main predictor of later BI. Based on the study findings, PPD screening in combination with BI assessment is highly recommended during the first year of child’s life.
KW - Bonding impairment
KW - mother-infant dyad
KW - postnatal depression
KW - postpartum depression
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U2 - 10.1080/0167482X.2019.1653846
DO - 10.1080/0167482X.2019.1653846
M3 - Article
C2 - 31438746
AN - SCOPUS:85071327387
VL - 41
SP - 224
EP - 230
JO - Journal of Psychosomatic Obstetrics and Gynaecology
JF - Journal of Psychosomatic Obstetrics and Gynaecology
SN - 0167-482X
IS - 3
ER -