Abstract
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.
| Original language | English (US) |
|---|---|
| Journal | Journal of Psychosomatic Obstetrics and Gynecology |
| DOIs | |
| State | Accepted/In press - Jan 1 2019 |
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Keywords
- Bonding impairment
- mother-infant dyad
- postnatal depression
- postpartum depression
ASJC Scopus subject areas
- Reproductive Medicine
- Clinical Psychology
- Obstetrics and Gynecology
- Psychiatry and Mental health
Cite this
Postpartum bonding at the beginning of the second year of child’s life : the role of postpartum depression and early bonding impairment. / Faisal-Cury, Alexandre; Bertazzi Levy, Renata; Kontos, Alexandra; Dina, Karen Margaret-Tabb; Matijasevich, Alicia.
In: Journal of Psychosomatic Obstetrics and Gynecology, 01.01.2019.Research output: Contribution to journal › Article
}
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 - Dina, Karen Margaret-Tabb
AU - Matijasevich, Alicia
PY - 2019/1/1
Y1 - 2019/1/1
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
UR - http://www.scopus.com/inward/record.url?scp=85071327387&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85071327387&partnerID=8YFLogxK
U2 - 10.1080/0167482X.2019.1653846
DO - 10.1080/0167482X.2019.1653846
M3 - Article
AN - SCOPUS:85071327387
JO - Journal of Psychosomatic Obstetrics and Gynaecology
JF - Journal of Psychosomatic Obstetrics and Gynaecology
SN - 0167-482X
ER -