A longitudinal study of bonding failure related to aspects of posttraumatic stress symptoms after childbirth among Japanese mothers
Abstract Background Posttraumatic stress symptoms (PTSS) after childbirth may affect mother-infant bonding. This study examined the relationship between aspects of PTSS after childbirth and bonding failure for mothers at 1 month and 4 months after delivery. Methods This longitudinal study surveyed 1...
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| Format: | Article |
| Language: | English |
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BMC
2020-07-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | http://link.springer.com/article/10.1186/s12884-020-03099-0 |
| _version_ | 1828519672470831104 |
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| author | Yoshiko Suetsugu Megumi Haruna Kiyoko Kamibeppu |
| author_facet | Yoshiko Suetsugu Megumi Haruna Kiyoko Kamibeppu |
| author_sort | Yoshiko Suetsugu |
| collection | DOAJ |
| description | Abstract Background Posttraumatic stress symptoms (PTSS) after childbirth may affect mother-infant bonding. This study examined the relationship between aspects of PTSS after childbirth and bonding failure for mothers at 1 month and 4 months after delivery. Methods This longitudinal study surveyed 130 mothers at 1 month (T1) and 4 months (T2) after delivery. We performed multiple regression analysis with the Postpartum Bonding Questionnaire (PBQ) as the dependent variable and the Impact of Event Scale-Revised (IES-R), Edinburgh Postnatal Depression Scale (EPDS), Relationship Questionnaire (RQ), Family Adaptation, Partnership, Growth, Affection, and Resolve score (F.APGAR), and demographic data as independent variables. Results The rate of mothers with an IES-R score of ≥ 25 was 6.2% at T1 and 3.8% at T2. The IES-R and the EPDS were relevant factors for the PBQ at T1. The IES-R was not a relevant factor, but the EPDS was a relevant factor for the PBQ at T2. The IES-R at T1 was not a predictor for the PBQ at T2. The PBQ at T1 was the largest predictor for the PBQ at T2, when compared with the EPDS, F.APGAR, and dismissive attachment pattern (RQ) at T1. Conclusions PTSS after childbirth had a strong influence on bonding failure at T1. However, the important factor affecting bonding failure was not PTSS after childbirth, but depression at T2. If PTSS after childbirth are accompanied by depression at T2, bonding failure may be affected. Bonding failure affected by PTSS after childbirth at T1 could affect bonding failure at T2. Health professionals should assess the degree of PTSS after childbirth and start to care for mothers at T1. |
| first_indexed | 2024-12-11T19:17:18Z |
| format | Article |
| id | doaj.art-ef5e2a0e290f42fea075af8184175a29 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-11T19:17:18Z |
| publishDate | 2020-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-ef5e2a0e290f42fea075af8184175a292022-12-22T00:53:38ZengBMCBMC Pregnancy and Childbirth1471-23932020-07-0120111010.1186/s12884-020-03099-0A longitudinal study of bonding failure related to aspects of posttraumatic stress symptoms after childbirth among Japanese mothersYoshiko Suetsugu0Megumi Haruna1Kiyoko Kamibeppu2Department of Health Sciences, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Midwifery and Women’s Health, Division of Health Sciences & Nursing, Graduate School of Medicine, The University of TokyoDepartment of Family Nursing, Division of Health Sciences & Nursing, Graduate School of Medicine, The University of TokyoAbstract Background Posttraumatic stress symptoms (PTSS) after childbirth may affect mother-infant bonding. This study examined the relationship between aspects of PTSS after childbirth and bonding failure for mothers at 1 month and 4 months after delivery. Methods This longitudinal study surveyed 130 mothers at 1 month (T1) and 4 months (T2) after delivery. We performed multiple regression analysis with the Postpartum Bonding Questionnaire (PBQ) as the dependent variable and the Impact of Event Scale-Revised (IES-R), Edinburgh Postnatal Depression Scale (EPDS), Relationship Questionnaire (RQ), Family Adaptation, Partnership, Growth, Affection, and Resolve score (F.APGAR), and demographic data as independent variables. Results The rate of mothers with an IES-R score of ≥ 25 was 6.2% at T1 and 3.8% at T2. The IES-R and the EPDS were relevant factors for the PBQ at T1. The IES-R was not a relevant factor, but the EPDS was a relevant factor for the PBQ at T2. The IES-R at T1 was not a predictor for the PBQ at T2. The PBQ at T1 was the largest predictor for the PBQ at T2, when compared with the EPDS, F.APGAR, and dismissive attachment pattern (RQ) at T1. Conclusions PTSS after childbirth had a strong influence on bonding failure at T1. However, the important factor affecting bonding failure was not PTSS after childbirth, but depression at T2. If PTSS after childbirth are accompanied by depression at T2, bonding failure may be affected. Bonding failure affected by PTSS after childbirth at T1 could affect bonding failure at T2. Health professionals should assess the degree of PTSS after childbirth and start to care for mothers at T1.http://link.springer.com/article/10.1186/s12884-020-03099-0Bonding failurePosttraumatic stress disorder after childbirthPosttraumatic stress symptoms after childbirthJapanese motherPostpartum |
| spellingShingle | Yoshiko Suetsugu Megumi Haruna Kiyoko Kamibeppu A longitudinal study of bonding failure related to aspects of posttraumatic stress symptoms after childbirth among Japanese mothers BMC Pregnancy and Childbirth Bonding failure Posttraumatic stress disorder after childbirth Posttraumatic stress symptoms after childbirth Japanese mother Postpartum |
| title | A longitudinal study of bonding failure related to aspects of posttraumatic stress symptoms after childbirth among Japanese mothers |
| title_full | A longitudinal study of bonding failure related to aspects of posttraumatic stress symptoms after childbirth among Japanese mothers |
| title_fullStr | A longitudinal study of bonding failure related to aspects of posttraumatic stress symptoms after childbirth among Japanese mothers |
| title_full_unstemmed | A longitudinal study of bonding failure related to aspects of posttraumatic stress symptoms after childbirth among Japanese mothers |
| title_short | A longitudinal study of bonding failure related to aspects of posttraumatic stress symptoms after childbirth among Japanese mothers |
| title_sort | longitudinal study of bonding failure related to aspects of posttraumatic stress symptoms after childbirth among japanese mothers |
| topic | Bonding failure Posttraumatic stress disorder after childbirth Posttraumatic stress symptoms after childbirth Japanese mother Postpartum |
| url | http://link.springer.com/article/10.1186/s12884-020-03099-0 |
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