Department of Psychiatry, Graduate School of Medicine, Nagoya University, Nagoya, Japan.
Psychiatry Clin Neurosci. 2014 Aug;68(8):631-9. doi: 10.1111/pcn.12171. Epub 2014 Apr 13.
Postnatal depression has demonstrated long-term consequences on child cognitive and emotional development; however, the link between maternal and child pathology has not been clearly identified. We conducted a prospective study using self-rating questionnaires to clarify the association between bonding disorder and maternal mood during pregnancy and after childbirth.
A total of 389 women participated in this study and completed questionnaires. Participants were asked to complete the Edinburgh Postnatal Depression Scale (EPDS) and the Mother-to-Infant Bonding Scale four times during pregnancy and the postpartum period.
We found statistically significant weak to moderate correlations (r = 0.14-0.39) between the EPDS and Mother-to-Infant Bonding Scale scores at each testing period. Women who experienced low mood tended to have stronger bonding disorder. Furthermore, the effectiveness of attachment between the mother and child was closely related to the mood of the mother as measured by the EPDS.
We observed different patterns of bonding and maternal mood. Distinct subtypes regarding maternal mood and formation of mother-to-infant attachment suggests that analysis of bonding disorder should be performed considering the course of maternal depressive symptoms.
产后抑郁症已被证明对儿童认知和情绪发展有长期影响；然而，母婴病理之间的联系尚未明确确定。我们进行了一项前瞻性研究，使用自我评估问卷来阐明妊娠和产后期间母婴结合障碍与母亲情绪之间的关系。
共有 389 名女性参与了这项研究，并完成了问卷调查。要求参与者在怀孕期间和产后四次完成爱丁堡产后抑郁量表（EPDS）和母婴结合量表。
我们发现 EPDS 和母婴结合量表在每个测试期间的评分之间存在统计学上显著的弱到中度相关性（r=0.14-0.39）。情绪低落的女性往往有更强的结合障碍。此外，母亲的情绪通过 EPDS 测量，与母子之间的依恋效果密切相关。
我们观察到不同的结合和母亲情绪模式。母婴结合障碍和母亲情绪的形成存在不同的亚型，这表明在分析母婴结合障碍时，应考虑到母亲抑郁症状的病程。
