Perinatal Psychiatry Program, Department of Psychiatry and Clinical Psychology, Hospital Clinic, C/ Sabino de Arana 1, 08028, Barcelona, Spain.
Department of Psychiatry, Psychology and Psychosomatics, Dexeus University Hospital, Barcelona, Spain.
Arch Womens Ment Health. 2018 Jun;21(3):287-297. doi: 10.1007/s00737-017-0785-y. Epub 2017 Oct 18.
This study aims to examine the extent to which a variety of pre-delivery factors (demographic, reproductive, psychological, psychiatric, and psychopathological) predict disturbances in mother-infant bonding (MIB) in the postpartum period. Two hundred fifty-one pregnant women enrolled at a public perinatal psychiatric service were assessed between the first and second trimester of pregnancy and at 6-7 weeks after delivery. During pregnancy, the psychological risk factors were assessed with the Vulnerable Personality Style Questionnaire, the Marital Adjustment Scale, the Early Trauma Inventory, and the General Health Questionnaire. To detect psychopathology, the Edinburgh Postnatal Depression Scale and the State-Trait Anxiety Inventory were used. At the postpartum evaluation, MIB was measured by the Postpartum Bonding Questionnaire. The results of the final regression model showed that emotional abuse in childhood, family psychiatric history, previous psychiatric hospitalization, and anxiety during pregnancy were significant predictors of MIB disturbances in postpartum, explaining 10.7% of the variance. The evaluation of women's risk factors in pregnancy is important in order to prevent MIB disturbances and thus to ensure the welfare of mothers and their babies.
本研究旨在探讨多种产前因素（人口学、生殖、心理、精神科和精神病理学）在多大程度上预测产后母婴结合（MIB）障碍。251 名在公立围产期精神科服务机构登记的孕妇在妊娠第 1 至 2 个月和产后 6-7 周接受评估。在怀孕期间，使用易损人格风格问卷、婚姻调整量表、早期创伤量表和一般健康问卷评估心理风险因素。为了检测精神病理学，使用爱丁堡产后抑郁量表和状态-特质焦虑量表。在产后评估中，使用产后结合问卷测量 MIB。最终回归模型的结果表明，儿童时期的情感虐待、家庭精神病史、以前的精神科住院治疗和怀孕期间的焦虑是产后 MIB 障碍的显著预测因素，解释了 10.7%的方差。评估女性在怀孕期间的风险因素对于预防 MIB 障碍从而确保母婴福利非常重要。
