Department of Psychiatry, Massachusetts General Hospital, Charlestown Navy Yard, 120 2nd Ave, Charlestown, MA, 02129, USA.
Department of Psychiatry, Harvard Medical School, Boston, MA, 02115, USA.
Arch Womens Ment Health. 2019 Feb;22(1):119-122. doi: 10.1007/s00737-018-0853-y. Epub 2018 May 21.
Few studies examined maternal attachment in childbirth-related postpartum posttraumatic stress disorder (PP-PTSD). We studied 685 postpartum women, assessing for PP-PTSD, non-childbirth PTSD, maternal attachment, pre-birth, birth, and post-birth factors. Attachment was lower in PP-PTSD than in non-childbirth PTSD and no PP-PTSD. Hierarchical regression showed that PP-PTSD predicted less maternal attachment above and beyond pre-birth psychiatric conditions, acute distress in birth, and lack of breastfeeding. Childbirth-induced posttraumatic stress may interfere with the formation of maternal attachment, warranting screening of at-risk women.
很少有研究检查分娩相关产后创伤后应激障碍（PP-PTSD）中的母婴依恋。我们研究了 685 名产后妇女，评估了 PP-PTSD、非分娩 PTSD、母婴依恋、产前、分娩和产后因素。PP-PTSD 的依恋程度低于非分娩 PTSD 和无 PP-PTSD。层次回归显示，PP-PTSD 在产前精神状况、分娩时急性痛苦和缺乏母乳喂养的基础上，预测母婴依恋程度较低。分娩引起的创伤后应激可能会干扰母婴依恋的形成，有必要对高危妇女进行筛查。
