Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Educartion and Research (JIPMER), Dhanvantri Nagar, Puducherry - 605006. India.
Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Educartion and Research (JIPMER), Dhanvantri Nagar, Puducherry - 605006. India.
Asian J Psychiatr. 2019 Aug;44:72-79. doi: 10.1016/j.ajp.2019.07.004. Epub 2019 Jul 10.
Disorders of mother-infant bonding have been described since early 20th Century. Previous studies have looked at the prevalence of bonding disorders among mothers with postpartum psychiatric disorders. However, its frequency among healthy postpartum mothers is less studied.
Two hundred and fifty mother-infant dyads were studied using the Mini International Neuropsychiatric Interview (MINI), the Stafford Interview, Bangalore Maternal Behaviour Scale (BMBS) and Tamil versions of the Edinburgh Postnatal Depression Scale (EPDS) and the Postpartum Bonding Questionnaire (PBQ). The mothers were interviewed between 4 weeks to six months postpartum. In addition, thirty one mothers with a lifetime history of psychiatric disorders were interviewed using the above scales.
The frequency of bonding disorders was found to be 24% among healthy postpartum mothers as against 45.2% in mothers with psychiatric disorder. However, the frequency of mild disorders of bonding was relatively lower at 5.6% among healthy mothers and 6.5% among mothers with psychiatric disorders. We found that mothers in India had a clinging / over-involved subtype of anxiety that prevented them from leaving their baby under care of another competent adult. While infant-related anxiety was seen in 10% of healthy mothers, about 20% of mothers with psychiatric diagnoses had anxiety. The presence of bonding disorders was not correlated with any maternal or infant related factors except difficulty in breastfeeding.
Disorders of mother infant bonding are seen in healthy postpartum mothers. The frequency of mild disorders of bonding appears to be similar across countries and this condition warrants further attention.
母婴结合障碍自 20 世纪初以来就有描述。以前的研究关注了产后精神障碍母亲的结合障碍患病率。然而，健康产后母亲中这种疾病的频率研究较少。
使用 Mini International Neuropsychiatric Interview (MINI)、Stafford 访谈、班加罗尔母婴行为量表（BMBS）和爱丁堡产后抑郁量表（EPDS）和产后结合问卷（PBQ）对 250 对母婴进行了研究。母亲在产后 4 周到 6 个月之间接受了访谈。此外，还对 31 名有精神病史的母亲进行了上述量表访谈。
健康产后母亲中结合障碍的频率为 24%，而有精神障碍的母亲中为 45.2%。然而，健康母亲中轻度结合障碍的频率相对较低，为 5.6%，而有精神障碍的母亲中为 6.5%。我们发现，印度的母亲有一种依附/过度卷入的焦虑亚型，使她们无法将婴儿交给另一个有能力的成年人照顾。虽然 10%的健康母亲有与婴儿相关的焦虑，但约 20%有精神障碍诊断的母亲有焦虑。结合障碍的存在与任何母婴相关因素无关，除了母乳喂养困难。
健康产后母亲存在母婴结合障碍。轻度结合障碍的频率在不同国家似乎相似，这种情况值得进一步关注。
