Göbel Ariane, Stuhrmann Lydia Yao, Barkmann Claus, Schulte-Markwort Michael, Mudra Susanne
Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Midwifery. 2020 Dec;91:102824. doi: 10.1016/j.midw.2020.102824. Epub 2020 Aug 22.
The peripartum period can go along with increased insecurity, strain or frustration, potentially leading to a dissatisfying experience of motherhood, which itself is associated with poorer postnatal adjustment. Identifying prenatal influencing factors on the early postnatal dissatisfaction with motherhood is crucial to enable specific support for parents from pregnancy on. The aim of this study was to investigate the predictive relevance of prenatal levels of anxiety and hostility as manifestations of prenatal strain, and further maternal-fetal bonding, adult attachment style and recalled parenting by the own mother on the dissatisfaction with motherhood.
Data was assessed longitudinally.
The study took place at the University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
N=100 pregnant women from the general population.
Pregnancy-related anxiety, hostility, maternal-fetal bonding and adult attachment style were assessed in the last trimester of pregnancy, and recalled parenting by the own mother and current dissatisfaction with motherhood at three weeks postpartum. Hierarchical regression analysis showed that lower recalled care by the own mother predicted higher dissatisfaction with overall motherhood, from the perspective as an adult and related to their child. Higher pregnancy-related anxiety predicted higher overall and child-related dissatisfaction. Higher hostility predicted higher child-related dissatisfaction.
Prenatal negative emotional states and lower recalled care by the own mother can serve as indicators for maternal dissatisfaction.
Shaping professional support around negative emotional states and addressing experiences of own upbringing already prenatally might prevent an early dissatisfaction with motherhood and negative consequences for mother and child.
围产期可能伴随着不安全感、压力或挫败感增加，这有可能导致对母亲角色的体验不尽人意，而这本身又与产后适应不良有关。识别产前影响产后早期对母亲角色不满的因素，对于从孕期开始为父母提供针对性的支持至关重要。本研究的目的是调查产前焦虑和敌意水平作为产前压力的表现形式，以及母婴联结、成人依恋风格和对自己母亲养育方式的回忆对母亲角色不满的预测相关性。
纵向评估数据。
研究在德国汉堡市汉堡 - 埃彭多夫大学医学中心进行。
N = 100名来自普通人群的孕妇。
在妊娠晚期评估与妊娠相关的焦虑、敌意、母婴联结和成人依恋风格，并在产后三周评估对自己母亲养育方式的回忆以及当前对母亲角色的不满。分层回归分析表明，从成年人的角度以及与自己孩子相关的角度来看，自己母亲回忆中较低的关怀预示着对母亲角色整体更高的不满。较高的与妊娠相关的焦虑预示着更高的整体不满和与孩子相关的不满。较高的敌意预示着更高的与孩子相关的不满。
产前负面情绪状态以及自己母亲回忆中较低的关怀可作为母亲不满的指标。
围绕负面情绪状态提供专业支持，并在产前就关注自身成长经历，可能会预防对母亲角色的早期不满以及对母亲和孩子的负面影响。
