Department of Clinical and Health Psychology, Faculty of Social Sciences, Institute of Psychology, University of Gdańsk, 80-309 Gdańsk, Poland.
GAMUT-The Grieg Academy Music Therapy Research Centre, NORCE Norwegian Research Centre, 5838 Bergen, Norway.
Int J Environ Res Public Health. 2021 Aug 12;18(16):8517. doi: 10.3390/ijerph18168517.
(1) Background: There is a continuing discussion concerning the impact of preterm birth on Maternal-Infant bonding with inconsistent results. The large burden of preterm births calls for research to evaluate the impact of it on material psychological outcome in the early postpartum period. Thus, the aim of this study was to evaluate the relationship between maternal postpartum bonding with maternal mental health, socio-demographical factors, and child's characteristics. (2) Methods: A cross-sectional study design was used. In total, 72 women (a mean age of 31.44 years old) of preterm infants (mean gestational age = 33.54; range 24-36) filled out socio-demographic questionnaires, Postpartum Bonding Questionnaire (PBQ), Edinburgh Postpartum Depression Scale (EPDS), Postpartum Depression Screening Scale (PDSS), Generalized Anxiety Disorder Assessment (GAD-7), and Parental Stress Scale (PSS) 1-3 days post-delivery; (3) Results: The results analyses have shown positive correlations between the overall result of maternal postpartum bonding with stress ( < 0.01), maternal educational level ( < 0.01), maternal age ( < 0.05) and the number of children ( < 0.01). However, there were no significant relationships between other investigated variables. The results of linear regression have revelated the important role of the overall scores in experience of stress among mothers (explaining 49% of the variability). The mediating role of maternal stress on maternal postpartum bonding was not found. That relationship of maternal postpartum bonding and maternal stress was not moderated through socio-demographic variables. (4) Conclusions: In this study mothers of prematurely born children had a good level of Maternal-Infant bonding. Maternal stress was found to be a predictor of maternal postpartum bonding among the tested variables. Surprisingly, the study results did not show significant relationships between maternal postpartum bonding and maternal mental health (depression and anxiety).
(1) 背景：早产儿对母婴结合的影响一直存在争议，结果并不一致。早产的负担很大，需要研究评估其对产后早期心理结果的影响。因此，本研究旨在评估产妇产后与产妇心理健康、社会人口因素和儿童特征的关系。
(2) 方法：采用横断面研究设计。共有 72 名早产儿产妇（平均年龄 31.44 岁；平均胎龄=33.54；范围 24-36）在产后 1-3 天填写社会人口学问卷、产后结合问卷（PBQ）、爱丁堡产后抑郁量表（EPDS）、产后抑郁筛查量表（PDSS）、广泛性焦虑障碍评估（GAD-7）和父母压力量表（PSS）。
(3) 结果：结果分析表明，产妇产后结合的总体结果与压力呈正相关（<0.01），与母亲教育水平（<0.01）、母亲年龄（<0.05）和孩子数量（<0.01）呈正相关。然而，其他调查变量之间没有显著关系。线性回归结果表明，母亲的总体得分在母亲的压力体验中起着重要作用（解释了 49%的可变性）。母亲压力在产妇产后结合中的中介作用未被发现。产妇产后结合和母亲压力之间的关系不受社会人口变量的调节。
(4) 结论：在这项研究中，早产儿母亲的母婴结合程度较好。母亲压力是测试变量中产妇产后结合的一个预测因素。令人惊讶的是，研究结果并未显示产妇产后结合与产妇心理健康（抑郁和焦虑）之间存在显著关系。
