Shieh Pey-Ling, Tsai Tsung-Yen
Department of Psychology, Chung Shan Medical University, Taichung, Taiwan; Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung, Taiwan.
Department of Psychiatry, National Cheng Kung University Hospital, Dou-Liou Branch, Yunlin, Taiwan.
Acta Psychol (Amst). 2022 Jun;226:103573. doi: 10.1016/j.actpsy.2022.103573. Epub 2022 Mar 23.
There are limited studies on the associations among parenting style, postpartum depression, and mother-infant bonding.
The aims of this study are investigating how the parenting style of maternal grandparents predicted the mothers' bonding with their infants. The mediating roles of postpartum depression were also explored.
A community sample of 227 postpartum women participated in this study. The participants primarily consisted of women who gave birth within six months (89.9%).
A cross-sectional and convenient sampling strategy was applied. Instruments were Parental Bonding Instrument, Edinburgh Postnatal Depression Scale, Postpartum Bonding Questionnaire, and Background Form.
In the young infant group (i.e. mothers with infants not older than three months), the results indicated that maternal protection could predict "impaired bonding" (β = 0.20, p < .05). This prediction was mediated by postpartum depression (β = 0.32, p < .001). In the older infant group, paternal and maternal care could directly predict "rejection and anger" (β = -0.20, -0.22 respectively, p < .05). Maternal protection could predict three bonding factors (β = 0.25-0.29, p < .05, 0.01). Postpartum depression acted as total mediator for "impaired bonding"(β = 0.45, p <. 001), and acted as partial mediators in "rejection and anger" and "anxiety about care" (β = 0.45, 0.28, ps < .001, .01).
Perceived parenting style (especially maternal protection) has impacts on adverse mother-infant bonding. Furthermore, the impact is more prominent on mothers of older infants. "Rejection and anger" could be the most vulnerable bonding factor affected by parenting style. Since postpartum depression mediates the predictions, interventions could concurrently address maternal parenting style and postpartum depression.
关于养育方式、产后抑郁和母婴依恋之间关联的研究有限。
本研究旨在调查外祖父母的养育方式如何预测母亲与婴儿的依恋关系。同时也探讨产后抑郁的中介作用。
227名产后女性的社区样本参与了本研究。参与者主要是在六个月内分娩的女性（89.9%）。
采用横断面和便利抽样策略。使用的工具包括父母教养方式问卷、爱丁堡产后抑郁量表、产后依恋问卷和背景表格。
在婴儿较小的组（即婴儿不超过三个月的母亲）中，结果表明母亲的保护可以预测“依恋受损”（β = 0.20，p <.05）。这一预测由产后抑郁介导（β = 0.32，p <.001）。在婴儿较大的组中，父亲和母亲的关爱可以直接预测“拒绝和愤怒”（分别为β = -0.20，-0.22，p <.05）。母亲的保护可以预测三个依恋因素（β = 0.25 - 0.29，p <.05，0.01）。产后抑郁在“依恋受损”中起完全中介作用（β = 0.45，p <.001），在“拒绝和愤怒”以及“照顾焦虑”中起部分中介作用（β = 0.45，0.28，p <.001，.01）。
感知到的养育方式（尤其是母亲的保护）会对不良的母婴依恋产生影响。此外，这种影响在婴儿较大的母亲中更为突出。“拒绝和愤怒”可能是受养育方式影响最脆弱的依恋因素。由于产后抑郁介导了这些预测，干预措施可以同时针对母亲的养育方式和产后抑郁。
