School of Psychology, Faculty of Science, University of Sydney, 2006, Sydney, NSW, Australia.
School of Psychology; MARCS Institute for Brain Behaviour and Development; Transforming early Education And Child Health Research Centre, Translational Health Research Institute, Western Sydney University, 2750, Penrith, NSW, Australia.
Child Psychiatry Hum Dev. 2023 Dec;54(6):1723-1736. doi: 10.1007/s10578-022-01365-0. Epub 2022 May 26.
Maternal-infant bonding is important for children's positive development. Poor maternal-infant bonding is a risk factor for negative mother and infant outcomes. Although researchers have examined individual predictors of maternal-infant bonding, studies typically do not examine several concurrent and longitudinal predictors within the same model. This study aimed to evaluate the unique and combined predictive power of cross-sectional and longitudinal predictors of maternal-infant bonding. Participants were 372 pregnant women recruited from an Australian hospital. Data were collected from mothers at antenatal appointments (T0), following their child's birth (T1), and at a laboratory assessment when their child was 5-11-months-old (T2). Poorer bonding at T2 was predicted at T0 by younger maternal age, higher education, and higher antenatal depressive symptoms. Poorer bonding at T2 was predicted at T1 by younger maternal age, higher education, and higher postnatal depressive symptoms. Poorer bonding at T2 was predicted at T2 by younger maternal age, higher education, higher postnatal depression symptoms, higher concurrent perceived social support, and more difficult infant temperament, when controlling for child age at T2. To promote positive maternal-infant bonding, global and targeted interventions in the perinatal period may benefit from targeting maternal psychopathology, perceived lack of social support, and coping with difficult infant temperament.
母婴结合对儿童的积极发展很重要。母婴结合不良是母婴不良结局的一个风险因素。尽管研究人员已经研究了母婴结合的个体预测因素，但研究通常不会在同一模型中同时检查几个横向和纵向预测因素。本研究旨在评估母婴结合的横向和纵向预测因素的独特和综合预测能力。参与者是从澳大利亚一家医院招募的 372 名孕妇。在产前预约时（T0）、孩子出生后（T1）和孩子 5-11 个月大时（T2）在实验室评估时从母亲那里收集数据。在 T0 时，年龄较小的母亲、较高的教育程度和较高的产前抑郁症状预测了 T2 时的结合较差。在 T1 时，年龄较小的母亲、较高的教育程度和较高的产后抑郁症状预测了 T2 时的结合较差。在 T2 时，在控制 T2 时儿童年龄的情况下，年龄较小的母亲、较高的教育程度、较高的产后抑郁症状、较高的同时感知社会支持和较难的婴儿气质也预测了 T2 时的结合较差。为了促进母婴结合，围产期的全面和有针对性的干预措施可能受益于针对母亲的精神病理学、感知缺乏社会支持和应对困难的婴儿气质。
