Department of Clinical Psychology, National Institute of Mental Health and Neurosciences, Bangalore, 560029, Karnataka, India.
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Arch Womens Ment Health. 2023 Aug;26(4):549-560. doi: 10.1007/s00737-023-01340-1. Epub 2023 Jul 1.
The aim of this study is to examine the influence of antenatal factors such as anxiety, depression, perceived stress, marital satisfaction, maternal antenatal attachment, and social support on postnatal maternal attachment and competence in women who received assisted reproductive treatment. A prospective longitudinal cohort design was adopted with two groups-50 women who received assisted reproductive treatment and 50 women who had natural conception. Both the groups were assessed using self-report measures over three time points: T1, 7th month of pregnancy; T2, 2 weeks postpartum; and T3, 3 months postpartum. A final sample of 44 women who had assisted conception and 47 women who had natural conception completed assessments across all three time points. Descriptive, bivariate analyses, and stepwise multiple linear regression analyses were carried out. In the assisted conception group, maternal antenatal attachment, depression, and marital satisfaction significantly predicted postnatal maternal-infant attachment. Perceived social support, depression, and duration of marriage significantly predicted postnatal maternal competence. In the naturally conceived group, maternal antenatal attachment and social support significantly predicted postnatal maternal-infant attachment; perceived stress significantly predicted postnatal maternal competence. Antenatal depressive symptoms and relational factors significantly influenced postnatal maternal attachment and competence highlighting the need for screening and targeted psychological interventions during pregnancy.
本研究旨在探讨产前因素，如焦虑、抑郁、感知压力、婚姻满意度、产妇产前依恋和社会支持对接受辅助生殖治疗的女性产后母婴依恋和能力的影响。采用前瞻性纵向队列设计，分为两组：50 名接受辅助生殖治疗的女性和 50 名自然受孕的女性。两组均在三个时间点使用自我报告量表进行评估：T1，妊娠第 7 个月；T2，产后 2 周；T3，产后 3 个月。最终有 44 名接受辅助受孕的女性和 47 名自然受孕的女性完成了所有三个时间点的评估。进行了描述性、双变量分析和逐步多元线性回归分析。在辅助受孕组中，产妇产前依恋、抑郁和婚姻满意度显著预测产后母婴依恋。感知社会支持、抑郁和婚姻持续时间显著预测产后母亲能力。在自然受孕组中，产妇产前依恋和社会支持显著预测产后母婴依恋；感知压力显著预测产后母亲能力。产前抑郁症状和关系因素显著影响产后母婴依恋和能力，这突出表明在怀孕期间需要进行筛查和有针对性的心理干预。
