College of Medicine and Health Science, Wuhan Polytechnic University, Wuhan, China.
Center for Reproductive Medicine, Department of Gynecology, Zhejiang Provincial People's Hospital, (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
BMC Psychol. 2023 Oct 27;11(1):359. doi: 10.1186/s40359-023-01370-5.
This study aimed to evaluate the correlation between parental attachment, resilience, postpartum traumatic stress disorder (PTSD), and maternal-infant bonding at 1 to 3 months postpartum. The mediation effect of resilience and PTSD on the postpartum parental attachment and maternal-infant bond was also evaluated.
A cross-sectional research design was used.
A total of 400 postpartum women examined at a tertiary hospital in Wuhan from January 2021 to June 2021 were enrolled in the study. At about 1 to 3 months after giving birth, the women were asked to complete the Postpartum Bonding Questionnaire (PBQ), Connor-Davidson Resilience scale(CD-RISC), PTSD CheckList-Civilian version (PCL-C), and the Parental Bonding Instrument (PBI). The data were summarized using descriptive statistics. Mediation analyse and the Spearman correlation (r) were used to correlate the resilience and PTSD questionnaire scores.
The care attachment dimension was significantly associated with resilience (r = 0.24, p < 0.01), PTSD (r = - 0.27, p < 0.01), and maternal-infant bonding (r = 0.10, p < 0.01), and the overprotection attachment dimension was significantly associated with resilience (r = - 0.11, p < 0.01), PTSD (r = 0.33, p < 0.01), and maternal-infant bonding (r = 0.16, p < 0.01). Resilience and PTSD can mediate the relationship between attachment and maternal-infant bonding.
Parental attachment, resilience, and PTSD significantly affect maternal-infant bonding at 1 to 3 months postpartum.
This study demonstrated that new interventions aimed at addressing PTSD symptoms and improving resilience might increase parental attachment and maternal-infant bonding after birth. However, further research is required to evaluate the success of these interventions.
本研究旨在评估父母依恋、韧性、产后创伤后应激障碍（PTSD）与产后 1 至 3 个月母婴结合的相关性。还评估了韧性和 PTSD 对产后父母依恋和母婴纽带的中介作用。
采用横断面研究设计。
共纳入 2021 年 1 月至 6 月在武汉一家三级医院检查的 400 名产后妇女。产后约 1 至 3 个月，要求这些妇女完成产后纽带问卷（PBQ）、Connor-Davidson 韧性量表（CD-RISC）、平民版 PTSD 检查表（PCL-C）和父母教养工具（PBI）。使用描述性统计对数据进行总结。使用中介分析和 Spearman 相关系数（r）来关联韧性和 PTSD 问卷评分。
关怀依恋维度与韧性（r=0.24，p<0.01）、PTSD（r=-0.27，p<0.01）和母婴纽带（r=0.10，p<0.01）显著相关，过度保护依恋维度与韧性（r=-0.11，p<0.01）、PTSD（r=0.33，p<0.01）和母婴纽带（r=0.16，p<0.01）显著相关。韧性和 PTSD 可以中介依恋与母婴纽带的关系。
父母依恋、韧性和 PTSD 显著影响产后 1 至 3 个月的母婴纽带。
本研究表明，针对 PTSD 症状和提高韧性的新干预措施可能会增加产后父母依恋和母婴纽带。然而，需要进一步研究来评估这些干预措施的成功。
