Qi Weijing, Wei Ziqi, Lv Huicong, Zhao Jinping, Hu Yuanyuan, Wang Yitong, Guo Qing, Hu Jie
Innovation Center of Humanistic Care and Health Management, School of Nursing, Hebei Medical University, 48 Donggang Road, Yuhua District, Shijiazhuang, Hebei Province, 050030, China.
Shijiazhuang Obstetrics and Gynecology Hospital, 206 East Zhongshan Road, Changan District, Shijiazhuang, Hebei Province, 050011, China.
BMC Pregnancy Childbirth. 2025 Jun 7;25(1):667. doi: 10.1186/s12884-025-07762-2.
The accumulated evidence suggested that postpartum depression was mainly associated with maternal-infant bonding. However, this link needed to be further explained by potential mediating factors. This study aimed to investigate the impact of postpartum depression on maternal-infant bonding, examining the mediating roles of mentalizing and parenting self-efficacy.
A sample of 390 postpartum women was recruited from a maternity hospital around four weeks postpartum. A multiple mediating analysis was conducted to investigate how mentalizing and parenting self-efficacy affected the relationship between postpartum depression and maternal-infant bonding.
The mediation analyses indicated that postpartum depression had a direct negative impact on maternal-infant bonding among postpartum women. It could also exert an indirect effect via three pathways: the independent mediation of parenting self-efficacy, the serial mediation of hypermentalizing and parenting self-efficacy, and the serial mediation of hypomentalizing and parenting self-efficacy.
Women were sampled from a single maternity hospital, and self-report measures were utilized. The cross-sectional design also limited conclusions about causation and directionality.
The findings suggest that postpartum depression may negatively affect maternal-infant bonding. Moreover, the significant roles of a mother’s mentalizing and parenting self-efficacy in the relationship between postpartum depression and maternal-infant bonding should not be overlooked. These results could offer insights into supporting women with postpartum depressive symptoms to establish positive mother-infant relationships.
No. 20230128.
已有证据表明产后抑郁主要与母婴联结有关。然而，这一联系需要通过潜在的中介因素作进一步解释。本研究旨在探讨产后抑郁对母婴联结的影响，检验心智化和育儿自我效能感的中介作用。
从一家妇产医院招募了390名产后四周左右的女性作为样本。进行了多重中介分析，以研究心智化和育儿自我效能感如何影响产后抑郁与母婴联结之间的关系。
中介分析表明，产后抑郁对产后女性的母婴联结有直接负面影响。它还可通过三条途径产生间接影响：育儿自我效能感的独立中介作用、过度心智化与育儿自我效能感的序列中介作用、以及低心智化与育儿自我效能感的序列中介作用。
样本取自一家单一的妇产医院，且采用了自我报告测量方法。横断面设计也限制了对因果关系和方向性的结论。
研究结果表明产后抑郁可能对母婴联结产生负面影响。此外，母亲的心智化和育儿自我效能感在产后抑郁与母婴联结关系中的重要作用不容忽视。这些结果可为支持有产后抑郁症状的女性建立积极的母婴关系提供见解。
20230128。
