Olivas Elijah T, Park Soim, Malik Abid, Zaidi Ahmed, Atif Najia, Rahman Atif, Surkan Pamela J
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Department of Public Mental Health, Health Services Academy, Islamabad, Pakistan.
Infant Ment Health J. 2025 Jun 15. doi: 10.1002/imhj.70022.
Prenatal anxiety is associated with poor postpartum infant-child relationships. Thus strategies that improve prenatal anxiety could also affect this relationship. We investigated the effects of an intervention to address prenatal anxiety on maternal-infant bonding and examined the potential mediating roles of maternal self-efficacy, maternal-infant responsiveness, and postpartum depression. Data were collected between 2019 and 2022 as part of a randomized controlled trial to treat prenatal anxiety using cognitive behavioral therapy. Participants included 701 pregnant women aged 18 or older with symptoms of anxiety, but not depression, attending a tertiary hospital in Rawalpindi, Pakistan. Women randomized to the intervention arm demonstrated significantly lower scores on the postpartum bonding questionnaire (B = -3.05, 95% CI: -4.98, -1.12), indicating stronger bonding. Responsiveness, self-efficacy, and postpartum depression significantly mediated 38%, 66%, and 95% of the association between the intervention and bonding, respectively. These mediators may be useful targets to improve maternal-infant bonding among women with prenatal anxiety.
产前焦虑与产后母婴关系不佳有关。因此，改善产前焦虑的策略也可能会影响这种关系。我们研究了一项针对产前焦虑的干预措施对母婴联结的影响，并考察了母亲自我效能感、母婴反应性和产后抑郁的潜在中介作用。作为一项使用认知行为疗法治疗产前焦虑的随机对照试验的一部分，我们在2019年至2022年期间收集了数据。参与者包括701名年龄在18岁及以上、有焦虑症状但无抑郁症状的孕妇，她们在巴基斯坦拉瓦尔品第的一家三级医院就诊。随机分配到干预组的女性在产后联结问卷上的得分显著更低（B = -3.05，95%置信区间：-4.98，-1.12），表明联结更强。反应性、自我效能感和产后抑郁分别显著中介了干预与联结之间38%、66%和95%的关联。这些中介因素可能是改善产前焦虑女性母婴联结的有用靶点。
