Postpartum bonding at the beginning of the second year of child's life: the role of postpartum depression and early bonding impairment

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art_FAISAL-CURY_Postpartum_bonding_at_the_beginning_of_the_second_2020.PDF (1.12 MB)
Citações na Scopus
11
Tipo de produção
article
Data de publicação
2020
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
TAYLOR & FRANCIS LTD
Autores
KONTOS, Alexandra
TABB, Karen
Citação
JOURNAL OF PSYCHOSOMATIC OBSTETRICS & GYNECOLOGY, v.41, n.3, p.224-230, 2020
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: We evaluated the association between mother-child bonding and maternal depression at 6-8months after birth with bonding impairment at 12-15months in a sample of mothers at high risk of postnatal depression.Methods: A prospective cohort study with 346 low-income postpartum women with antenatal depression. The Postpartum Bonding Questionnaire (PBQ) and the Patient Health Questionnaire-9 (PHQ-9) were used, at 6-8 and 12-15months after delivery, to assess the mother-infant bonding and postnatal depression (PPD), respectively.Results: The percentage of the main outcome, bonding impairment (BI) at 12-15months, was 9.9% (95% CI 6.6-13.7). Using logistic regression models, BI was associated with: having an occupation (OR=2.82; 95% CI 1.00-7.94, p=.049), unplanned pregnancy (OR=3.46; 95% CI 1.01-11.8, p=.047), and presence of BI at 6-8months (OR= 13.0; 95% CI 3.76-45.4, p <= .001). Maternal depression was marginally associated with BI at 12-15months.Conclusions: BI affects 1 in 10 mothers, and although BI and PPD are strongly associated at 6-8 and 12-15months after delivery, BI at 6-8months is the main predictor of later BI. Based on the study findings, PPD screening in combination with BI assessment is highly recommended during the first year of child's life.
Palavras-chave
Bonding impairment, postnatal depression, mother-infant dyad, postpartum depression
URI
https://observatorio.fm.usp.br/handle/OPI/37844
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MPR
Artigos e Materiais de Revistas Científicas - LIM/39
Livros e Capítulos de Livros - LIM/38