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Impact of perceived rearing and social support on bonding failure and depression among mothers: A longitudinal study of pregnant women.

Abstract：

BACKGROUND:Although previous studies have reported associations between bonding failure, depression, social support among mothers, and perceived rearing, the causal relationships remain unclear. METHODS:A total of 855 women (mean age, 32.4 ± 4.4 years) completed the Mother-Infant Bonding Questionnaire (MIBQ), the Edinburgh Postnatal Depression Scale (EPDS), the Japanese version of the Social Support Questionnaire, and the Parental Bonding Instrument in early pregnancy before week 25 (T1) and at 1 month after delivery (T2). We created a path model to clarify the causal relationships between perinatal bonding failure, depression, social support, and perceived rearing during pregnancy and at 1 month after delivery. The model was tested using structural equation modeling. RESULTS:Our recursive model showed acceptable fit (chi-squared statistic/degree of freedom = 2.1, comparative fit index = 0.98, root mean square error of approximation = 0.04). It was revealed that: (1) at T1, higher overprotection significantly predicted MIBQ scores; (2) at T1, poorer social support significantly predicted both MIBQ and EPDS scores; and (3) at T1, both MIBQ and EPDS scores significantly predicted respective scores at T2. CONCLUSIONS:These results showed that bonding failure in the postpartum period was significantly influenced by mothers' own perceived rearing and social support during pregnancy. In addition, depression in the postpartum period was strongly influenced by social support during pregnancy. These findings suggest that psychosocial interventions that focus on both mothers' recollections of their own upbringing and social support during pregnancy are effective for preventing bonding failure and depression in the postpartum period.

journal_name

J Psychiatr Res

journal_title

Journal of psychiatric research

authors

Ohara M,Nakatochi M,Okada T,Aleksic B,Nakamura Y,Shiino T,Yamauchi A,Kubota C,Morikawa M,Murase S,Goto S,Kanai A,Kato R,Ando M,Ozaki N

doi

10.1016/j.jpsychires.2018.09.001

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

71-77

eissn

0022-3956

issn

1879-1379

pii

S0022-3956(18)30850-1

journal_volume

105

pub_type

杂志文章

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Impact of perceived rearing and social support on bonding failure and depression among mothers: A longitudinal study of pregnant women.