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Mother-child bonding at 1 year; associations with symptoms of postnatal depression and bonding in the first few weeks

Archives of Women's Mental Health volume 16, pages 381–389 (2013)Cite this article

Abstract

Some mothers experience neutral or negative feelings toward their new infant. This study examined the association between symptoms of postnatal depression and mother–infant bonding and the persistence of these feelings over the first year. Bonding was assessed using the Mother–Infant Bonding Scale (MIBQ), at four times postnatal, “early weeks” (1–4 weeks), 9 weeks, 16 weeks and 1 year, in 50 depressed, Edinburgh Postnatal Depression scale (EPDS) ≥13 at 4 weeks post natal, and 29 non-depressed mothers. A significant association between the EPDS score at 4 weeks and bonding score at 1–4 weeks, 9 weeks, and at 1 year postnatal, χ 2(1) = 9.85, p < 0.01, 5.44, p < 0.05 and 5.21, p < 0.05, respectively, was found, with a trend at 16 weeks. There was a strong association between bonding in the early weeks and all later time points χ 2(1) = 17.26, p < 0.001, 7.89, p < 0.01 and 13.69, p < 0.001, respectively. Regression showed early bonding rather than early depression was the major predictor of bonding at 1 year. Women who are depressed postnatally can fail to bond well with their baby and this can persist for a year. Early identification and intervention for poor bonding is indicated.

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References

  • Ainsworth MDS, Bell SM (1974) Mother–infant interaction and the development of competence. The growth of competence. K. Connolly and J. Bruner. Academic Press, New York, pp 97–118

    Google Scholar 

  • Bienfait M, Maury M et al (2011) Pertinence of the self-report mother-to-infant bonding scale in the neonatal unit of a maternity ward. Early Hum Dev 87:281–287

    Article  PubMed  Google Scholar 

  • Bloch M, Daly RC et al (2003) Endocrine factors in the etiology of postpartum depression. Compr Psychiatry 44(3):234–246

    Article  PubMed  Google Scholar 

  • Bowlby J (1969) Attachment and loss. Hogarth, London

    Google Scholar 

  • Brockington I (1996) Motherhood and mental health. Oxford University Press, Oxford

    Google Scholar 

  • Brockington I (2004) Postpartum psychiatric disorders. Lancet 363(9405):303–310

    Article  PubMed  Google Scholar 

  • Brockington I (2008) Maternal attachment and bonding disorders. Perinatal and postpartum mood disorders. S. D. Stone and A. E. Menken, New York, Springer

    Google Scholar 

  • Brockington I, Aucamp HM et al (2006) Severe disorders of the mother–infant relationship: definitions and frequency. Arch Womens Ment Health 9(5):243–251

    Article  PubMed  CAS  Google Scholar 

  • Brockington I, Oates J et al (2001) A screening questionnaire for mother–infant bonding disorders. Archives of Women's Mental Health 3:133–140

    Article  Google Scholar 

  • Bur, V., A. Gozlan, et al. (1989). Preséntation de grilles d'évaluation des interactions précoces. A l'intention des consultations pédiatriques. L'évaluation des Interactions Précoces Entre le Bèbé et Ses Partenaires. S. Lebovici, P. Mazet and J. P. Visier. Paris, Eschel 427–462.

  • Clark R, Tluczek A et al (2003) Psychotherapy for postpartum depression: a preliminary report. Am J Orthopsychiatry 73(4):441–454

    Article  PubMed  Google Scholar 

  • Cox JL, Chapman G et al (1996) Validation of the Edinburgh Postnatal Depression Scale (EPDS) in non-postnatal women. J Affect Disord 39(3):185–189

    Article  PubMed  CAS  Google Scholar 

  • Cox JL, Holden JM et al (1987) Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786

    Article  PubMed  CAS  Google Scholar 

  • Cranley MS (1981) Development of a tool for the measurement of maternal attachment during pregnancy. Nurs Res 30(5):281–284

    Article  PubMed  CAS  Google Scholar 

  • Delatte R, Cao H et al (2009) Universal screening for postpartum depression: an inquiry into provider attitudes and practice. Am J Obstet Gynecol 200(5):e63–64

    Article  PubMed  Google Scholar 

  • Douglas AJ (2010) Baby love? Oxytocin–dopamine interactions in mother–infant bonding. Endocrinology 151(5):1978–1980

    Article  PubMed  CAS  Google Scholar 

  • Feldman R (2007) Parent–infant synchrony and the construction of shared timing; physiological precursors, developmental outcomes, and risk conditions. J Child Psychol Psychiatry 48(3–4):329–354

    Article  PubMed  Google Scholar 

  • Figueiredo B, Costa R et al (2007) Mother-to-infant and father-to-infant initial emotional involvement. Early Child Development and Care 177(5):521–532

    Article  Google Scholar 

  • Figueiredo B, Costa R et al (2009) Mother-to-infant emotional involvement at birth. Matern Child Health J 13(4):539–549

    Article  PubMed  Google Scholar 

  • Fleming AS, Ruble DN et al (1988) Postpartum adjustment in first-time mothers: relations between mood, maternal attitudes, and mother–infant interactions. Dev Psychol 24:71–81

    Article  Google Scholar 

  • Guaraldi GP, Caffo E et al (1985) Analyse des indicateurs de distorsion relationnelle precoce mere–enfant pendant les trois premiers mois de vie. Neuropsy Enfance 33(2–3):129–133

    Google Scholar 

  • Hay DF, Pawlby S et al (2001) Intellectual problems shown by 11-year-old children whose mothers had postnatal depression. J Child Psychol Psychiatry 42(7):871–889

    Article  PubMed  CAS  Google Scholar 

  • Hewitt CE, Gilbody SM (2009) Is it clinically and cost effective to screen for postnatal depression: a systematic review of controlled clinical trials and economic evidence. BJOG 116(8):1019–1027

    Article  PubMed  CAS  Google Scholar 

  • Hoffman Y, Drotar D (1991) The impact of postpartum depressed mood on mother–infant interactions: like mother like baby? Infant Mental Health J 12:65–80

    Article  Google Scholar 

  • Horowitz JA, Bell M et al (2001) Promoting responsiveness between mothers with depressive symptoms and their infants. J Nurs Scholarsh 33(4):323–329

    Article  PubMed  CAS  Google Scholar 

  • Klier CM (2006) Mother–infant bonding disorders in patients with postnatal depression: the Postpartum Bonding Questionnaire in clinical practice. Arch Womens Ment Health 9(5):289–291

    Article  PubMed  CAS  Google Scholar 

  • Kumar RC (1997) Anybody's child: severe disorders of mother-to-infant bonding. Br J Psychiatry 171:175–181

    Article  PubMed  CAS  Google Scholar 

  • Mitchell AJ, Coyne J (2009) Screening for postnatal depression: barriers to success. BJOG 116(1):11–14

    Article  PubMed  CAS  Google Scholar 

  • Moehler E, Brunner R et al (2006) Maternal depressive symptoms in the postnatal period are associated with long-term impairment of mother–child bonding. Arch Womens Ment Health 9(5):273–278

    Article  PubMed  CAS  Google Scholar 

  • Muller ME (1993) Development of the Prenatal Attachment Inventory. West J Nurs Res 15(2):199–211, discussion 211–195

    Article  PubMed  CAS  Google Scholar 

  • Murray L (1992) The impact of postnatal depression on infant development. J Child Psychol Psychiatry 33(3):543–561

    Article  PubMed  CAS  Google Scholar 

  • Murray L, Fiori-Cowley A et al (1996) The impact of postnatal depression and associated adversity on early mother–infant interactions and later infant outcome. Child Dev 67(5):2512–2526

    Article  PubMed  CAS  Google Scholar 

  • NICE (2007). Antenatal and Postnatal Mental Health: clinical management and service guidance. Health. London, National Institute for Health and Clinical Excellence CG45: 1–48.

  • O'Higgins M, St James Roberts I et al (2008) Postnatal depression and mother and infant outcomes after infant massage. J Affect Disord 109(1–2):189–192

    Article  PubMed  Google Scholar 

  • Pawlby S, Sharp D et al (2008) Postnatal depression and child outcome at 11 years: the importance of accurate diagnosis. J Affect Disord 107(1–3):241–245

    Article  PubMed  Google Scholar 

  • Poobalan AS, Aucott LS et al (2007) Effects of treating postnatal depression on mother infant interaction and child development: systematic review. Br J Psychiatry 191(5):378–386

    Article  PubMed  CAS  Google Scholar 

  • Reck C, Klier CM et al (2006) The German version of the Postpartum Bonding Instrument: psychometric properties and association with postpartum depression. Arch Womens Ment Health 9(5):265–271

    Article  PubMed  CAS  Google Scholar 

  • Righetti-Veltema M, Conne-Perreard E et al (2002) Postpartum depression and mother–infant relationship at 3months old. J Affect Disord 70(3):291–306

    Article  PubMed  Google Scholar 

  • Robson KM, Kumar R (1980) Delayed onset of maternal affection after childbirth. Br J Psychiatry 136:347–353

    Article  PubMed  CAS  Google Scholar 

  • Roisman GI, Padron E et al (2002) Earned-secure attachment status in retrospect and prospect. Child Development 73(4):1204–1219

    Article  PubMed  Google Scholar 

  • Sharp D, Hay DF et al (1995) The impact of postnatal depression on boys' intellectual development. J Child Psychol Psychiatry 36(8):1315–1336

    Article  PubMed  CAS  Google Scholar 

  • Spitzer R, Endicott J et al (1975) Research diagnostic criteria. New York State Psychiatric Institute, New York

    Google Scholar 

  • Taylor A, Atkins R et al (2005) A new Mother-to-Infant Bonding Scale: links with early maternal mood. Arch Women Ment Health 8(1):45–51

    Article  CAS  Google Scholar 

  • Tharner A, Luijk MPC et al (2012) Maternal lifetime history of depression and depressive symptoms in the prenatal and early postnatal period do not predict infant–mother attachment quality in a large, population-based Dutch cohort study. Attachment & Human Development 14(1):63–81

    Article  Google Scholar 

  • Yoshida K, Yamashita H et al (2012) A Japanese version of Mother-to-Infant Bonding Scale: factor structure, longitudinal changes and links with maternal mood during the early postnatal period in Japanese mothers. Arch Womens Ment Health 15(5):343–352

    Article  PubMed  Google Scholar 

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Acknowledgements

Funding of this study was provided by the Foundation for Integrated Health. We thank Diana Adams for all her help on the project and also all the mothers and babies who took part.

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Authors and Affiliations

  1. Krembil Neuroscience Centre, Toronto Western Hospital, 399 Bathurst Street, Toronto, ON, Canada, M5T 2S8

    Madeleine O’Higgins

  2. Thomas Coram Research Unit Institute of Education, University of London, 27/28 Woburn Square, London, WC1H 0AA, UK

    Ian St James Roberts

  3. Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College, Hammersmith Campus, Du Cane Road, London, W12 0NN, UK

    Vivette Glover & Alyx Taylor

  4. School of Biomedical Sciences, King’s College, London, Stamford Street, London, SE1 9NH, UK

    Alyx Taylor

Authors
  1. Madeleine O’Higgins
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  2. Ian St James Roberts
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  3. Vivette Glover
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  4. Alyx Taylor
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Correspondence to Alyx Taylor.

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O’Higgins, M., Roberts, I.S.J., Glover, V. et al. Mother-child bonding at 1 year; associations with symptoms of postnatal depression and bonding in the first few weeks. Arch Womens Ment Health 16, 381–389 (2013). https://doi.org/10.1007/s00737-013-0354-y

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  • DOI: https://doi.org/10.1007/s00737-013-0354-y

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