Summary
Mother–infant bonding disorders include a distressing lack of maternal feeling, irritability, hostility and aggressive impulses, pathological ideas and outright rejection. They are quite common in mothers referred for psychiatric help and are present in 29% of mothers diagnosed with postnatal depression (Brockington et al, 2001). In cases of postpartum depression The Postpartum Bonding Questionnaire (PBQ) is best used together with The Edinburgh Postnatal Depression Scale (EPDS) to evaluate the treatment process for both variables: depression and difficulties of the mother to relate to her child (Klier & Muzik, 2004). Two cases vignettes from clinical practice are presented to illustrate this procedure.
The use of the PBQ allows the clinician to screen for mother–infant relationship disorders and to assess the severity of the disorder. In the case of high scores on the PBQ it is crucial to attend to the relationship problems and assess if they are still present beyond the recovery from depression.
References
IF Brockington J Oates S George D Turner P Vostanis M Sullivan C Loh C Murdoch (2001) ArticleTitleA screening questionnaire for mother–infant bonding disorders Arch Womens Ment Health 3 133–140 Occurrence Handle10.1007/s007370170010
IF Brockington (2004) ArticleTitlePostpartum psychiatric disorders Lancet 363 303–310 Occurrence Handle14751705 Occurrence Handle10.1016/S0140-6736(03)15390-1
JL Cox JM Holden R Sagrovsky (1987) ArticleTitleDetection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale Br J Psychiatry 150 782–786 Occurrence Handle3651732 Occurrence Handle1:STN:280:BieD3c7it1E%3D Occurrence Handle10.1192/bjp.150.6.782
CM Klier M Muzik (2004) ArticleTitleMother–infant bonding disorders and use of Parental Bonding Questionnaire in clinical practice World Psychiatry 3 IssueID2 102–103 Occurrence Handle16633470
M Muzik CM Klier KL Rosenblum A Holzinger W Umek H Katschnig (2000) ArticleTitleAre commonly used self-report inventories suitable for screening postpartum depression and anxiety disorders? Acta Psychiat Scand 102 71–73 Occurrence Handle10892613 Occurrence Handle1:STN:280:DC%2BD3M%2FjtF2qsQ%3D%3D Occurrence Handle10.1034/j.1600-0447.2000.102001071.x
C Reck CM Klier K Pabst E Stehle U Steffenelli K Struben M Backenstrass (2006) ArticleTitleThe German version of the Postpartum Bonding Instrument: Psychometric properties and association with postpartum depression Arch Womens Ment Health 9 265–271 Occurrence Handle16937316 Occurrence Handle1:STN:280:DC%2BD28rislOksQ%3D%3D
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Klier, C. Mother–infant bonding disorders in patients with postnatal depression: The Postpartum Bonding Questionnaire in clinical practice. Arch Womens Ment Health 9, 289–291 (2006). https://doi.org/10.1007/s00737-006-0150-z
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DOI: https://doi.org/10.1007/s00737-006-0150-z