The Mediating Effect of Adverse Childhood Experiences on the Relationship Between Mothers' Postpartum Traumatic Stress and Infant Bonding.

IF 1.1 4区医学 Q3 NURSING

Journal of Psychosocial Nursing and Mental Health Services Pub Date : 2025-08-29 DOI:10.3928/02793695-20250821-03

Fadime Bayri Bingöl, Zeynep Dilşah Karaçam Yılmaz, Melike Dişsiz, Zümrüt Bilgin, Ayşe Karakoç, Meltem Demirgöz Bal

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引用次数: 0

Abstract

Purpose: To examine the mediating effect of adverse childhood experiences (ACEs) on the relationship between mothers' postpartum traumatic stress and infant bonding.

Method: Participants comprised 452 mothers aged ≥18 years who had healthy infants aged between 6 weeks and 1 year. Data were collected using a personal information form, the Adverse Childhood Experiences Questionnaire-Turkish Version (ACE-TR), City Birth Trauma Scale (CityBiTS), and Postnatal Attachment Questionnaire-Turkish Version (PBQ-TR).

Results: Of participants who reported at least one ACE, 15.9% met diagnostic criteria for posttraumatic stress disorder according to the CityBiTS. A higher ACE-TR score (p < 0.001) and the presence of one or more traumatic stress symptoms (p < 0.05) were associated with more significant mother-infant bonding problems. CityBiTS score was a complete intermediary variable between ACE-TR and PBQ-TR scores.

Conclusion: Maternal exposure to ACEs is an important determinant of post-partum traumatic stress and negatively affects mother-infant bonding.

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不良童年经历对母亲产后创伤应激与婴儿依恋关系的中介作用。

目的：探讨不良童年经历在母亲产后创伤应激与婴儿依恋关系中的中介作用。方法：参与者包括452名年龄≥18岁的母亲，她们有6周到1岁的健康婴儿。数据收集采用个人信息表、不良童年经历问卷-土耳其版（ACE-TR）、城市出生创伤量表（CityBiTS）和出生后依恋问卷-土耳其版（PBQ-TR）。结果：根据CityBiTS，在报告至少一次ACE的参与者中，15.9%符合创伤后应激障碍的诊断标准。较高的ACE-TR评分（p < 0.001）和一种或多种创伤应激症状的存在（p < 0.05）与更显著的母婴关系问题相关。CityBiTS评分是ACE-TR和PBQ-TR评分之间的完全中介变量。结论：母亲暴露于ace是产后创伤应激的重要决定因素，并对母婴关系产生负面影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosocial Nursing and Mental Health Services 医学-护理

CiteScore

1.60

自引率

0.00%

发文量

117

审稿时长

6-12 weeks

期刊介绍： The Journal of Psychosocial Nursing and Mental Health Services is a peer-reviewed, monthly journal for psychosocial and mental health nurses in a variety of community and institutional settings. For more than 50 years, the Journal has provided the most up-to-date, practical information available for today’s psychosocial-mental health nurse, including short contributions about psychopharmacology, mental health care of older adults, addictive behaviors and diagnoses, and child/adolescent disorders and issues. Begin to explore the Journal and all of its great benefits such as: • Monthly feature, “Clip & Save: Drug Chart,” a one-page resource of up-to-date information on current medications for various psychiatric illnesses • Access to current articles, as well as several years of archived content • Articles posted online just 2 months after acceptance • Continuing Nursing Education credits available each month