Maternal childbirth-related posttraumatic stress symptoms, bonding, and infant development: a prospective study.

IF 2.1 4区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Journal of Reproductive and Infant Psychology Pub Date : 2025-06-01 Epub Date: 2023-09-23 DOI:10.1080/02646838.2023.2261057

Sella Devita, Camille Deforges, Myriam Bickle-Graz, Jean-François Tolsa, Vania Sandoz, Antje Horsch

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引用次数: 0

Abstract

Background: Childbirth-related posttraumatic stress symptoms (CB-PTSS) including general symptoms (GS, i.e., mainly negative cognitions and mood and hyperarousal symptoms) and birth-related symptoms (BRS, i.e., mostly re-experiencing and avoidance symptoms) may disrupt mother-infant bonding and infant development. This study investigated prospective and cross-sectional associations between maternal CB-PTSS and mother-infant bonding or infant development (language, motor, and cognitive).

Method: We analysed secondary data of the control group of a randomised control trial (NCT03576586) with full-term French-speaking mother-infant dyads (n = 55). Maternal CB-PTSS and mother-infant bonding were assessed via questionnaires at six weeks (T1) and six months (T2) postpartum: PTSD Checklist for DSM-5 (PCL-5) and Mother-Infant Bonding Scale (MIBS). Infant development was assessed with the Bayley Scales of Infant Development at T2. Sociodemographic and medical data were collected from questionnaires and medical records. Bivariate and multivariate regression were used.

Results: Maternal total CB-PTSS score at T1 was associated with poorer bonding at T2 in the unadjusted model (B = 0.064, p = 0.043). In the adjusted model, cross-sectional associations were found at T1 between a higher total CB-PTSS score and poorer bonding (B = 0.134, p = 0.017) and between higher GS and poorer bonding (B = 0.306, p = 0.002). Higher BRS at T1 was associated with better infant cognitive development at T2 in the unadjusted model (B = 0.748, p = 0.026).

Conclusions: Results suggest that CB-PTSS were associated with mother-infant bonding difficulties, while CB-PTSS were not significantly associated with infant development. Additional studies are needed to increase our understanding of the intergenerational consequences of perinatal trauma.

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产妇分娩相关的创伤后应激症状、亲密关系和婴儿发育：一项前瞻性研究。

背景：与分娩相关的创伤后应激症状（CB-PTSS），包括一般症状（GS，即主要是负面认知和情绪以及过度兴奋症状）和与分娩相关症状（BRS，即大多是再体验和回避症状），可能会破坏母婴结合和婴儿发育。本研究调查了母亲CB-PTSS与母婴结合或婴儿发育（语言、运动和认知）之间的前瞻性和横断面相关性 = 55）。在产后6周（T1）和6个月（T2）通过问卷调查评估母亲CB-PTSS和母婴关系：DSM-5创伤后应激障碍检查表（PCL-5）和母婴关系量表（MIBS）。婴儿发育在T2时采用贝利婴儿发育量表进行评估。从问卷调查和医疗记录中收集社会记录和医学数据。使用双变量和多变量回归。结果：在未调整的模型中，母亲在T1时的CB-PTSS总分与T2时的结合较差有关（B = 0.064，p = 0.043）。在调整后的模型中，在T1发现较高的CB-PTSS总分和较差的结合之间存在横截面关联（B = 0.134，p = 0.017）和在较高GS和较差结合之间（B = 0.306，p = 0.002）。在未经调整的模型中，T1时较高的BRS与T2时更好的婴儿认知发展有关（B = 0.748，p = 0.026）。结论：结果表明，CB-PTSS与母婴结合困难有关，而CB-PTSSs与婴儿发育无显著相关性。还需要更多的研究来增加我们对围产期创伤的代际后果的理解。

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 Reproductive and Infant Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.80

自引率

8.00%

发文量

期刊介绍： The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.