{"title":"产后母亲抑郁、母婴关系及其与六年级儿童困难的关系。","authors":"Daimei Sasayama, Tomonori Owa, Tetsuya Kudo, Wakako Kaneko, Mizuho Makita, Rie Kuge, Ken Shiraishi, Tetsuo Nomiyama, Shinsuke Washizuka, Hideo Honda","doi":"10.1007/s00737-025-01585-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Postpartum maternal mental health plays a crucial role in the development of children's social and emotional competencies. This study aimed to investigate the influence of postpartum maternal depression and mother-to-infant bonding on children's emotional and behavioral difficulties in sixth grade.</p><p><strong>Methods: </strong>Data from the maternal Edinburgh Postnatal Depression Scale (EPDS) and the Mother-to-Infant Bonding Scale-Japanese version (MIBS-J), administered to mothers approximately 2 weeks to 1 month postpartum during postnatal health checkups in Okaya, Japan, were analyzed alongside Strengths and Difficulties Questionnaire (SDQ) data collected from their sixth-grade children and their caregivers. The study included 245 mother-child pairs of children born between April 2, 2009, and April 1, 2012.</p><p><strong>Results: </strong>Postpartum maternal depressive symptoms, as assessed by the EPDS, were significantly associated with mother-to-infant bonding difficulties, as assessed by the MIBS-J. Structural equation modeling revealed that EPDS, MIBS-J, and sex significantly predicted psychosocial difficulties of children. Bonding difficulties mediated 34.6% of the total effect of EPDS on child difficulties. The models explained 26.1% of the variance in psychosocial difficulties, with 43.0% of the variance explained for parent-rated SDQ scores and 36.4% for self-rated SDQ scores.</p><p><strong>Conclusions: </strong>The negative impact of maternal depressive symptoms on mother-to-infant bonding may have contributed to increased difficulties for the child, highlighting the critical role of bonding in moderating the effects of maternal mental health on child development. These findings underscore the importance of early postpartum interventions targeting both maternal depression and bonding difficulties to mitigate long-term effects on child development.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Postpartum maternal depression, mother-to-infant bonding, and their association with child difficulties in sixth grade.\",\"authors\":\"Daimei Sasayama, Tomonori Owa, Tetsuya Kudo, Wakako Kaneko, Mizuho Makita, Rie Kuge, Ken Shiraishi, Tetsuo Nomiyama, Shinsuke Washizuka, Hideo Honda\",\"doi\":\"10.1007/s00737-025-01585-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Postpartum maternal mental health plays a crucial role in the development of children's social and emotional competencies. This study aimed to investigate the influence of postpartum maternal depression and mother-to-infant bonding on children's emotional and behavioral difficulties in sixth grade.</p><p><strong>Methods: </strong>Data from the maternal Edinburgh Postnatal Depression Scale (EPDS) and the Mother-to-Infant Bonding Scale-Japanese version (MIBS-J), administered to mothers approximately 2 weeks to 1 month postpartum during postnatal health checkups in Okaya, Japan, were analyzed alongside Strengths and Difficulties Questionnaire (SDQ) data collected from their sixth-grade children and their caregivers. The study included 245 mother-child pairs of children born between April 2, 2009, and April 1, 2012.</p><p><strong>Results: </strong>Postpartum maternal depressive symptoms, as assessed by the EPDS, were significantly associated with mother-to-infant bonding difficulties, as assessed by the MIBS-J. Structural equation modeling revealed that EPDS, MIBS-J, and sex significantly predicted psychosocial difficulties of children. Bonding difficulties mediated 34.6% of the total effect of EPDS on child difficulties. The models explained 26.1% of the variance in psychosocial difficulties, with 43.0% of the variance explained for parent-rated SDQ scores and 36.4% for self-rated SDQ scores.</p><p><strong>Conclusions: </strong>The negative impact of maternal depressive symptoms on mother-to-infant bonding may have contributed to increased difficulties for the child, highlighting the critical role of bonding in moderating the effects of maternal mental health on child development. These findings underscore the importance of early postpartum interventions targeting both maternal depression and bonding difficulties to mitigate long-term effects on child development.</p>\",\"PeriodicalId\":8369,\"journal\":{\"name\":\"Archives of Women's Mental Health\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-04-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Women's Mental Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00737-025-01585-y\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Women's Mental Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00737-025-01585-y","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Postpartum maternal depression, mother-to-infant bonding, and their association with child difficulties in sixth grade.
Purpose: Postpartum maternal mental health plays a crucial role in the development of children's social and emotional competencies. This study aimed to investigate the influence of postpartum maternal depression and mother-to-infant bonding on children's emotional and behavioral difficulties in sixth grade.
Methods: Data from the maternal Edinburgh Postnatal Depression Scale (EPDS) and the Mother-to-Infant Bonding Scale-Japanese version (MIBS-J), administered to mothers approximately 2 weeks to 1 month postpartum during postnatal health checkups in Okaya, Japan, were analyzed alongside Strengths and Difficulties Questionnaire (SDQ) data collected from their sixth-grade children and their caregivers. The study included 245 mother-child pairs of children born between April 2, 2009, and April 1, 2012.
Results: Postpartum maternal depressive symptoms, as assessed by the EPDS, were significantly associated with mother-to-infant bonding difficulties, as assessed by the MIBS-J. Structural equation modeling revealed that EPDS, MIBS-J, and sex significantly predicted psychosocial difficulties of children. Bonding difficulties mediated 34.6% of the total effect of EPDS on child difficulties. The models explained 26.1% of the variance in psychosocial difficulties, with 43.0% of the variance explained for parent-rated SDQ scores and 36.4% for self-rated SDQ scores.
Conclusions: The negative impact of maternal depressive symptoms on mother-to-infant bonding may have contributed to increased difficulties for the child, highlighting the critical role of bonding in moderating the effects of maternal mental health on child development. These findings underscore the importance of early postpartum interventions targeting both maternal depression and bonding difficulties to mitigate long-term effects on child development.
期刊介绍:
Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.