{"title":"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。","authors":"Fadime Bayri Bingöl, Zeynep Dilşah Karaçam Yılmaz, Melike Dişsiz, Zümrüt Bilgin, Ayşe Karakoç, Meltem Demirgöz Bal","doi":"10.3928/02793695-20250821-03","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To examine the mediating effect of adverse childhood experiences (ACEs) on the relationship between mothers' postpartum traumatic stress and infant bonding.</p><p><strong>Method: </strong>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).</p><p><strong>Results: </strong>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 (<i>p</i> < 0.001) and the presence of one or more traumatic stress symptoms (<i>p</i> < 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.</p><p><strong>Conclusion: </strong>Maternal exposure to ACEs is an important determinant of post-partum traumatic stress and negatively affects mother-infant bonding.</p>","PeriodicalId":50071,"journal":{"name":"Journal of Psychosocial Nursing and Mental Health Services","volume":" ","pages":"1-9"},"PeriodicalIF":1.1000,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Mediating Effect of Adverse Childhood Experiences on the Relationship Between Mothers' Postpartum Traumatic Stress and Infant Bonding.\",\"authors\":\"Fadime Bayri Bingöl, Zeynep Dilşah Karaçam Yılmaz, Melike Dişsiz, Zümrüt Bilgin, Ayşe Karakoç, Meltem Demirgöz Bal\",\"doi\":\"10.3928/02793695-20250821-03\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To examine the mediating effect of adverse childhood experiences (ACEs) on the relationship between mothers' postpartum traumatic stress and infant bonding.</p><p><strong>Method: </strong>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).</p><p><strong>Results: </strong>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 (<i>p</i> < 0.001) and the presence of one or more traumatic stress symptoms (<i>p</i> < 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.</p><p><strong>Conclusion: </strong>Maternal exposure to ACEs is an important determinant of post-partum traumatic stress and negatively affects mother-infant bonding.</p>\",\"PeriodicalId\":50071,\"journal\":{\"name\":\"Journal of Psychosocial Nursing and Mental Health Services\",\"volume\":\" \",\"pages\":\"1-9\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-08-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Psychosocial Nursing and Mental Health Services\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3928/02793695-20250821-03\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychosocial Nursing and Mental Health Services","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/02793695-20250821-03","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
The Mediating Effect of Adverse Childhood Experiences on the Relationship Between Mothers' Postpartum Traumatic Stress and Infant Bonding.
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.
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
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