{"title":"产后关系:怀孕期间压力生活事件的影响。","authors":"Vincenzo Zanardo, Federica Tedde, Claudio Zandonella Callegher, Andrea Sandri, Lara Giliberti, Valeria Manghina, Gianluca Strafaceee","doi":"10.1080/14767058.2021.1937986","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>We aimed to determine if and to what extent a woman's exposure to stressful life events were associated with impaired maternal bonding by using a sample of high-income Italian women.</p><p><strong>Methods: </strong>In the second day postpartum, 425 healthy puerperae responded to Life Experiences Survey (LES), Mother-to-Infant Bonding Scale (MBS), and to the Edinburgh Postnatal Depression Scale (EPDS).</p><p><strong>Results: </strong>Analysis revealed that the stressful life events scored by LES were a significantly predictor of impaired bonding as measured by MIBS (<i>β</i> = 0.04; <i>t</i> = 3.45; <i>p</i> < .001) and of postpartum depression symptoms as measured by EPDS total score (<i>β</i> = 0.32; <i>t</i> = 4.86; <i>p</i> < .001) as well as its subscales <i>Anhedonia</i> (<i>β</i> = 0.059; <i>t</i> = 4.99; <i>p</i> < .001), <i>Anxiety</i> (<i>β</i> = 0.03; <i>t</i> = 5.72; <i>p</i> < .001), and <i>Depression</i> (<i>β</i> = 0.05; <i>t</i> = 6.53; <i>p</i> < .001). Moreover, the partial correlation between EPDS total score and MIBS accounting for LES positive and negative scores was statistically significant (<i>r</i> = 0.208; <i>n</i> = 332; <i>p</i> < .001).</p><p><strong>Conclusion: </strong>The findings emphasize the importance of identifying mothers with negative experiences toward pregnancy and delivery to address possible interventions beyond hospital-based antenatal care to improve bonding and maternal mental outcomes.</p>","PeriodicalId":520807,"journal":{"name":"The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians","volume":" ","pages":"7849-7856"},"PeriodicalIF":0.0000,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14767058.2021.1937986","citationCount":"2","resultStr":"{\"title\":\"Postpartum bonding: the impact of stressful life events during pregnancy.\",\"authors\":\"Vincenzo Zanardo, Federica Tedde, Claudio Zandonella Callegher, Andrea Sandri, Lara Giliberti, Valeria Manghina, Gianluca Strafaceee\",\"doi\":\"10.1080/14767058.2021.1937986\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>We aimed to determine if and to what extent a woman's exposure to stressful life events were associated with impaired maternal bonding by using a sample of high-income Italian women.</p><p><strong>Methods: </strong>In the second day postpartum, 425 healthy puerperae responded to Life Experiences Survey (LES), Mother-to-Infant Bonding Scale (MBS), and to the Edinburgh Postnatal Depression Scale (EPDS).</p><p><strong>Results: </strong>Analysis revealed that the stressful life events scored by LES were a significantly predictor of impaired bonding as measured by MIBS (<i>β</i> = 0.04; <i>t</i> = 3.45; <i>p</i> < .001) and of postpartum depression symptoms as measured by EPDS total score (<i>β</i> = 0.32; <i>t</i> = 4.86; <i>p</i> < .001) as well as its subscales <i>Anhedonia</i> (<i>β</i> = 0.059; <i>t</i> = 4.99; <i>p</i> < .001), <i>Anxiety</i> (<i>β</i> = 0.03; <i>t</i> = 5.72; <i>p</i> < .001), and <i>Depression</i> (<i>β</i> = 0.05; <i>t</i> = 6.53; <i>p</i> < .001). Moreover, the partial correlation between EPDS total score and MIBS accounting for LES positive and negative scores was statistically significant (<i>r</i> = 0.208; <i>n</i> = 332; <i>p</i> < .001).</p><p><strong>Conclusion: </strong>The findings emphasize the importance of identifying mothers with negative experiences toward pregnancy and delivery to address possible interventions beyond hospital-based antenatal care to improve bonding and maternal mental outcomes.</p>\",\"PeriodicalId\":520807,\"journal\":{\"name\":\"The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians\",\"volume\":\" \",\"pages\":\"7849-7856\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1080/14767058.2021.1937986\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/14767058.2021.1937986\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/6/30 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/14767058.2021.1937986","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/6/30 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
Postpartum bonding: the impact of stressful life events during pregnancy.
Objective: We aimed to determine if and to what extent a woman's exposure to stressful life events were associated with impaired maternal bonding by using a sample of high-income Italian women.
Methods: In the second day postpartum, 425 healthy puerperae responded to Life Experiences Survey (LES), Mother-to-Infant Bonding Scale (MBS), and to the Edinburgh Postnatal Depression Scale (EPDS).
Results: Analysis revealed that the stressful life events scored by LES were a significantly predictor of impaired bonding as measured by MIBS (β = 0.04; t = 3.45; p < .001) and of postpartum depression symptoms as measured by EPDS total score (β = 0.32; t = 4.86; p < .001) as well as its subscales Anhedonia (β = 0.059; t = 4.99; p < .001), Anxiety (β = 0.03; t = 5.72; p < .001), and Depression (β = 0.05; t = 6.53; p < .001). Moreover, the partial correlation between EPDS total score and MIBS accounting for LES positive and negative scores was statistically significant (r = 0.208; n = 332; p < .001).
Conclusion: The findings emphasize the importance of identifying mothers with negative experiences toward pregnancy and delivery to address possible interventions beyond hospital-based antenatal care to improve bonding and maternal mental outcomes.
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