Postpartum-Specific Anxiety and Maternal–Infant Bonding: A Predictive Validity Study amongst Italian Women

Author:

Ionio Chiara1ORCID,Ciuffo Giulia1ORCID,Christiansen Paul2,Della Vedova Anna Maria3ORCID,Fallon Victoria2,Figlino Maria Francesca4,Landoni Marta5ORCID,Silverio Sergio A.26ORCID,Smorti Martina7ORCID,Bramante Alessandra8

Affiliation:

1. CRIdee, Unità di Ricerca sul Trauma, Dipartimento di Psicologia, Facoltà di Psicologia, Università Cattolica del Sacro Cuore, 20123 Milan, Italy

2. Department of Psychology, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool L69 3GF, UK

3. Dipartimento di Scienze Cliniche e Sperimentali, Facoltà di Medicina e Chirurgia, Università Degli Studi di Brescia, 25123 Brescia, Italy

4. Dipartimento di Psicologia, Facoltà di Psicologia, Università Cattolica del Sacro Cuore, 20123 Milan, Italy

5. CRIdee, Dipartimento di Psicologia, Facoltà di Psicologia, Università Cattolica del Sacro Cuore, 20123 Milan, Italy

6. Department of Women & Children’s Health, School of Life Course & Population Sciences, Faculty of Life Sciences & Medicine, King’s College London, London WC2R 2LS, UK

7. Dipartimento di Patologia Chirurgica, Medica, Molecolare e dell’Area Critica, Università di Pisa, 56126 Pisa, Italy

8. Policentro Donna, 20123 Milan, Italy

Abstract

The role of anxiety is unknown in relation to postpartum bonding, unlike the well-known detrimental effect that postpartum depression has on the relationship between a mother and child. This study investigates how anxiety affects mother–infant bonding after childbirth, comparing the Italian version of the Postpartum Specific Anxiety Scale (PSAS-IT) with generalized measures of anxiety. Examining 324 non-randomly-selected participants responding to various scales, including the Edinburgh postnatal depression scale (EPDS), generalized anxiety disorder (GAD), postpartum-specific anxiety scale (PSAS-IT), postpartum bonding questionnaire (PBQ), and baby care questionnaire (BCQ-2), initial results suggest a link between certain postpartum anxiety symptoms and attachment problems. Surprisingly, anxiety measured with the PSAS has no direct influence on attachment; however, it is a strong predictor of bonding, even when maternal age, general anxiety, and depression are taken into account, explaining 3% of the variance in scores (β = 0.26, p < 0.001). This emphasizes the importance of early identification and intervention of postpartum anxiety in promoting bonding between mother and child.

Publisher

MDPI AG

Reference59 articles.

1. Bremner, G., and Fogel, A. (2001). Mother-infant interaction. Blackwell Handbook of Infant Development, Blackwell Publishing.

2. Parent-infant synchrony and the construction of shared timing; Physiological precursors, developmental outcomes, and risk conditions;Feldman;J. Child Psychol. Psychiatry,2007

3. Reck, C., Tietz, A., Muller, M., Seibold, K., and Tronick, E. (2018). The impact of maternal anxiety disorder on mother-infant interaction in the postpartum period. PLoS ONE, 13.

4. The relationship with prenatal attachment of psychosocial health status of pregnant women;Ozkanb;Int. J. Health Sci.,2017

5. Klaus, M., and Kennell, J. (1976). Maternal-Infant Bonding, The C.V Mosby Company.

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