Cited by 293Maternal Mental Health During Pregnancy and PostpartumPsychoanalysis and Psychopathology ResearchAttachment and Relationship Dynamics

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Mother–infant bonding impairment across the first 6 months postpartum: the primacy of psychopathology in women with childhood abuse and neglect histories

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Muzik, Maria, Bocknek, Erika London, Broderick, Amanda, Richardson, Patricia, Rosenblum, Katherine L., Thelen, Kelsie, Seng, Julia S.·2013·Archives of Women's Mental Health

DOI 10.1007/s00737-012-0312-0PMC PMC4040083

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Abstract

Our goal was to examine the trajectory of bonding impairment across the first 6 months postpartum in the context of maternal risk, including maternal history of childhood abuse and neglect and postpartum psychopathology, and to test the association between self-reported bonding impairment and observed positive parenting behaviors. In a sample of women with childhood abuse and neglect histories (CA+, n = 97) and a healthy control comparison group (CA-, n = 53), participants completed questionnaires related to bonding with their infants at 6 weeks, 4 months, and 6 months postpartum and psychopathology at 6 months postpartum. In addition, during a 6-month postpartum home visit, mothers and infants participated in a dyadic play interaction subsequently coded for positive parenting behaviors by blinded coders. We found that all women, independent of risk status, increased in bonding with their infant over the first 6 months postpartum; however, women with postpartum psychopathology (depression and posttraumatic stress disorder [PTSD]) showed consistently greater bonding impairment scores at all timepoints. Moreover, we found that, at the 6-month assessment, bonding impairment and observed parenting behaviors were significantly associated. These results highlight the adverse effects of maternal postpartum depression and PTSD on mother-infant bonding in early postpartum in women with child abuse and neglect histories. These findings also shed light on the critical need for early detection and effective treatment of postpartum mental illness in order to prevent problematic parenting and the development of disturbed mother-infant relationships. Results support the use of the Postpartum Bonding Questionnaire as a tool to assess parenting quality by its demonstrated association with observed parenting behaviors.

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Do Maternal Self-Criticism and Symptoms of Postpartum Depression and Anxiety Mediate the Effect of History of Depression and Anxiety Symptoms on Mother-Infant Bonding? Parallel–Serial Mediation Models
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Screening for birth-related PTSD: psychometric properties of the Turkish version of the Posttraumatic Diagnostic Scale in postpartum women in Turkey
Dikmen‐Yildiz, P., Ayers, S., & Phillips, L. (2017) · European Journal of Psychotraumatology · doi:10.1080/20008198.2017.1306414 · Cited by 19
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“Unfortunately, maternal exposure to trauma and resulting psychopathology appear to disrupt early mother-infant bonding (Murray et al., 2020; Muzik et al., 2013).”
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“During pregnancy and the transition to parenthood, CM survivors are at heightened risk of PTSS (Muzik et al., 2013; Martinez-Torteya et al., 2014; Stacks et al., 2014; Choi et al., 2015; Christie et al., 2017).”
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Background
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Background
Within-individual relationships between mother-to-infant bonding and postpartum depressive symptoms: a longitudinal study
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“Studies also suggested that a strong bond between the mother and the child could enhance the child’s cognitive, socio-emotional and behavioral development [12].”
Background
Factor structure of the Postpartum Bonding Questionnaire: Configural invariance and measurement invariance across postpartum time periods
Matsunaga, A., Ohashi, Y., Sakanashi, K., & Kitamura, T. (2020) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2020.11.017 · Cited by 10
The effect of maternal childhood maltreatment on postpartum mother–child bonding and maternal hair glucocorticoids
Bergunde, L., Karl, M., Borrmeister, M., Jaramillo, I., Weise, V., Mack, J. T., Weidner, K., Gao, W., Steudte‐Schmiedgen, S., & Garthus‐Niegel, S. (2024) · European Journal of Psychotraumatology · doi:10.1080/20008066.2024.2317674 · Cited by 9
“…research indicates increased risk for bonding impairments associated with CM (Lehnig et al., 2019; Muzik et al., 2013) and suggests that current psychopathological, including depressive symptoms, may partly explain this relationship (Frohberg et al., 2022; Lehnig et al., 2019; Muzik et al., 2013).”
BackgroundResultInfluential
Mental health of mothers and their premature infants for the prevention of child abuse and maltreatment
Ishizaki, Y., Nagahama, T., & Kaneko, K. (2013) · Health · doi:10.4236/health.2013.53a081 · Cited by 9
“Maternal depression, anxiety or other psychiatric illness, history of child abuse and mothers’ socioeconomic disadvantages are regarded as risk factors for child abuse and maltreatment [25-28].”
Background
Longitudinal associations between prenatal internalizing symptoms and mindfulness traits with postnatal bonding difficulties.
Garon-Bissonnette, J., Bean, C. A. L., Cárdenas, E. F., Jackson, M., Abitante, G., Humphreys, K. L., & Kujawa, A. (2025) · Archives of Women's Mental Health · doi:10.1007/s00737-024-01518-1 · Cited by 9
The Survivor Moms’ Companion Trauma‐Specific Perinatal Psychoeducation Intervention in a Community Outreach Program: An Open Pilot
Sperlich, M. I., & Kabilamany, P. (2022) · Journal of Midwifery & Women s Health · doi:10.1111/jmwh.13380 · Cited by 8
Perinatal PTSD and the mother-infant bond: A systematic review and meta-analysis
Rehberg, F., Rihm, L., Göbel, A., Thiel, F., Büechl, V. C. S., Even, M., & Garthus‐Niegel, S. (2025) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2025.103050 · Cited by 11
Predictors of Early Postpartum Maternal Functioning Among Women Veterans
Goger, P., Szpunar, M. J., Baca, S. A., Gartstein, M. A., & Lang, A. J. (2021) · Maternal and Child Health Journal · doi:10.1007/s10995-021-03241-0 · Cited by 8
Associations Among Postpartum Posttraumatic Stress Disorder Symptoms and COVID‐19 Pandemic‐Related Stressors
Shuman, C. J., Morgan, M. E., Pareddy, N., Chiangong, J., Veliz, P. T., Peahl, A. F., & Dalton, V. K. (2022) · Journal of Midwifery & Women s Health · doi:10.1111/jmwh.13399 · Cited by 12
Depression, anxiety, insomnia and interleukins in the early postpartum period
Drozdowicz, E., Mach, A., Skalski, M., Januszko, P., Jabiry‐Zieniewicz, Z., Siwek, M., Wawrzyniak, Z. M., & Radziwoń-Zaleska, M. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1266390 · Cited by 12
Disentangling adversity timing and type: Contrasting theories in the context of maternal prenatal physical and mental health using latent formative models
Plamondon, A., Racine, N. M., McDonald, S., Tough, S., & Madigan, S. L. (2021) · Development and Psychopathology · doi:10.1017/s0954579421000353 · Cited by 8
The association between maternal lifetime interpersonal trauma experience and perceived mother-infant bonding
Kolk, T. A., Nath, S., Howard, L. M., Pawlby, S. J., Estrin, G. L., & Trevillion, K. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.06.069 · Cited by 12
Postpartum depression among women in Nagoya indirectly exposed to the Great East Japan Earthquake
Kubota, C., Okada, T., Morikawa, M., Nakamura, Y., Yamauchi, A., Ando, M., Shiino, T., Ohara, M., Murase, S., Goto, S., et al. (2018) · Scientific Reports · doi:10.1038/s41598-018-30065-w · Cited by 8
Development of Social Life Impact for Mother (SLIM) scale at first trimester to identify mothers who need social support postpartum: a hospital‐based prospective study in Japan
Okamoto, Y., Doi, S. K., Isumi, A., Sugawara, J., Maeda, K., Satoh, S., Fujiwara, T., & Mitsuda, N. (2022) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.14263 · Cited by 8
The relationship between maternal-infant bonding and postpartum depression/anxiety: moderating effect of childhood psychological abuse and validation of the Mother-to-Infant Bonding scale (MIBS-8) in Arabic
Hadathy, D. E., Malaeb, D. N., Hallit, S. R., Fekih‐Romdhane, F., & Barakat, H. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05745-9 · Cited by 9
Risk factors for persistent versus episodic mother-to-infant bonding difficulties in postpartum women in a nationwide Japanese longitudinal study
Chen, C., Okawa, S., Okubo, R., Nakagawa, S., & Tabuchi, T. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.01.001 · Cited by 7
Childbirth as an anticipated trauma during pregnancy: pretraumatic stress symptoms in primiparous women
Suchanecki, L., & Goutaudier, N. (2022) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2022.2137118 · Cited by 7
Randomized pilot trial of the “Mom Power” trauma- and attachment-informed multi-family group intervention in treating and preventing postpartum symptoms of depression among a health disparity sample
Jester, J. M., Riggs, J. L., Menke, R. A., Alfafara, E. A., Issa, M., Muzik, M., & Rosenblum, K. L. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1048511 · Cited by 9
“It is with an estimated 6–15% of women experience perinatal depression (3–5), with higher rates among mothers with fewer economic resources (6), fewer social supports (7), history of depression or other psychiatric comorbidity (7, 8), childhood traumatization (9, 10) and intimate partner violence (11).”
BackgroundSelf-citation
Past Experience with Maternal Parenting among Mothers of Pre-School Children and Maternal Acceptance–Rejection: The Moderating Role of the Care-Giving System
Shlomo, S. B., & Haim, S. B. (2017) · The British Journal of Social Work · doi:10.1093/bjsw/bcw092 · Cited by 7
Hebrew validation of the postpartum bonding questionnaire: a study of mothers and fathers
Hakhmigari, M. K., Segal, H., Peled, Y., & Handelzalts, J. E. (2023) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2023.2247014 · Cited by 6
“Two items (18,24) relating to the risk of abuse were not included due to ethical considerations (Muzik et al., 2013).”
The Incidence of Postpartum Post‐Traumatic Stress Disorder in Women Exposed to Adverse Childhood Experiences: A Systematic Review and Meta‐Analysis
Zou, L., Wang, S., Chen, J., Krewski, D. R., Wen, S. W., Lai, X., & Xie, R. (2024) · Birth · doi:10.1111/birt.12871 · Cited by 6
Adding perinatal anxiety screening to depression screening: is it worth it?
Lieb, K., Reinstein, S. A., Xie, X., Bernstein, P. S., & Karkowsky, C. E. (2020) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2020.100099 · Cited by 6
Mother-infant relationship and its Predictors
Darvishvand, M., Khalesi, Z. B., & Rahebi, S. M. (2021) · JBRA · doi:10.5935/1518-0557.20210029 · Cited by 6
“, 2020), gestational age at delivery, duration of hospitalization, maternal age, maternal occupation, maternal education, history of abortion, history of stillbirth, a tendency to recent pregnancy and marital status, should all be considered (Muzik et al., 2013).”
Background
Early Abusive Relationships–Influence of Different Maltreatment Types on Postpartum Psychopathology and Mother-Infant Bonding in a Clinical Sample
Frohberg, J., Bittner, A., Steudte‐Schmiedgen, S., Junge‐Hoffmeister, J., Garthus‐Niegel, S., & Weidner, K. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.836368 · Cited by 6
“This is in line with findings that not the CM itself but the resulting psychopathology in postpartum mothers affects MIB (30, 31).”
Result
The impact of the second COVID-19 lockdown on anxiety and depressive symptoms in pregnant women: A case study of pregnant women in northern Italy
Allegri, B., Brenna, V., Confalonieri, L., Puzzini, A., Nichelatti, M., Piccinini, G., Mazza, U., & Percudani, M. (2023) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2023.100633 · Cited by 6
“…studies reported that women who suffered from depression and anxiety during pregnancy are at increased risk of later developing postpartum psychiatric disorders (Robertson et al., 2004; Sutter-Dallay et al., 2004) and impairing the maternal-infant bond (Bind et al., 2021; Muzik et al., 2013).”
A virtual mother-infant postpartum psychotherapy group for mothers with a history of adverse childhood experiences: open-label feasibility study
Wright, E., Martinovic, J., Meschino, D. D. C., Barker, L. C., Philipp, D. A., Israel, A., Hussain‐Shamsy, N., Mukerji, G., Wang, V., Chatterjee, A., et al. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-05444-x · Cited by 6
“Maternal ACE is also linked with impairments in the mother-infant relationship including reduced parenting sensitivity, bonding, and attachment security [6, 13–15], and negative developmental outcomes for infants [5, 16, 17].”
Background
Mothering very young children after wartime deployment: A case report
Acker, M., Nicholson, J. H., & DeVoe, E. R. (2020) · Infant Mental Health Journal · doi:10.1002/imhj.21837 · Cited by 6
A Conceptual Model of the Intergenerational Transmission of Emotion Dysregulation in Mothers with a History of Childhood Maltreatment
Cabecinha‐Alati, S., Langevin, R., & Montreuil, T. C. (2020) · International Journal of Child and Adolescent Resilience · doi:10.7202/1072588ar · Cited by 9
Epidural analgesia associations with depression, PTSD, and bonding at 2 months postpartum
Handelzalts, J. E., Levy, S., Krissi, H., & Peled, Y. (2022) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/0167482x.2022.2081146 · Cited by 7
Alexithymic traits and parental postpartum bonding: Findings from the FinnBrain Birth Cohort Study
Ahrnberg, H., Pajulo, M., Scheinin, N. M., Kajanoja, J., Karlsson, L., Karlsson, H., & Karukivi, M. (2022) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12797 · Cited by 5
Translation, validation, and factor structure of the Nepali version of postpartum bonding questionnaires (PBQ-N) among postpartum women in Nepal
Pudasainee‐Kapri, S., Shrestha, T., Dahan, T. A., & Wunnenberg, M. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0003469 · Cited by 5
“Additionally, mothers who suffered with postpartum depression tend to be less sensitive to their infant’s need for emotional contact and have difficulty in providing essential care such as breastfeeding, interacting with the infant, and maintaining their own hygiene and sleep patterns [7, 11].”
Background
Can an evidence-based mental health intervention be implemented into preexisting home visiting programs using implementation facilitation? Study protocol for a three variable implementation effectiveness context hybrid trial
Faro, E. Z., Jones, D., Adeagbo, M. J., Cho, H., Swartzendruber, G., Tabb, K. M., Tandon, S. D., & Ryckman, K. K. (2024) · Implementation Science · doi:10.1186/s13012-024-01402-7 · Cited by 5
Association of severe maternal morbidity with bonding impairment and self-harm ideation: A multicenter prospective cohort study
Terada, S., Fujiwara, T., Sugawara, J., Maeda, K., Satoh, S., & Mitsuda, N. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.06.058 · Cited by 5
Understanding the relationship between childhood emotional abuse and neglect and psychological distress in pregnant women: the role of prenatal attachment
Infurna, M. R., Fazio, L., Bevacqua, E., Costanzo, G., Falgares, G., Maiorana, A., Giannone, F., & Antonucci, L. A. (2024) · BMC Psychology · doi:10.1186/s40359-024-02024-w · Cited by 7
Mother-Child Bond through Feeding: A Prospective Study including Neuroticism, Pregnancy Worries and Post-Traumatic Symptomatology
Gutiérrez, L., Catalá, P., Écija, C., Marín‐Morales, D., & Peñacoba, C. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20032115 · Cited by 5
“Despite the lack of conclusions from previous studies, it is believed that this bond originates during pregnancy and continues to develop immediately after birth and during the first months of the baby’s life [1,2].”
Background
Frameworks for childhood PTSD treatment in conflict-affected settings.
Miller‐Graff, L. E. (2016) · Peace and Conflict Journal of Peace Psychology · doi:10.1037/pac0000190 · Cited by 5
Survivor Mom’s Companion: A Population-Level Program for Pregnant Women Who Are Survivors of Childhood Maltreatment: The Need for a Public Health Approach to Addressing Unresolved Maternal Trauma
Sperlich, M., & Seng, J. S. (2017) · Integrating psychiatry and primary care · doi:10.1007/978-3-319-65724-0_13 · Cited by 5
Self-citation
Effect of nausea and vomiting during pregnancy on mother-to-infant bonding and the mediation effect of postpartum depression: the Japan Environment and Children’s Study
Gui, Y., Hisada, A., Yamamoto, M., Kawanami, A., Mori, C., Sakurai, K., The Japan Environment, C. S. (. G., Kamijima, M., Yamazaki, S., Ohya, Y., et al. (2023) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-023-06014-5 · Cited by 4
Effects of Drospirenone only pill contraception on postpartum mood disorders: A prospective, comparative pilot study
Caruso, S., Caruso, G., Bruno, M. T., Minona, P., Guardo, F. D., & Palumbo, M. A. (2023) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2023.06.026 · Cited by 5
Neonatal transfer and duration of hospitalization of newborns as potential risk factors for impaired mother-infant bonding: The Japan Environment and Children's Study
Shinohara, S., Shinohara, R., Kojima, R., Otawa, S., Kushima, M., Miyake, K., Yui, H., Ooka, T., Akiyama, Y., Horiuchi, S., et al. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.06.001 · Cited by 4
Childhood Abuse and Postpartum Psychosis
Kennedy, S. C., & Tripodi, S. J. (2014) · Affilia · doi:10.1177/0886109914544719 · Cited by 4
“Attachment impairment is further heightened for mothers who report having experienced abuse or neglect as children (Muzik et al., 2013).”
Background
Exploring Psycho-social Determinants to Child Neglect and Abuse among Caregivers with Young Children
Kim, A. R., & Tak, Y. R. (2016) · Research in Community and Public Health Nursing · doi:10.12799/jkachn.2016.27.1.81 · Cited by 4
Social Determinants of Maternal Mental Health and the Need for Integrated Models of Care
Sperlich, M. I. (2020) · Journal of Women s Health · doi:10.1089/jwh.2020.8508 · Cited by 4
Attachment insecurity moderates the link between maternal childhood neglect and postpartum bonding to the infant
Julian, M. M., Bernard, N. K., Handelzalts, J. E., Menke, R. A., & Muzik, M. (2021) · Archives of Women s Mental Health · doi:10.1007/s00737-021-01163-y · Cited by 4
Self-citation
Experiences and Expectations of Post-Partum Mothers Toward Psychosocial Nursing Services for Mothers Who Have Experienced Postpartum Blues in City of Balikpapan
Sipasulta, N. G. C., Imamah, I. N., & Tanihatu, G. E. (2023) · Pharmacognosy Journal · doi:10.5530/pj.2023.15.104 · Cited by 5
“Researchers analysed it and obtained eight groups of themes based on the research objectives, namely: (1) History of the Childbirth Process (2) Mood and Affect (3) Physiological Considerations (4) Thinking Process (5) Support System (6) Relationship with family and health workers (7) Expectations that you want in the…”
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Authors: Muzik, M., Bocknek, E. L., Broderick, A., Richardson, P., Rosenblum, K. L., Thelen, K., & Seng, J. S.
Affiliations: University of Michigan (US)
Corresponding author: Muzik, Maria
ORCID: Muzik, Maria
Bocknek, Erika London
Broderick, Amanda
Richardson, Patricia
Rosenblum, Katherine L.
Seng, Julia S.
Venue: Archives of Women's Mental Health
Publisher: Springer Science and Business Media LLC
Published: 2012-10-12
Volume: 16
Issue: 1
Pages: 29-38
ISSN: 1434-1816 (ISSN-L)
1435-1102
DOI: 10.1007/s00737-012-0312-0
PMC: PMC4040083
OpenAlex: W2085764880
Cited by: 293
References: 43
Citations by year: 2026: 11 · 2025: 19 · 2024: 22 · 2023: 31 · 2022: 28 · 2021: 29 · 2020: 36 · 2019: 23 · 2018: 17 · 2017: 22 · 2016: 21 · 2015: 19 · 2014: 11 · 2013: 4
FWCI: 10.51
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Archives of Women s Mental Health (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: Michigan Institute for Clinical and Health Research
National Institute of Mental Health (K23MH080147, MH080147)
National Center for Research Resources (UL1RR024986)
Eunice Kennedy Shriver National Institute of Child Health and Human Development
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Keywords: mother-infant bonding, postpartum depression, post-traumatic stress disorder, childhood abuse and neglect, maternal psychopathology, early postpartum period, Postpartum Bonding Questionnaire, parenting quality, mother-infant relationship
MeSH terms: Adult, Child Abuse, Female, Follow-Up Studies, House Calls, Humans, Infant, Interviews as Topic, Maternal Behavior, Mother-Child Relations, Mothers, Object Attachment, Psychiatric Status Rating Scales, Psychopathology, Surveys and Questionnaires, Socioeconomic Factors, Stress Disorders, Post-Traumatic, Telephone, Logistic Models, Case-Control Studies, Child of Impaired Parents, Parenting, Postpartum Period

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Mother–infant bonding impairment across the first 6 months postpartum: the primacy of psychopathology in women with childhood abuse and neglect histories

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