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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
Open accessAbstract
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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“depressed women showed consistently greater impairment in bonding scores at all time points than nondepressed mothers.”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [43]
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Cited by
Sorted by citations
Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes
Slomian, J., Honvo, G., Emonts, P., Reginster, J.-Y., & Bruyère, O. (2019) · Women's Health · doi:10.1177/1745506519844044 · Cited by 1,496
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“Furthermore, the mean prevalence of perinatal PTSD in high-risk samples might be influenced by the particularly high prevalence rates reported in a few studies (Ammerman et al., 2012; Horsch et al., 2015; Muzik et al., 2013).”
Anxiety disorders in postpartum women: A systematic review and meta-analysis
Goodman, J. H., Watson, G. R., & Stubbs, B. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.05.033 · Cited by 320
Maternal history of childhood maltreatment and later parenting behavior: A meta-analysis
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Erickson, N. L., Julian, M. M., & Muzik, M. (2019) · International Review of Psychiatry · doi:10.1080/09540261.2018.1563529 · Cited by 182
Self-citation
Metadata
- 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
- Venue
- Archives of Women's Mental Health
- Published
- 2012-10-12
- Volume
- 16
- Issue
- 1
- Pages
- 29-38
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- 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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