The Current Concept of Paternal Bonding: A Systematic Scoping Review
Open accessAbstract
Bonding is crucial to perinatal mental health. Despite an extensive body of literature on maternal bonding, few studies have focused on paternal bonding. This scoping review aimed to clarify the current state of the concept of paternal–infant/fetus bonding. The eligibility criteria were drawn from the population concept and context elements to answer the following questions: “what is paternal bonding?” and “what are the constructs of the concept of paternal bonding?” The review comprised 39 studies. Paternal bonding was associated with both positive and negative paternal behavior and thought and may be determined based on fathers’ beliefs and rearing history. Most studies showed that father–child interaction is one of the factors promoting paternal bonding. However, fathers generally felt more distant from their babies post-delivery than mothers. Only a few studies originally defined paternal bonding; most relied on the definitions of maternal bonding. We found different descriptions lacking consensus. Few studies examined the differences between paternal and maternal bonding. No consensus exists on the concept, constructs, and assessment of paternal bonding. The causal relationship between paternal bonding and other variables is unexplored. Future studies should explore fathers’ perspectives and experiences, focusing on the unknown aspects of paternal bonding identified in this review.
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The majority of studies focused on mothers and less is known about how fathers emotionally connect to their unborn child.
“Although the literature described above provides valuable insights in the associates of parental bonding in general, the majority of studies focused on mothers and less is known about how fathers emotionally connect to their unborn child (Suzuki et al., 2022).”
From Mindfulness, Self-compassion, and Psychological Wellbeing as Correlates of Paternal Bonding in Pregnancy. (2025) · cites this paper as Suzuki et al., 2022
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PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., et al. (2018) · Annals of Internal Medicine · doi:10.7326/m18-0850 · Cited by 43,565 · see citing works
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“[48] a few fathers and mothers showed a “mild bonding disorder” [46], and their scores on “impaired bonding” in the subscale of PBQ were above the cut-off point at one week postpartum.”
BackgroundMethodThe assessment of antenatal emotional attachment: Development of a questionnaire instrument
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“In previous studies, parents with bonding problems, such as impaired bonding, showed poor interaction with their children [8,9].”
BackgroundState of the science of maternal–infant bonding: A principle-based concept analysis
Bicking Kinsey, C., & Hupcey, J. E. (2013) · Midwifery · doi:10.1016/j.midw.2012.12.019 · Cited by 287 · see citing works
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“Other tools included the Bonding Scale [24,42], the Portuguese version of the Mother–Infant Bonding Scale (MIBS [33]), the Taiji Kanjyo Hyotei Syakudo (TKHS [25]) [54]), the Japanese version of the Mother–Infant Bonding Scale (MIBS-J [55]) [39], the validated Maternal-Fetal Attachment questionnaire (MFA [56,57]) [34],…”
MethodAssociation between parental depressive symptoms and impaired bonding with the infant
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Sorted by citations
de Waal, N., Nyklíček, I., van der Gucht, K., Pop, V. J. M., & Boekhorst, M. G. B. M. (2025) · Journal of Child and Family Studies · doi:10.1007/s10826-024-02968-y · Cited by 1 · see citing works
“Although the literature described above provides valuable insights in the associates of parental bonding in general, the majority of studies focused on mothers and less is known about how fathers emotionally connect to their unborn child (Suzuki et al., 2022).”
- Authors
- Suzuki, D., Ohashi, Y., Shinohara, E., Usui, Y., Yamada, F., Yamaji, N., Sasayama, K., Suzuki, H., Nieva, R. F., da Silva Lopes, K., Miyazawa, J., Hase, M., Kabashima, M., & Ota, E.
- Affiliations
- Kanagawa Institute of Technology (JP)
- Kitamura Institute of Mental Health Tokyo (Japan) (JP)
- Yokohama City University (JP)
- The University of Tokyo (JP)
- St. Luke's International University (JP)
- International University of Health and Welfare (JP)
- University of Otago (NZ)
- Graduate School of Public Health, St. Luke’s International University, Chuo-ku, Tokyo 104-0045, Japan
- Josai International University (JP)
- Musashino University (JP)
- Corresponding author
- Suzuki, Daichi
- ORCID
- Venue
- Healthcare
- Publisher
- MDPI AG
- Published
- 2022-11-11
- Volume
- 10
- Issue
- 11
- Pages
- 2265
- ISSN
- 2227-9032 (ISSN-L)
- PMC
- PMC9690989
- OpenAlex
- W4309004274
- Cited by
- 39
- References
- 9
- Citations by year
- 2026: 8 · 2025: 21 · 2024: 5 · 2023: 5
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Healthcare (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- JSPS KAKENHI Grant-in-Aid for Scientific Research (JP21K10833)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Demography › Family Dynamics and Relationships
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Keywords
- paternal bonding, father-child interaction, perinatal mental health, paternal behavior, father-child relationship, concept definition
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Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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