Mothers’ Bonding Attitudes towards Infants: Impact of Demographics, Psychological Attributes, and Satisfaction with Usual Clinicalcare during Pregnancy
[1]
Yukiko Ohashi, Kitamura Institute of Mental Health Tokyo, Tokyo, Japan.
[2]
Toshinori Kitamura, Kitamura Institute of Mental Health Tokyo, Tokyo, Japan; Department of Psychiatry, Graduate School of Medicine, Nagoya University, Nagoya, Japan.
[3]
Sachiko Kita, Kitamura Institute of Mental Health Tokyo, Tokyo, Japan; Department of Midwifery and Women’s Health, Division of Health Sciences & Nursing, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
[4]
Megmi Haruna, Department of Midwifery and Women’s Health, Division of Health Sciences & Nursing, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
[5]
Kyoko Sakanashi, Department of Women's Health/Mother-Child Nursing, Graduate School of Health Sciences, Kumamoto University, Kumamoto, Japan.
[6]
Tomoko Tanaka, Aso Health Centre, Aso, Kumamoto Prefecture, Japan.
Our aim was to examine the hypothesis that bonding difficulty after childbirth is predicted by poor satisfaction with hospital care as well as women’s demographic, obstetric, and personality attributes. We investigated 413 women using a set of questionnaires that included the Postnatal Bonding Questionnaire (PBQ), Temperament and Character Inventory (TCI), and Client Satisfaction Questionnaire (CSQ), as well as demographic variables. Regression analyses that sequentially set each of the three PBQ subscales as the dependant variable showed that all three PBQ subscales were predicted by the womens’ negative responses to their pregnancies as well as several personality traits. In addition, theAnger and Rejection domain of the PBQ could be explained by perceived satisfaction with usual care, even after controlling for the effects of demographic, obstetric, and personality factors. We should pay more attention to improving medical and nursing care as this has considerable potential to enhance mothers’ attitudes towards their babies.
Care Satisfaction, Bonding Failure, PBQ, CSQ
[1]
Brockington, I. F. (1996). Motherhood and Mental Health. Oxford, England: Oxford University Press.
[2]
Brockington, I. F. (2011). Maternal rejection of the young child: Present status of the clinical syndrome. Psychopathology, 44, 329-336.
[3]
Kumar, R. C. (1997). “Anybody’s child”: severe disorders of mother-to-infant bonding. British Journal of Psychiatry, 171, 175-181.
[4]
Klier, C. M. (2006). Mother-infant bonding disorders in patients with postnatal depression: The Postpartum Bonding Questionnaire in clinical practice. Archives ofWomen’s Mental Health, 9, 289-291.
[5]
Moehler, E., Brunner, R., Wiebel, A., Reck, C., & Resch, F. (2006). Maternal depressive symptoms in the postnatal period are associated with long-term impairment of mother-child bonding. Archives of Women’s Mental Health, 9, 273-278.
[6]
Nagata, M., Nagai, Y., Sobajima, H., Ando, T., & Honjo, S. (2003). Depression in the mother and maternal attachment: Results from a follow-up study at 1 year postpartum. Psychopathology, 36, 142-151.
[7]
Nagata, M., Nagai, Y., Sobajima, H., Ando, T., Nishide, Y., & Honjo, S. (2000). Maternity blues and attachment to children in mothers of full-term normal infants. Acta Psychiatrica Scandinavica, 101, 209-217.
[8]
Wilkinson, R. B., & Scherl, F. B. (2006). Psychological health, maternal attachment and attachment style in breast- and formula-feeding mothers: A preliminary study. Journal of Reproductive and Infant Psychology, 24, 5-19.
[9]
Kokubu, M., Okano, T. & Sugiyama, T. (2012). Postnatal depression, maternal bonding failure, and negativeattitudes towards pregnancy: a longitudinal studyof pregnant women in Japan. Archives of Women’s Mental Health, 15, 211–216.
[10]
Cho, S. C., Jung, S. W., Kim, B. N., Hwang, J. W., Shin, M. S., Kim, J. W., … Kim, H. W. (2009). Temperament and character among Korean children and adolescents with anxiety disorders. European Child and Adolescent Psychiatry, 18, 60-64.
[11]
Mörtberg, E., Bejerot, S., & Wistedt, A. Å. (2007). Temperament and character dimensions in patients with social phobia: Patterns of change following treatments? Psychiatry Research, 152, 81-90.
[12]
Ettelt, S., Grabe, H. J., Ruhrmann, S., Buhtz, F., Hochrein, A., Kraft, S., …Wagner, M. (2008). Harm avoidance in subjects with obsesssive-compulsive disorder and their families. Journal of Affective Disorders,, 107, 265-269.
[13]
Goncalves, D. M., & Cloninger, C. R. (2010). Validation and normative studies of the Brazilian Portuguese and American versions of the Temperament and Character Inventory-Revised (TCI-R). Journal of Affective Disorders, 124, 126-133.
[14]
Matsudaira, T., &Kitamura, T. (2006). Personality traits as risk factors of depression and anxiety among Japanese students. Journal of Clinical Psychology, 62,97-109.
[15]
Cloninger, C. R., Przybeck, T. R., Svrakic, D. M., &Wetzel, R. D. (1994). The temperament and character inventory (TCI): A guide to its development and use.St. Louis: Center for Psychobiology of Personality, Washington University.
[16]
Kitamura, T., Shikai, N., Uji, M., Hiramura, H., Tanaka, N., &Shono, S. (2009). Intergenerational transmission of parenting style and personality: Direct influence or mediation? Journal of Child and Family Studies, 18,541-556.
[17]
Kaneko, H., & Honjo, S. (2010, June). Postpartum bonding and depressive symptoms in Japanese mothers at 4 months after parturition: a population-based study. Presented at World Association for Infant Mental Health 12th World Congress, Leipzig, Germany:
[18]
Brockington, I.F., Oats, J., George, S., Turner, D., Vostanis, P., Sullivan, M., &Murdoch,C. (2001). A screening questionnaire for mother-infant bonding disorders. Archives of Women's Mental Health, 3, 133-140.
[19]
Ohashi, Y., Kitamura, T., Sakanashi, K., & Tanaka, T. (2014). Factor structure, validity, and test-retest reliability of the Postnatal Bonding Questionnaire in Japanese mothers of infants. Manuscript submitted for publication.
[20]
Kijima, N., Saito, R., Takeuchi, M., Yoshino, A., Ono, Y., Kato, M., & Kitamura, T. (1996). Cloninger no kishitsu to seikaku no 7 jigen moderu oyobi nihongoban Temperament and Character Inventory (TCI) [Cloninger's seven-factor model of temperament and character and Japanese version of Temperament and Character Inventory (TCI)]. Seishinka Shindangaku (Archives of Psychiatric Diagnostics and Clinical Evaluation),7, 379-399. (in Japanese).
[21]
Kijima, N., Tanaka, E., Suzuki, N., Higuchi, H., &Kitamura, T. (2000). Reliability and validity of the Japanese version of the Temperament and Character Inventory. Psychological Reports, 86, 1050-1058.
[22]
Takeuchi, M., Miyaoka, H., Tomoda, A., Suzuki, M., Lu, X., & Kitamura, T.(2011) Validity and reliability of the Japanese version of the Temperament and Character Inventory: A study of university and college students.Comprehensive Psychiatry, 52,109-117.
[23]
Larsen, D.L., Attkisson, C.C., Hargreaves, W.A., & Hguyen, T.D. (1979).Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Programming Planning, 2, 197-207.
[24]
Tachimori, H.& Ito, H. (1999). Nihongo-ban Client Satisfaction Questionnaire 8 koumoku-ban no shinraisei oyobi datousei no kentou (Reliability and Validity of The Japanese Version on Client Satisfaction Questionnaire.), Clinical Psychiatry, 41, 711-717. (In Japanese)
[25]
Minatani, M., Kita, S., Ohashi, Y., Kitamura, T., Haruna, M., Sakanashi, K., & Tanaka, T. (2006). Temperament, Character, and Depressive Symptoms During Pregnancy: A Study of a Japanese Population. Depression Research and Treatment, 2013.
[26]
Kitamura, T., Minatani. M., & Ohashi, Y. (2014). A Report of Kitamura Institute of Mental Health 2014. Sango-utsu, jidou gyakutai, eiji-satu ni kansuru iken [Online]. Available: http://www.institute-of-mental-health.jp/perinatal/pdf/J1-4.pdf / (in Japanese)
[27]
Ohashi, Y., Takegata, M., Haruna, M., Kitamura, T., Takauma, F., Tada, K., & Nakano, H. (2014). Association between of daily events and depression one-month after childbirth in non-clinical Japanese mothers: Specificity of contents of events.Manuscript in preparation.
[28]
Paykel, E. S., Emms, E. M., Fletcher, J., & Rassaby, E. S. (1980). Life events and social support in puerperal depression. British Journal of Psychiatry, 136, 339-346.
[29]
O'Hara, M. W., Rehm, L. P.,& Campbell, S. B. (1982). Predicting depression: A role for social network and life stress variables. Journal of Nervous and Mental Disease, 171, 336-341.
[30]
Terry, D. J., Mayocchi, L., & Hynes, G. J. (1996) Depressive Symptomatology in New Mothers:A Stress and Coping Perspective, Journal of Abnormal Psychology, 105(2), 220-231.
[31]
Sonobe, M., Shirakawa, S., Hirose, T., Teramoto, T., Takahashi, I., Hiramatsu, M., …Okamitsu, M. (2006). Maternal social networks related to mother-infant interaction, Child Development, and Parenting Stress. The Journal of Child Health, 65(3), 405-414. (in Japanese)
[32]
Cohen, S., & Wills, T. A. (1985).Stress, Social support and the buffering hypothesis. Psychological Bulletin, 98, 310-357.
[33]
Kitamura T, Toda, M. A., Shima, S., Sugawara, K., & Sugawara, M. (1998). Social support and pregnancy:II. Its relationship with depressive symptoms among Japanese women. Psychiatry and Clinical Neurosciences, 52, 37-45.
[34]
Tomoda, T., & Kitamura, T. (1994).Daiichiji kibou no daigaku no goukaku/fugoukaku ga nyugaku go no keisyou utu-byou, jikakuteki kenkoudo, social support ni oyobosu eikyou ni tuite. Japanese Bulletin of Social Psychiatry. 3, 33-38. (in Japanese).
