Maternal-fetal attachment protects against postpartum anxiety: the mediating role of postpartum bonding and partnership satisfaction

Maternal mental disorders develop frequently during the perinatal period, and can have detrimental effects on the developing bond between a mother and her child. While depression has already been widely associated with bonding disorders, the link between anxiety disorders and maternal-fetal attachme...

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Hauptverfasser: Matthies, Lina (VerfasserIn) , Marshall, Anne (VerfasserIn) , Sohn, Christof (VerfasserIn) , Wallwiener, Markus (VerfasserIn) , Wallwiener, Stephanie (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2020
In: Archives of gynecology and obstetrics
Year: 2019, Jahrgang: 301, Heft: 1, Pages: 107-117
ISSN:1432-0711
DOI:10.1007/s00404-019-05402-7
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s00404-019-05402-7
Verlag, lizenzpflichtig, Volltext: https://link.springer.com/article/10.1007/s00404-019-05402-7
Volltext
Verfasserangaben:Lina Maria Matthies, Mitho Müller, Anne Doster, Christof Sohn, Markus Wallwiener, Corinna Reck, Stephanie Wallwiener

MARC

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520 |a Maternal mental disorders develop frequently during the perinatal period, and can have detrimental effects on the developing bond between a mother and her child. While depression has already been widely associated with bonding disorders, the link between anxiety disorders and maternal-fetal attachment has received only limited attention. This study aimed to explore the link between maternal-fetal attachment in the third trimester and postpartum anxiety, as previous research has suggested a potentially protective association. Additionally, we hypothesized a mediating influence of postpartum bonding and partnership satisfaction as additional measurements of attachment capacity. Self-report questionnaires assessing maternal-fetal attachment, postpartum bonding, anxiety, depression, and partnership quality were completed at three time points: third trimester (T1, N = 324), first week postpartum (T2, N = 249), and 4 months postpartum (T3, N = 166). Conditional process analyses were used to test for mediation. A statistically significant negative correlation of maternal-fetal attachment was found with maternal anxiety postpartum. Overall, the analyses supported the mediation hypothesis. There was a significant, indirect effect of maternal-fetal attachment during pregnancy on state anxiety in the first week postpartum, mediated through postpartum bonding quality and partnership satisfaction. All three variables together accounted for 18.25% (state anxiety) or 30.35% (trait anxiety) of the variance in postpartum anxiety. Our results showed that a close maternal-fetal attachment buffers postpartum symptoms of anxiety, partially mediated through postpartum bonding and partnership satisfaction. Therefore, strengthening the maternal-fetal attachment and the partnership during pregnancy has the potential to reduce maternal postpartum symptoms of anxiety. 
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