Maternal perceived bonding towards the infant and parenting stress in women at risk of postpartum psychosis with and without a postpartum relapse

Biaggi, Alessandra; Hazelgrove, Katie; Waites, Freddie; Fusté, Montserrat; Conroy, Simon; Howard, Louise M.; Mehta, Mitul A.; Miele, Maddalena; Seneviratne, Gertrude; Pawlby, Susan; Pariante, Carmine; Dazzan, Paola

doi:10.1016/j.jad.2021.05.076

Cited by 12 publications

(9 citation statements)

References 40 publications

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“…Hence, in the perinatal period, improving psychiatric symptoms and parenting stress in the mothers could positively affect bonding. 10 …”

Section: Discussionmentioning

confidence: 99%

“…A standard coding system for each of the three stages reveals the mother's approach and the infant's responsiveness. Scores of the three stages are summed up to understand the overall involvement of the mother as adaptive (score of 3-4), marginally adaptive (score of 5-9), or problematic interaction (score of [10][11][12][13][14][15][16][17][18]. Maladaptive interactions are identified from disengaged or intrusive stimulation from the mother to which the infant responds with flat or negative affect or by looking away.…”

Section: For Bonding and Mother-infant Interactionsmentioning

confidence: 99%

“…9 In a previous study, parenting stress and psychiatric symptoms predicted significantly less optimal postnatal bonding, but only psychiatric symptoms explained the difference in bonding between mothers at risk for postpartum psychosis and healthy controls. 10 Existing literature seems to imply that maternal mental illnesses can directly, and indirectly affect the infant's mental health. [11][12][13] A direct mechanism could be a biological vulnerability and genetic predisposition of the infants for stress and vulnerability.…”

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confidence: 99%

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Bonding and Infants’ Development and Quality of Life: A Study Among Mothers with Severe Mental Illnesses in Remission

Narayan

Kishore

Satyanarayana

et al. 2023

Indian Journal of Psychological Medicine

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Background: Maternal mental health has specific implications for bonding and infants’ mental health. However, most of the evidence comes from mothers who are either symptomatic or did not have adequate mental health support. In this context, our objective was to explore if symptom status in mothers and bonding share any significant association with the infants’ development and quality of life (QOL), in case of mothers with severe mental illnesses in remission. Methods: The study included 41 mother–infant dyads from the outpatient perinatal psychiatry services and the mother–baby unit of the current study center. Symptom status, self-reported bonding, mother–infant interactions, and infants’ development and QOL were assessed with Clinical Global Impressions, Postpartum Bonding Questionnaire, Pediatric Infant-Parent Exam, Developmental Assessment Scales for Indian Infants, and Pediatric Quality of Life Scale, respectively. Results: Most mothers had a complete recovery or minimal symptoms. Nine (22%) infants had a significant developmental delay. Atypical play-based interactions were observed in nine (22%) mothers. Self-reported bonding and bonding as evinced over play-based interactions did not significantly correlate with the QOL or development of the infants. Mothers who have recovered and are functioning well reported good bonding with their infants, though objective assessment revealed specific difficulties. Symptom severity correlated with poor physical QOL in infants. Conclusion: The association between mothers’ bonding and infants’ mental health is domain-specific and differential than linear and robust. Infants of mothers with severe mental illnesses postpartum should be routinely monitored for mother–infant bonding, development, and quality of life.

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“…Hence, in the perinatal period, improving psychiatric symptoms and parenting stress in the mothers could positively affect bonding. 10 …”

Section: Discussionmentioning

confidence: 99%

Section: For Bonding and Mother-infant Interactionsmentioning

confidence: 99%

mentioning

confidence: 99%

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Bonding and Infants’ Development and Quality of Life: A Study Among Mothers with Severe Mental Illnesses in Remission

Narayan

Kishore

Satyanarayana

et al. 2023

Indian Journal of Psychological Medicine

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“…For example, a study of women hospitalized with severe postpartum psychiatric disorders found that 17.6% of women with PP had impaired mother-to-infant bonding on admission 32 . Another study found that women at risk of PPP had more postpartum negative affect, and these psychiatric symptoms contributed to less optimal bonding postpartum than healthy control subjects 33 . Impaired maternal bonding is a risk factor for child abuse 34 and can have negative emotional, behavioral, and cognitive consequences for the child 24,35 .…”

Section: Impact and Consequence Of Pppmentioning

confidence: 99%

“…32 Another study found that women at risk of PPP had more postpartum negative affect, and these psychiatric symptoms contributed to less optimal bonding postpartum than healthy control subjects. 33 Impaired maternal bonding is a risk factor for child abuse 34 and can have negative emotional, behavioral, and cognitive consequences for the child. 24,35 Postpartum psychosis symptoms can also impact maternal behavior and promote abuse, or infanticide.…”

Section: Impact and Consequence Of Pppmentioning

confidence: 99%

Postpartum Psychosis: The Role of Women’s Health Care Providers and the Health Care System

Stacy

Schulkin

2022

Obstetrical &Amp; Gynecological Survey

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Importance: The postpartum period is a time of high risk for serious psychiatric symptoms and hospitalization. Postpartum psychosis (PPP) is the most severe disorder that emerges during this time, with significant and wide-ranging consequences that can include suicide and infanticide.Evidence Acquisition: A PubMed, MEDLINE, and PsycINFO search was completed for English-language publications about PPP, including subtopics (eg, infanticide, maternal suicide). Citations in these articles were also reviewed for relevant references.Results: Although it is clear that the triggering event for PPP is childbirth, the processes by which this occurs are not fully understood, which is a critical need for being able to predict, prevent, and manage PPP. There are risk factors that contribute to PPP, and specific groups of women may be at increased risk (eg, women with bipolar disorder). Many questions and challenges remain related to the phenomenology, nosology, prevention, and treatment of PPP. However, there are changes that women's health care providers and systems can take to improve the care of women at risk of and experiencing PPP.Conclusions and Relevance: Postpartum psychosis is a rare but serious condition. However, recovery is possible. Women's health care providers and systems can improve the care by better understanding the needs of women and families, offering patient-centered discussions and options for care, particularly those that promote recovery, minimize risk, and limit the interruption of the maternal-infant bond. Improving the prevention and treatment of PPP can have a broad impact for women, children, and families.Target Audience: Obstetricians and gynecologists, family physicians Learning Objectives: After participating in this activity, readers should be better able to describe risk factors that contribute to the onset of PPP; discuss best practices for preventing and treating PPP; and identify at least one way in which health care providers or health care systems can improve the care offered to women and families who experience PPP.

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Postpartum (Puerperal) Psychosis: Risk Factors, Diagnosis, Management and Treatment

Dazzan

Biaggi

Hazelgrove

et al. 2022

Prevention in Mental Health

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Maternal perceived bonding towards the infant and parenting stress in women at risk of postpartum psychosis with and without a postpartum relapse

Cited by 12 publications

References 40 publications

Bonding and Infants’ Development and Quality of Life: A Study Among Mothers with Severe Mental Illnesses in Remission

Bonding and Infants’ Development and Quality of Life: A Study Among Mothers with Severe Mental Illnesses in Remission

Postpartum Psychosis: The Role of Women’s Health Care Providers and the Health Care System

Postpartum (Puerperal) Psychosis: Risk Factors, Diagnosis, Management and Treatment

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