Verbesserung der psychischen Gesundheit und Bindung bei postpartal psychisch erkrankten Frauen – Evaluation einer interaktionszentrierten Therapie in einer Mutter-Kind-Tagesklinik

Weidner, Kerstin; Junge-Hoffmeister, Juliane; Coenen, Anne; Bittner, Antje

doi:10.1055/a-1283-6422

Cited by 11 publications

(7 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The mothers in our sample were admitted from May 2010 to August 2021. All mothers were treated with their infants in a multimodal day-care setting including family therapy, video intervention therapy, group psychotherapy, cognitive behavioral therapy, medical treatment, and counseling on childcare ( 36 ). Data of 379 women were available for the indicated period.…”

Section: Methodsmentioning

confidence: 99%

Early Abusive Relationships–Influence of Different Maltreatment Types on Postpartum Psychopathology and Mother-Infant Bonding in a Clinical Sample

et al. 2022

Self Cite

View full text Add to dashboard Cite

Postpartum psychopathology is a well-documented risk factor for impaired mother-infant bonding and thus child development. Increasingly, the focus of research in this area lies on maternal adverse childhood experiences that mothers bring into the relationship with their own baby, especially regarding the possible intergenerational transmission of traumatic experiences. Several studies showed that there is no direct link between child maltreatment and mother-infant bonding as one part of mother-child relationship, but that this link is mediated by postpartum psychopathology. To date, few studies examined differential effects between sexual, physical, and emotional abuse, and physical and emotional neglect, especially in a clinical sample. The aim of this study is to investigate whether the relationship between child maltreatment, psychopathology, and mother-infant bonding can be found for different forms of child maltreatment in patients of a mother-baby unit. Our sample consisted of 330 mothers of a mother-baby-unit in a psychosomatic clinic, who filled out self-report measures at time of admission. Mothers reported on maternal child maltreatment history with the Childhood Trauma Questionnaire, on current psychopathology with the Brief Symptom Inventory, and on mother-infant bonding with the Postpartum Bonding Questionnaire. Mediation analyses were performed with psychopathology as mediator, child maltreatment history as independent, and mother-infant bonding as dependent variable. There was no total effect of child maltreatment on mother-infant bonding. However, there were significant indirect effects of child maltreatment in general (ab = 0.09) and of the various forms of child maltreatment on mother-infant bonding via psychopathology (0.16 ≤ ab ≤ 0.34). The strongest effect was found for emotional abuse. After controlling for psychopathology, the direct effect of physical abuse on mother-infant bonding presented as a negative significant effect. This indicates that the more severe the physical abuse experienced, the better the self-reported bonding. A similar, but non-significant trend was found for sexual abuse. Our findings highlight the importance of assessing neglect forms of child maltreatment as well as abuse in women during the perinatal period. It further supports initial findings that different forms of child maltreatment can have differential effects on mother-infant bonding as one aspect of the mother-child relationship. Further research should include observational data to compare with self-report measures.

show abstract

Section: Methodsmentioning

confidence: 99%

Early Abusive Relationships–Influence of Different Maltreatment Types on Postpartum Psychopathology and Mother-Infant Bonding in a Clinical Sample

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…In addition, our results align with the study by Muzik et al ( 2013 ), who also found an important role for maternal psychopathology in the CM-bonding relationship. Together, these results highlight that supporting mothers with postpartum depressive symptoms represents an important prevention pathway (Chamberlain et al, 2019 ; Weidner et al, 2021 ) and could help reduce the impact CM experiences can have on the affective mother–child relationship. Findings can also be seen from the perspective that even if a mother experienced CM, this may not causally determine her bond to her child.…”

Section: Discussionmentioning

confidence: 77%

“…However, our study provided promising preliminary evidence that in addition to overall CM, emotional neglect may be particularly relevant for mother–child bonding in the early postpartum period. Consequently, assessing maternal emotional neglect history in perinatal care could help identify mother–child dyads at risk and thus implement targeted prevention strategies (Weidner et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

The effect of maternal childhood maltreatment on postpartum mother–child bonding and maternal hair glucocorticoids

Bergunde,

Karl,

Borrmeister

et al. 2024

European Journal of Psychotraumatology

Self Cite

View full text Add to dashboard Cite

Background: Maternal experiences of childhood maltreatment (CM) constitute a risk factor for impairments in the mother–child relationship. One mechanism underlying this intergenerational transmission may be maternal hypothalamic–pituitary–adrenal axis dysregulation. Yet, few studies have examined different maltreatment subtypes, including emotional neglect, considered concurrent depressive symptoms, and used long-term integrated glucocorticoid measures. Objective: This study aimed to investigate associations between maternal CM history, postpartum glucocorticoids in hair, and mother–child bonding. In exploratory analyses, we tested whether specific subtypes of CM had differential implications for glucocorticoid secretion and bonding. Methods: During pregnancy, N = 269 mothers from the prospective cohort study DREAM HAIR provided retrospective information on CM and current information regarding psychological and hair-related variables. Hair samples were collected 8 weeks after delivery for quantification of maternal long-term hair cortisol and cortisone concentrations in 2-cm scalp-near hair samples. Mother–child bonding was measured 8 weeks and 14 months after birth using the Postpartum Bonding Questionnaire. Results: While bivariate correlations revealed significant associations of CM with bonding and hair cortisol, regression findings showed CM was associated with impaired bonding 8 weeks (overall CM trend-level; emotional neglect p = .038) and 14 months (emotional neglect trend level p = .041) after birth, however not after controlling for depressive symptoms at the time point of the outcome. In regression analyses, CM was not associated with maternal hair glucocorticoids 8 weeks postpartum. Maternal hair glucocorticoid concentrations were not related to mother–child bonding and did not mediate associations between CM and mother–child bonding. Conclusion: Data tentatively suggest that mothers with CM experiences, in particular emotional neglect, may be at risk for suboptimal bonding to their child, however current depressive symptoms seem to be more important. Our data provide no evidence for a crucial role of glucocorticoid secretion, yet aetiological processes of long-term glucocorticoid secretion and bonding are complex and more severely affected samples should be examined.

show abstract

“…Nevertheless, the treatment of postpartum mental disorders, including mother–infant BD, focusing on the mother–infant dyad is possible and effective for both the mother and child. It should explicitly include the processing of the birth experience ( 55 , 75 – 77 ).…”

Section: Discussionmentioning

confidence: 99%

Subjective Birth Experience Predicts Mother–Infant Bonding Difficulties in Women With Mental Disorders

Junge-Hoffmeister

Bittner

Garthus-Niegel

et al. 2022

Front. Glob. Womens Health

Self Cite

View full text Add to dashboard Cite

BackgroundThe subjective experience of giving birth to a child varies considerably depending on psychological, medical, situational, relational, and other individual characteristics. In turn, it may have an impact on postpartum maternal mental health and family relationships, such as mother–infant bonding. The objective of the study was to evaluate the relevance of the subjective birth experience (SBE) for mother–infant bonding difficulties (BD) in women with mental disorders.MethodsThis study used data from N = 141 mothers who were treated for postpartum mental disorders in the mother–baby day unit of the Psychosomatic University Clinic in Dresden, Germany. Patients' mental status at admission and discharge was routinely examined using a diagnostic interview (SCID I) and standard psychometric questionnaires (e.g., EPDS, BSI, PBQ). Both, the SBE (assessed by Salmon's Item List, SIL) as well as medical complications (MC) were assessed retrospectively by self-report. The predictive value of SBE, MC, as well as psychopathological symptoms for mother–infant BD were evaluated using logistic regression analyses.ResultsAbout half of this clinical sample (47.2%) reported a negative SBE; 56.8% of all mothers presented with severe mother–infant BD toward the baby. Mothers with BD showed not only significantly more depressiveness (EPDS: M = 16.6 ± 5.6 vs. 14.4 ± 6.2*), anxiety (STAI: M = 57.2 ± 10.6 vs. 51.4 ± 10.6***), and general psychopathology (BSI-GSI: M = 1.4 ± 0.7 vs. 1.1 ± 0.6**) compared to women without BD, but also a significantly more negative SBE (SIL: M = 79.3 ± 16.2 vs. 61.3 ± 22.9***). Moreover, the SBE was the most powerful predictor for BD in univariate and multiple logistic regression analyses [OR = 0.96*** (95% CI 0.94–0.98) vs. OR = 0.96** (95% CI 0.93–0.98)], even when univariate significant predictors (e.g., current psychopathology and MC during birth) were controlled.ConclusionsA negative SBE is strongly associated with mother–infant bonding in patients with postpartum mental disorders. It needs to get targeted within postpartum treatment, preferably in settings including both mother and child, to improve distorted mother–infant bonding processes and prevent long-term risks for the newborn. Furthermore, the results highlight the importance of focusing on the specific needs of vulnerable women prior to and during birth (e.g., emotional safety, good communication, and support) as well as individual factors that might be predictive for a negative SBE.

show abstract

Verbesserung der psychischen Gesundheit und Bindung bei postpartal psychisch erkrankten Frauen – Evaluation einer interaktionszentrierten Therapie in einer Mutter-Kind-Tagesklinik

Cited by 11 publications

References 25 publications

Early Abusive Relationships–Influence of Different Maltreatment Types on Postpartum Psychopathology and Mother-Infant Bonding in a Clinical Sample

Early Abusive Relationships–Influence of Different Maltreatment Types on Postpartum Psychopathology and Mother-Infant Bonding in a Clinical Sample

The effect of maternal childhood maltreatment on postpartum mother–child bonding and maternal hair glucocorticoids

Subjective Birth Experience Predicts Mother–Infant Bonding Difficulties in Women With Mental Disorders

Contact Info

Product

Resources

About