論文

査読有り
2019年3月

Changes in the association between postpartum depression and mother-infant bonding by parity: Longitudinal results from the Japan Environment and Children's Study

Journal of Psychiatric Research
  • Akiko Tsuchida
  • Kei Hamazaki
  • Kenta Matsumura
  • Kayoko Miura
  • Haruka Kasamatsu
  • Hidekuni Inadera
  • Toshihiro Kawamoto
  • Yukihiro Ohya
  • Reiko Kishi
  • Nobuo Yaegashi
  • Koichi Hashimoto
  • Chisato Mori
  • Shuichi Ito
  • Zentaro Yamagata
  • Michihiro Kamijima
  • Takeo Nakayama
  • Hiroyasu Iso
  • Masayuki Shima
  • Yasuaki Hirooka
  • Narufumi Suganuma
  • Koichi Kusuhara
  • Takahiko Katoh
  • 全て表示

110
開始ページ
110
終了ページ
116
記述言語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.jpsychires.2018.11.022

© 2018 The Authors The results of several epidemiological studies have shown a moderate association between postpartum depression (PPD) and mother-infant bonding (MIB); however, associations and changes that longitudinally considered parity were not reported. We investigated the possible association between PPD and MIB at one month after birth, in addition, the changes of these indices by parity. From a dataset comprising 103,099 maternal registrations in The Japan Environment and Children's Study, the present study analyzed complete data on questionnaires for 76,363 women who participated once (cross-sectional group) and 3753 women who participated twice (follow-up subgroup). Edinburgh Postnatal Depression Scale (EPDS) scores and the Mother-to-Infant Bonding Scale-Japan (MIBS-J) scores were obtained one month after delivery. We identified the two factors of the MIBS-J, “lack of maternal feeling (LMF)” and “anxiety about caregiving (AC)” through confirmatory factor analysis. Associations between total EPDS and each factor of MIBS-J were evaluated using multiple regression analyses after adjusting for potential confounders. Total EPDS and both factors (LMF and AC) were positively related in the cross-sectional group (fully adjusted β = 0.26 and 0.39 for LMF and AC, respectively), in the follow-up subgroup at first participation (0.24 and 0.40, respectively) and at the second participation (0.25 and 0.39, respectively). Multiple regression analyses revealed a robust, moderate relationship between postpartum depression and mother-infant bonding. PPD and MIB scores were shown to decrease from the first child to the second in the follow-up subgroup. Consequently, interventions which would increase a mother's child care experience and expertise would prevent PPD and improve MIB.

リンク情報
DOI
https://doi.org/10.1016/j.jpsychires.2018.11.022
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/30616158
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85060019332&origin=inward 本文へのリンクあり
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85060019332&origin=inward
ID情報
  • DOI : 10.1016/j.jpsychires.2018.11.022
  • ISSN : 0022-3956
  • eISSN : 1879-1379
  • PubMed ID : 30616158
  • SCOPUS ID : 85060019332

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