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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Mother-to-infant bonding failure and intimate partner violence during pregnancy as risk factors for father-to-infant bonding failure at 1 month postpartum: an adjunct study of the Japan Environment and Children's Study
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Mother-to-infant bonding failure and intimate partner violence during pregnancy as risk factors for father-to-infant bonding failure at 1 month postpartum: an adjunct study of the Japan Environment and Children's Study

机译：母亲对婴幼儿粘合失败和妊娠期间的亲密合作伙伴暴力作为婴儿粘接失败的危险因素在1个月后持续的妇产人：日本环境和儿童研究的辅助研究

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Objective: To survey the frequency and risk factors for father-to-infant lack of affection (LA) and anger/rejection (AR) bonding failure at 1 month postpartum. Material and methods: The study participants enrolled in the prospective birth cohort study of an adjunct study of the Japan Environment & Children's Study. Bonding failure, psychological distress during pregnancy and postnatal depression symptoms were evaluated using the Japanese version of the Mother-Infant Bonding Scale (MIBS-J), the Kessler 6-item (K6) psychological distress scale and the Edinburgh Postnatal Depression Scale (EPDS-J). This study extracted relative factors based on approximately 10% occupancy of the total high scores in MIBS-J subscales as a cut-off for bonding failure. The cut-off scores on the paternal EPDS-J were eight, on maternal EPDS-J was 9, and on the K6 psychological distress scale score was 13. Results: A total of 1008 couples who had single delivery were assessed at 1 month postpartum, respectively. The prevalence of paternal MIBS-J_LA scores >= 4 was 8.3%, MIBS-J_AR scores >= 3 was 7.9%, and EPDS-J scores >= 8 was 11.2%, respectively. In the multiple logistics analysis, paternal MIBS-J_LA scores >= 4 were significantly associated with maternal MIBS-J_LA score >= 3 (adjusted odds ratio (AOR) 2.814; 95% confidence interval (CI): 1.377-5.747), mental intimate partner violence (IPV) against the mother during pregnancy (AOR 2.176; 95% CI: 1.185-3.997), maternal K6 psychological distress scale score >= 13 (AOR 2.980; 95% CI: 1.317-6.745), paternal EPDS-J score >= 8 (AOR 3.227; 95% CI: 1.767-5.892), and a history of mental health disorder (AOR 4.125; 95% CI: 1.423-11.963). Paternal MIBS-J_AR scores >= 3 were significantly associated with maternal MIBS-J_AR scores >= 3 (AOR 5.082; 95% CI: 2.453-10.529), a history of physical IPV against the mother during pregnancy (AOR 5.230; 95% CI: 1.016-26.920), paternal K6 psychological distress scale score >= 13 (AOR 4.145; 95% CI: 1.311-13.107), and paternal EPDS-J scores >= 8 (AOR 4.479; 95% CI: 2.503-8.013). In Pearson's product moment correlation coefficient analyses between paternal and maternal MIBS-J score, MIBS-J_LA score was r = 0.2112, p < .0001, and MIBS-J_AR score was r = 0.3281, p < .0001. Conclusion: Father-to-infant lack of affection bonding failure was associated with mother-to-infant lack of affection bonding failure, mental IPV against mother during pregnancy, maternal psychological distress during pregnancy, paternal postpartum depression symptoms, and history of paternal mental health disorders. Father-to-infant anger/rejection bonding failure was associated with mother-to-infant anger/rejection bonding failure, physical IPV against mother during pregnancy, paternal psychological distress during pregnancy, and paternal postpartum depression symptoms. Since bonding failure is a risk factor for infant maltreatment, further investigations are recommended to fully assess these associations to resolve parent perinatal mental health issues for preventing father-to-infant bonding failure.
机译：目的：调查父亲对婴儿缺乏情感（LA）和愤怒/拒绝（AR）粘合失败的频率和危险因素在产后1个月。材料和方法：研究参与者参加了日本环境与儿童研究的辅助研究预期出生队列研究。使用日本版的母婴粘合秤（MIBS-J），Kessler 6-Item（K6）心理困扰规模和爱丁堡后期抑郁秤（EPDS- j）。本研究提取了基于MIBS-J分量总量的大约10％占用的相对因子，作为截止的粘合失败。母EPDS-J上的截止分数是八个，母体EPDS-J是9，并且在K6心理困扰规模得分为13.结果：在产后1个月评估了1008个夫妇，每次递送一次递送， 分别。父族MIBS-J_LA分数> = 4的患病率为8.3％，MIBS-J_AR评分> = 3分别为7.9％，EPDS-J分数分别为11.2％。在多物流分析中，父母MIBS-J_LA分数> = 4与母体MIBS-J_LA得分显着相关> = 3（调整的赔率比（AOR）2.814; 95％置信区间（CI）：1.377-5.747），精神私密化伴侣暴力（IPV）在怀孕期间对母亲（AOR 2.176; 95％CI：1.185-3.997），母体K6心理痛苦得分> = 13（AOR 2.980; 95％CI：1.317-6.745），父EPDS-J分数> = 8（AOR 3.227; 95％CI：1.767-5.892）和心理健康障碍的历史（AOR 4.125; 95％CI：1.423-11.963）。父母MIBS-J_AR分数> = 3与母体MIBS-J_AR分数显着相关> 3（AOR 5.082; 95％CI：2.453-10.529），妊娠期间对母亲的物理IPV历史（AOR 5.230; 95％CI ：1.016-26.920），父亲K6心理困扰规模得分> = 13（AOR 4.145; 95％CI：1.311-13.107）和PAtternal EPDS-J分数> = 8（AOR 4.479; 95％CI：2.503-8.013）。在Pearson的产品时刻相关系数分析父母和母体MIBS-J分数，MIBS-J_LA得分为r = 0.2112，p <.0001，MIBS-J_AR得分为r = 0.3281，p <.0001。结论：婴儿缺乏情感粘合失败与母语缺乏情感粘结失败有关，心理IPV对妊娠期间的母亲，孕妇性心理窘迫，父亲产后抑郁症状，以及父亲心理健康的历史障碍。父亲对婴儿愤怒/排斥失败与婴儿愤怒/排斥失败有关，妊娠期间对母亲的物理IPV，怀孕期间的父亲心理窘迫，以及父亲产后抑郁症状。由于粘合失败是婴儿虐待的危险因素，因此建议进一步调查来完全评估这些协会，以解决预防父亲对婴幼儿债券失败的父母围产期卫生问题。

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