TY  - JOUR
PY  - 2018//
TI  - Impact of perceived rearing and social support on bonding failure and depression among mothers: a longitudinal study of pregnant women
JO  - Journal of psychiatric research
A1  - Ohara, Masako
A1  - Nakatochi, Masahiro
A1  - Okada, Takashi
A1  - Aleksic, Branko
A1  - Nakamura, Yukako
A1  - Shiino, Tomoko
A1  - Yamauchi, Aya
A1  - Kubota, Chika
A1  - Morikawa, Mako
A1  - Murase, Satomi
A1  - Goto, Setsuko
A1  - Kanai, Atsuko
A1  - Kato, Ryuji
A1  - Ando, Masahiko
A1  - Ozaki, Norio
SP  - 71
EP  - 77
VL  - 105
IS  - 
N2  - BACKGROUND: Although previous studies have reported associations between bonding failure, depression, social support among mothers, and perceived rearing, the causal relationships remain unclear. <br><br>METHODS: A total of 855 women (mean age, 32.4 ± 4.4 years) completed the Mother-Infant Bonding Questionnaire (MIBQ), the Edinburgh Postnatal Depression Scale (EPDS), the Japanese version of the Social Support Questionnaire, and the Parental Bonding Instrument in early pregnancy before week 25 (T1) and at 1 month after delivery (T2). We created a path model to clarify the causal relationships between perinatal bonding failure, depression, social support, and perceived rearing during pregnancy and at 1 month after delivery. The model was tested using structural equation modeling. <br><br>RESULTS: Our recursive model showed acceptable fit (chi-squared statistic/degree of freedom = 2.1, comparative fit index = 0.98, root mean square error of approximation = 0.04). It was revealed that: (1) at T1, higher overprotection significantly predicted MIBQ scores; (2) at T1, poorer social support significantly predicted both MIBQ and EPDS scores; and (3) at T1, both MIBQ and EPDS scores significantly predicted respective scores at T2. <br><br>CONCLUSIONS: These results showed that bonding failure in the postpartum period was significantly influenced by mothers' own perceived rearing and social support during pregnancy. In addition, depression in the postpartum period was strongly influenced by social support during pregnancy. These findings suggest that psychosocial interventions that focus on both mothers' recollections of their own upbringing and social support during pregnancy are effective for preventing bonding failure and depression in the postpartum period.<br><br>Copyright © 2018. Published by Elsevier Ltd.<p />  <p>Language: en</p>
LA  - en
SN  - 0022-3956
UR  - http://dx.doi.org/10.1016/j.jpsychires.2018.09.001
ID  - ref1
ER  -