TY - JOUR PY - 2019// TI - 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 & Children's Study JO - Journal of maternal-fetal and neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians A1 - Nishigori, Hidekazu A1 - Obara, Taku A1 - Nishigori, Toshie A1 - Metoki, Hirohito A1 - Mizuno, Satoshi A1 - Ishikuro, Mami A1 - Sakurai, Kasumi A1 - Hamada, Hirotaka A1 - Watanabe, Zen A1 - Hoshiai, Testuro A1 - Arima, Takahiro A1 - Nakai, Kunihiko A1 - Kuriyama, Shinichi A1 - Yaegashi, Nobuo SP - 1 EP - 8 VL - ePub IS - ePub N2 - 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 was eight, on maternal EPDS-J was nine, and on the K6 psychological distress scale score was thirteen.

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 the Pearson's product moment correlation coefficient analyses between paternal and maternal MIBS-J score; MIBS-J_LA scores was r = 0.2112 p < 0.0001, and MIBS-J_AR scores was r = 0.3281 p < 0.0001.

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.

Language: en

LA - en SN - 1476-7058 UR - http://dx.doi.org/10.1080/14767058.2018.1560414 ID - ref1 ER -