TY - JOUR
T1 - Maternal postnatal bonding disorder and emotional/behavioral problems in preschool children
T2 - The Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study
AU - Murakami, Keiko
AU - Ishikuro, Mami
AU - Obara, Taku
AU - Noda, Aoi
AU - Ueno, Fumihiko
AU - Onuma, Tomomi
AU - Matsuzaki, Fumiko
AU - Takahashi, Ippei
AU - Kikuchi, Saya
AU - Kobayashi, Natsuko
AU - Hamada, Hirotaka
AU - Iwama, Noriyuki
AU - Metoki, Hirohito
AU - Kikuya, Masahiro
AU - Saito, Masatoshi
AU - Sugawara, Junichi
AU - Tomita, Hiroaki
AU - Yaegashi, Nobuo
AU - Kuriyama, Shinichi
N1 - Funding Information:
The TMM BirThree Cohort Study was supported by the Japan Agency for Medical Research and Development (AMED), Japan [grant number, JP17km0105001 , JP21tm0124005 ]. This study was supported by a Grant-in-Aid for Scientific Research (C) [grant number, 21K10490] from the Ministry of Education, Culture, Sports, Science and Technology , Japan, and a research grant from the Meiji Yasuda Life Foundation of Health and Welfare , Japan. The funding body played no role in the study's design, implementation, data collection and analysis, or the decision to publish the findings.
Publisher Copyright:
© 2023 Elsevier B.V.
PY - 2023/3/15
Y1 - 2023/3/15
N2 - Background: Although there is evidence that maternal perinatal mental disorders are associated with emotional/behavioral problems in children, the long-term impacts of postnatal bonding disorder remain unclear. We aimed to examine the associations between maternal postnatal bonding disorder and emotional/behavioral problems in preschool children. Methods: We analyzed data from 7220 mother–child pairs who participated in the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study. Maternal bonding disorder was defined as Mother-to-Infant Bonding Scale score ≥5 at 1 month after delivery. The Child Behavior Checklist for Ages 1½–5 was used to assess emotional/behavioral problems, and its subscales were used to assess internalizing and externalizing problems in children at 4 years of age. Multiple logistic regression analyses were conducted to examine the associations of postnatal bonding disorder with emotional/behavioral, internalizing, and externalizing problems after adjustment for age, education, income, parity, prenatal psychological distress, postnatal depressive symptoms, child's sex, preterm birth, and birth defects. Results: The prevalence of postnatal bonding disorder was 14.8 %. Postnatal bonding disorder was associated with an increased risk of emotional/behavioral problems in children: the odds ratio (OR) was 2.06 (95 % confidence interval [CI], 1.72–2.46). Postnatal bonding disorder was also associated with increased risks of internalizing problems and externalizing problems in children: the ORs were 1.69 (95 % CI, 1.42–2.02) and 1.90 (95 % CI, 1.59–2.26), respectively. Limitations: Bonding and problems were self-reported. Conclusions: Bonding disorder at 1 month after delivery was associated with an increased risk of emotional/behavioral problems in children at 4 years of age.
AB - Background: Although there is evidence that maternal perinatal mental disorders are associated with emotional/behavioral problems in children, the long-term impacts of postnatal bonding disorder remain unclear. We aimed to examine the associations between maternal postnatal bonding disorder and emotional/behavioral problems in preschool children. Methods: We analyzed data from 7220 mother–child pairs who participated in the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study. Maternal bonding disorder was defined as Mother-to-Infant Bonding Scale score ≥5 at 1 month after delivery. The Child Behavior Checklist for Ages 1½–5 was used to assess emotional/behavioral problems, and its subscales were used to assess internalizing and externalizing problems in children at 4 years of age. Multiple logistic regression analyses were conducted to examine the associations of postnatal bonding disorder with emotional/behavioral, internalizing, and externalizing problems after adjustment for age, education, income, parity, prenatal psychological distress, postnatal depressive symptoms, child's sex, preterm birth, and birth defects. Results: The prevalence of postnatal bonding disorder was 14.8 %. Postnatal bonding disorder was associated with an increased risk of emotional/behavioral problems in children: the odds ratio (OR) was 2.06 (95 % confidence interval [CI], 1.72–2.46). Postnatal bonding disorder was also associated with increased risks of internalizing problems and externalizing problems in children: the ORs were 1.69 (95 % CI, 1.42–2.02) and 1.90 (95 % CI, 1.59–2.26), respectively. Limitations: Bonding and problems were self-reported. Conclusions: Bonding disorder at 1 month after delivery was associated with an increased risk of emotional/behavioral problems in children at 4 years of age.
KW - Emotional/behavioral problems
KW - Externalizing problems
KW - Internalizing problems
KW - Japan
KW - Postnatal bonding disorder
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U2 - 10.1016/j.jad.2023.01.044
DO - 10.1016/j.jad.2023.01.044
M3 - Article
C2 - 36642309
AN - SCOPUS:85146709682
SN - 0165-0327
VL - 325
SP - 582
EP - 587
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
ER -
