Volume 19, Issue 4 (July 2021)                   Nursing and Midwifery Journal 2021, 19(4): 349-358 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Arbabi H, Amiri Farahani L. Predictors of maternal-infant attachment: A cross-sectional study. Nursing and Midwifery Journal 2021; 19 (4) :349-358
URL: http://unmf.umsu.ac.ir/article-1-4425-en.html
1- MSc Student in Midwifery, Student Research Commitee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
2- Associate Professor, Nursing Care Research Center (NCRC), Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran (Corresponding Author) , l.amirifarahani@gmail.com
Abstract:   (1071 Views)
Background & Aims: Attachment is one of the basic human needs or emotional bonds between the growing baby and mother, which is a two-way interactive relationship that is influenced by many factors and many of these factors determine the unknown attachment. Since limited studies have been conducted on maternal-infant attachment behaviors and it seems that the attachment behaviors are different in various cultures, the present study was conducted to determine the predictors of maternal-infant attachment. Materials & Methods: The present study was a cross-sectional study that was performed on 300 primiparous women at 8 weeks postpartum who were referred to comprehensive health centers in Zabol from June to October 2019. Inclusion criteriaincluded: being Iranian, women 18 years and older, no baby with abnormalities, ability to read and write, being term at childbirth, no physical (diabetes, hypertension, etc.) and mental illness. Sampling was done as a quota from comprehensive health centers. Data collection tools included the Individual Characteristics Questionnaire (two sections of demographic information and obstetrics), Beck Disappointment Scale (BHS), and Mother-infant Attachment Scale (MAS). Data analysis was performed using descriptive and analytical statistics such as ANOVA test, t-test, and Pearson in SPSS software version 23 and the significance level was p < 0.05. Results: The results of the present study showed that there was a statistically significant relationship between maternal age and attachment (r = - 0.126, p₌0.03) while there was no statistically significant relationship between other demographic variables and attachment. There was also a statistically negative correlation between disappointment and attachment (p = 0.001, r = - 0.29), so that by decreasing the frustration score, the score of mother-to-baby attachment increases. Conclusion: According to the results of the study, among the studied variables, only maternal age and hopelessness were significantly associated with attachment. There was an inverse relationship between hopelessness and age with maternal attachment to the infant after delivery. Maternal mental health is an important factor in the development of attachment style between mother and baby, and disappointment can lead to depression, and postpartum depression can also reduce maternal and infant attachment, so addressing maternal mental health is especially important in the postpartum period.
Full-Text [PDF 546 kb]   (412 Downloads)    
Type of Study: Research | Subject: مامایی

References
1. Faramarzi M, Pasha H. The role of social support in prediction of stress during pregnancy. J Babol Univ Med Sci 2015;17(11):52-60. [Google Scholar]
2. Bowlby J. Attachment: Basic Books Classics. New York: Jessica Kingsley Publishers; 2008. P.2,7.
3. Voegtline KM, Stifter CA; Family Life Project Investigators.Late-preterm birth, maternal symptomatology, and infant negativity. Infant Behav Dev 2010;33(4):545-54. [DOI:10.1016/j.infbeh.2010.07.006] [PMID] [PMCID]
4. Bryant-Waugh R, Markham I, Kreipe R,Walsh B. Feeding and eating disorders in childhood. Int J Eat Disord 2010;43:98-111. [DOI:10.1002/eat.20795] [PMID]
5. Emami S, Nouri A, Malekpour MA. The relationship between child's secure attachment and factors of maternal behavior. Journal of family research 2011.7(3):293-310. [URL]
6. Moghadamhoseini V, Jafarnejad F, Soltanifar A. Correlation of maternal attachment style with maternal attachment to infant. Qom Univ Med Sci J 2012;5(3):87-91. [URL]
7. Breinholst S, Esbjørn BH, Reinholdt-Dunne ML. Effects of attachment and rearing behavior on anxiety in normal developing youth: A mediational study. Pers Individ Dif 2015;81:155-61. [DOI:10.1016/j.paid.2014.08.022]
8. Hirst KP, Moutier CY. Postpartum major depression. Am Fam Physician 2012;82:926-33. [Google Scholar]
9. Ghaemi M, Yazdanbakhsh K, Amirian T. Disappointment factors and motivational strategies of Nahjolbalagheh in their treatmentQuarterly. Journal of Nahjolbalaghe Research 2013;1(1):51-62. (Persian) [URL]
10. Fair CD, Morrison TE. The relationship between prenatal control, expectations, experienced control, and birth satisfaction among primiparous women. Midwifery2012;28(1):39-44. [DOI:10.1016/j.midw.2010.10.013] [PMID]
11. Yousefi A, Rafinia P, Sabahi P. The Effectiveness of Hope Therapy on Quality of Life in Wives of Veterans with Post Traumatic Stress Disorder. Journal of Clinical Psychology 2016;8(1):29). (Persian) [URL]
12. Dubber S, Reck C, Müller M, Gawlik S. Postpartum bonding: the role of perinatal depression, anxiety and maternal-fetal bonding during pregnancy. Arch Womens Ment Health 2015;18(2):187-95. [DOI:10.1007/s00737-014-0445-4] [PMID]
13. Serçekuş P, Başkale H. Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery 2016;34:166-72. [DOI:10.1016/j.midw.2015.11.016] [PMID]
14. Jamshidimanesh M, Astaraki L, Moghadam ZB, Taghizadeh Z, Haghani H. Maternal-Fetal Attachment and its Associated Factors. Hayat 2012;18(5):33-45. [Google Scholar]
15. Beirami M, Mahmood Alilo M, Zarei A, Zeinali S. Postnatal Attachment and General Health in Easy, Preterm, and Difficult Delivery: A Comparative Study. Iran Journal of Nursing 2017;30(105): 58-67. [DOI:10.29252/ijn.30.105.58]
16. Piadeh Zavardehi Z, Faramarzi M, Mirzaeian B. Quality of Mother-Infant Attachment after Physiological Birth. Int J Pediatr 2018;6(7):7929-36. [Google Scholar]
17. Rajaei M, Ahmadi Kani Golzar A, Karimi T, Eghbali R, Hesam A, Safari Moradabadi A. Investigating the degree of mother-infant attachment among the visitors of Bandar Abbas hospitals Bandar Abbas hospitals. J Jahrom Univ Med Sci 2014;12(2):17-23. [DOI:10.29252/jmj.12.2.17]
18. Galeshi M, Mirghafourvand M, Alizadeh-Sharajabad F, Sanaati F. Predictors of mother-child bonding. Hayat 2016;22(1):13-26. [Google Scholar]
19. Dezvaree N, Alaeekarahroudi F, KhanaliAgan L, TalebiGhane E. The mother-newborn s attachment and its related factors in mothers of hospitalized preterm neonates. Journal of Health and Care 2016;17(4):340-9. [Google Scholar]
20. Torshizi M. Various aspects of maternal-fetal attachment behaviors and some related factors in pregnant women referred to health centers in Birjand in 2012. Iran J Obstet, Gynecol, Infertil 2012;16(72):13-21. [URL]
21. Abasi E. Assesment on effective factors of maternal-fetal attachment in pregnant women. life Sci J 2012;9(1):68-74.
22. Valizadeh S, Arshadi BB, Babapour K, Shameli R. Comparison of kindergarten and non-kindergarten students to parent's attachments in Tabriz. Iranian Journal of Psychiatric Nursing 2013; 1 (1): 10-8. [URL]
23. Arshadi Bostanabad M, Jabbari T, Rezanezhad J, Valizadeh S. Paternal-newborn bonding and its related factors. J Urmia Nurs Midwifery Fac 2014;12(8):777-83.
24. Yoshida T, Matsumura K, Tsuchida A, Hamazaki K, Inadera H, Group CsS. Influence of parity and mode of delivery on mother-infant bonding: The Japan Environment and Children's Study. J Affect Disord 2020;263:516-20. [DOI:10.1016/j.jad.2019.11.005] [PMID]
25. Beck AT, Weissman A, Lester D, Trexler L. The measurement of pessimism: the hopelessness scale. J Consult Clin Psychol 1974;42(6):861. [DOI:10.1037/h0037562] [PMID]
26. Beck AT, Brown G, Berchick RJ, Stewart BL, Steer. aRA. Relationship between hopelessness and ultimate suicide: A replication with psychiatric outpatients. Am J Psychiatry 1990;147:190-5. [DOI:10.1176/ajp.147.2.190] [PMID]
27. Shams S. Investigating the effect of cognitive-behavioral group therapy on suicidal ideation, hopelessness, self-concept and attribution style in teenagers who commit suicide in Tehran. (Master's Thesis Unpublished). Allameh Tabatabaii School; 2000. (Persian)
28. Condon JT, Corkindale CJ. The assessment of parent-to-infant attachment: Development of a self-report questionnaire. Journal of Reproductive and Infant Psychology 1998; 16(1):57-76. [DOI:10.1080/02646839808404558]
29. Zeinali S, Mazaheri M, Sadeghi M, Jaberi M. The Relationships of Mothers Attachment to Infant and Mothers Psychological Characteristic to Feeding Problem in Infants. Jornal of iranian psychologisis 2011;81(29) :55-66. [Google Scholar]
30. Kim AR, Tak YR. Maternal role development in neonatal intensive care unit graduate mothers of premature infant. Korean Journal of Women Health Nursing 2015;21(4):308-20. [DOI:10.4069/kjwhn.2015.21.4.308]
31. Andrek A, Kekecs Z, Hadhazi E, Boukydis Z, Varga K. Re-Evaluation of the Psychometric Properties of the Maternal-Fetal Attachment Scale in a Hungarian Sample. J Obstet Gynecol Neonatal Nurs 2016;45(5):e15-e25. [DOI:10.1016/j.jogn.2016.05.005] [PMID]
32. Dezvaree N, Alaeekarahroudi F, KhanaliAgan L, TalebiGhane E. The mother-newborn s attachment and its related factors in mothers of hospitalized preterm neonates. Health Care 2016;17(4):340-49. [Google Scholar]
33. Tichelman E, Westerneng M, Witteveen AB, Van Baar AL, Van Der Horst HE, De Jonge A, et al. Correlates of prenatal and postnatal mother-to-infant bonding quality: A systematic review. PloS one 2019; 14(9): e0222998. [DOI:10.1371/journal.pone.0222998] [PMID] [PMCID]
34. Kothari C, Wiley J, Moe A, Liepman M, Tareen R, Curtis A. Maternal depression is not just a problem early on. Public Health 2016;137:154-61. [DOI:10.1016/j.puhe.2016.01.003] [PMID]
35. Korver-Nieberg N, Berry K, Meijer C, de Haan L, Ponizovsky AM. Associations between attachment and psychopathology dimensions in a large sample of patients with psychosis. Psychiatry Res 2015;228(1):83-8. [DOI:10.1016/j.psychres.2015.04.018] [PMID]
36. Boryri T, Navidian A, Kian R. The effect of training attachment behaviors on mother-child bonding after birth. Int J Adv Biotechnol Res 2016;7(3):1204-10.
37. Moghadamhoseini V, Jafarnejad F, Soltanifard A. Correlation of maternal attachment style with maternal attachment to infant. Qom Univ Med Sci J 2012;5:87-91. [URL]
38. Premkumar A, Henry DE, Moghadassi M, Nakagawa S, Norton ME. The interaction between maternal race/ethnicity and chronic hypertension on preterm birth. Am J Obstet Gynecol 2016;215(6): 787.e1-787.e8. [DOI:10.1016/j.ajog.2016.08.019] [PMID]
39. Perun M. Psychological personality formation is positive for non-differential self-reliance. Problems with the pedagogical psychologist: Science 2011:302-10.
40. Giorgetta C, Zeelenberg M, Ferlazzo F, D'Olimpio F. Cultural variation in the role of responsibility in regret and disappointment: The Italian case. J Econ Psychol2012;33(4):726-37. [DOI:10.1016/j.joep.2012.02.003]
41. Leahy‐Warren P, McCarthy G, Corcoran P. First‐time mothers: social support, maternal parental self‐efficacy and postnatal depression. J Clin Nurs 2012;21(3‐4):388-97 [DOI:10.1111/j.1365-2702.2011.03701.x] [PMID]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2023 CC BY-NC 4.0 | Nursing And Midwifery Journal

Designed & Developed by : Yektaweb