Maternal postpartum anxiety and the development of infant attachment: The effect of body sensations on infant attachment
Knowledge about the influences of maternal postpartum anxiety disorders (PAD) on infant development is limited. Aim of this present study is to evaluate the influence of PAD on infant attachment. In a longitudinal study, self-reported anxiety symptoms of N = 70 mothers (N = 28 with PAD diagnosed acc...
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| Veröffentlicht in: | Journal of affective disorders 2023-06, Vol.331, p.259-268 |
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| creator | Klauser, Nathania Müller, Mitho Zietlow, Anna-Lena Nonnenmacher, Nora Woll, Christian Becker-Stoll, Fabienne Reck, Corinna |
| description | Knowledge about the influences of maternal postpartum anxiety disorders (PAD) on infant development is limited. Aim of this present study is to evaluate the influence of PAD on infant attachment.
In a longitudinal study, self-reported anxiety symptoms of N = 70 mothers (N = 28 with PAD diagnosed according to the DSM-IV, N = 42 controls) were examined in the postpartum period and one year later. Infants' attachment was observed in the Strange Situation Test (SST) at the age of 12–24 months.
Results indicate a strong relationship between PAD and infant attachment: infants of mothers with PAD were significantly more likely to be classified as insecure or disorganized than infants of control mothers. Logistic regression analysis led to a significant model with 76.8 % correct classification of infant attachment dependent on the maternal fear of anxiety associated body sensations (OR = 4.848) in the postpartum period. Including maternal sensitivity and interaction behavior, only maternal intrusiveness was additionally associated with infant attachment (ρ = 0.273, p |
| doi_str_mv | 10.1016/j.jad.2023.03.048 |
| format | Article |
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In a longitudinal study, self-reported anxiety symptoms of N = 70 mothers (N = 28 with PAD diagnosed according to the DSM-IV, N = 42 controls) were examined in the postpartum period and one year later. Infants' attachment was observed in the Strange Situation Test (SST) at the age of 12–24 months.
Results indicate a strong relationship between PAD and infant attachment: infants of mothers with PAD were significantly more likely to be classified as insecure or disorganized than infants of control mothers. Logistic regression analysis led to a significant model with 76.8 % correct classification of infant attachment dependent on the maternal fear of anxiety associated body sensations (OR = 4.848) in the postpartum period. Including maternal sensitivity and interaction behavior, only maternal intrusiveness was additionally associated with infant attachment (ρ = 0.273, p < .05; OR = 45.021, p = .153).
Participants were highly educated. Different anxiety disorders included led to a heterogenous sample. Generalization is diminished. Maternal sensitivity was measured on a global scale, and body tension was self-reported.
PAD plays a crucial role in the development of infant attachment. Interaction-focused interventions, helping mothers to decrease intrusiveness, and body-focused interventions, helping mothers to deal with their fear of anxiety symptoms, might be promising pathways to buffer the influence of PAD on infant attachment.
•Maternal postpartum anxiety disorders influence infant attachment.•Development of infant attachment is associated with maternal body sensations.•Fear of anxiety-related body sensations is related to infant attachment insecurity.•Maternal intrusive behavior increases the likelihood of infant attachment insecurity.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2023.03.048</identifier><identifier>PMID: 36958486</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Anxiety ; Anxiety Disorders - diagnosis ; Body sensations ; Child ; Child, Preschool ; Depression, Postpartum - diagnosis ; Female ; Humans ; Infant ; Infant attachment ; Longitudinal Studies ; Mother-Child Relations ; Mothers ; Object Attachment ; Postpartum anxiety disorders ; Postpartum Period ; Strange situation test</subject><ispartof>Journal of affective disorders, 2023-06, Vol.331, p.259-268</ispartof><rights>2023 Elsevier B.V.</rights><rights>Copyright © 2023 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c305t-711a1acb3225b2f7ad55ca2c180a894bf0daa6b8ffa4eb99b26e36e26a4fea273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jad.2023.03.048$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36958486$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Klauser, Nathania</creatorcontrib><creatorcontrib>Müller, Mitho</creatorcontrib><creatorcontrib>Zietlow, Anna-Lena</creatorcontrib><creatorcontrib>Nonnenmacher, Nora</creatorcontrib><creatorcontrib>Woll, Christian</creatorcontrib><creatorcontrib>Becker-Stoll, Fabienne</creatorcontrib><creatorcontrib>Reck, Corinna</creatorcontrib><title>Maternal postpartum anxiety and the development of infant attachment: The effect of body sensations on infant attachment</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>Knowledge about the influences of maternal postpartum anxiety disorders (PAD) on infant development is limited. Aim of this present study is to evaluate the influence of PAD on infant attachment.
In a longitudinal study, self-reported anxiety symptoms of N = 70 mothers (N = 28 with PAD diagnosed according to the DSM-IV, N = 42 controls) were examined in the postpartum period and one year later. Infants' attachment was observed in the Strange Situation Test (SST) at the age of 12–24 months.
Results indicate a strong relationship between PAD and infant attachment: infants of mothers with PAD were significantly more likely to be classified as insecure or disorganized than infants of control mothers. Logistic regression analysis led to a significant model with 76.8 % correct classification of infant attachment dependent on the maternal fear of anxiety associated body sensations (OR = 4.848) in the postpartum period. Including maternal sensitivity and interaction behavior, only maternal intrusiveness was additionally associated with infant attachment (ρ = 0.273, p < .05; OR = 45.021, p = .153).
Participants were highly educated. Different anxiety disorders included led to a heterogenous sample. Generalization is diminished. Maternal sensitivity was measured on a global scale, and body tension was self-reported.
PAD plays a crucial role in the development of infant attachment. Interaction-focused interventions, helping mothers to decrease intrusiveness, and body-focused interventions, helping mothers to deal with their fear of anxiety symptoms, might be promising pathways to buffer the influence of PAD on infant attachment.
•Maternal postpartum anxiety disorders influence infant attachment.•Development of infant attachment is associated with maternal body sensations.•Fear of anxiety-related body sensations is related to infant attachment insecurity.•Maternal intrusive behavior increases the likelihood of infant attachment insecurity.</description><subject>Anxiety</subject><subject>Anxiety Disorders - diagnosis</subject><subject>Body sensations</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Depression, Postpartum - diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant attachment</subject><subject>Longitudinal Studies</subject><subject>Mother-Child Relations</subject><subject>Mothers</subject><subject>Object Attachment</subject><subject>Postpartum anxiety disorders</subject><subject>Postpartum Period</subject><subject>Strange situation test</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1r3DAQhkVpSLZpfkAvRcdevNWHLdntqYR-QUou6VmM5RHRYkuupA3Zfx9tN-2lUBgYIZ73hXkIecPZljOu3u-2O5i2ggm5ZXXa_gXZ8E7LRnRcvySbynQNk0JfkFc57xhjatDsnFxINXR926sNefwBBVOAma4xlxVS2S8UwqPHcqh7ouUe6YQPOMd1wVBodNQHB_UFpYC9P35-oHeVQufQ_gbGOB1oxpCh-BgyjeHfzGty5mDOePW8L8nPL5_vrr81N7dfv19_ummsZF1pNOfAwY5SiG4UTsPUdRaE5T2DfmhHxyYANfbOQYvjMIxCoVQoFLQOQWh5Sd6detcUf-0xF7P4bHGeIWDcZyP0wKWWSvUV5SfUpphzQmfW5BdIB8OZOQo3O1OFm6Nww-q0x8zb5_r9uOD0N_HHcAU-ngCsRz54TCZbj8Hi5FPVZabo_1P_BIzOk9c</recordid><startdate>20230615</startdate><enddate>20230615</enddate><creator>Klauser, Nathania</creator><creator>Müller, Mitho</creator><creator>Zietlow, Anna-Lena</creator><creator>Nonnenmacher, Nora</creator><creator>Woll, Christian</creator><creator>Becker-Stoll, Fabienne</creator><creator>Reck, Corinna</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20230615</creationdate><title>Maternal postpartum anxiety and the development of infant attachment: The effect of body sensations on infant attachment</title><author>Klauser, Nathania ; Müller, Mitho ; Zietlow, Anna-Lena ; Nonnenmacher, Nora ; Woll, Christian ; Becker-Stoll, Fabienne ; Reck, Corinna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-711a1acb3225b2f7ad55ca2c180a894bf0daa6b8ffa4eb99b26e36e26a4fea273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anxiety</topic><topic>Anxiety Disorders - diagnosis</topic><topic>Body sensations</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Depression, Postpartum - diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant attachment</topic><topic>Longitudinal Studies</topic><topic>Mother-Child Relations</topic><topic>Mothers</topic><topic>Object Attachment</topic><topic>Postpartum anxiety disorders</topic><topic>Postpartum Period</topic><topic>Strange situation test</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Klauser, Nathania</creatorcontrib><creatorcontrib>Müller, Mitho</creatorcontrib><creatorcontrib>Zietlow, Anna-Lena</creatorcontrib><creatorcontrib>Nonnenmacher, Nora</creatorcontrib><creatorcontrib>Woll, Christian</creatorcontrib><creatorcontrib>Becker-Stoll, Fabienne</creatorcontrib><creatorcontrib>Reck, Corinna</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Klauser, Nathania</au><au>Müller, Mitho</au><au>Zietlow, Anna-Lena</au><au>Nonnenmacher, Nora</au><au>Woll, Christian</au><au>Becker-Stoll, Fabienne</au><au>Reck, Corinna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal postpartum anxiety and the development of infant attachment: The effect of body sensations on infant attachment</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2023-06-15</date><risdate>2023</risdate><volume>331</volume><spage>259</spage><epage>268</epage><pages>259-268</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><abstract>Knowledge about the influences of maternal postpartum anxiety disorders (PAD) on infant development is limited. Aim of this present study is to evaluate the influence of PAD on infant attachment.
In a longitudinal study, self-reported anxiety symptoms of N = 70 mothers (N = 28 with PAD diagnosed according to the DSM-IV, N = 42 controls) were examined in the postpartum period and one year later. Infants' attachment was observed in the Strange Situation Test (SST) at the age of 12–24 months.
Results indicate a strong relationship between PAD and infant attachment: infants of mothers with PAD were significantly more likely to be classified as insecure or disorganized than infants of control mothers. Logistic regression analysis led to a significant model with 76.8 % correct classification of infant attachment dependent on the maternal fear of anxiety associated body sensations (OR = 4.848) in the postpartum period. Including maternal sensitivity and interaction behavior, only maternal intrusiveness was additionally associated with infant attachment (ρ = 0.273, p < .05; OR = 45.021, p = .153).
Participants were highly educated. Different anxiety disorders included led to a heterogenous sample. Generalization is diminished. Maternal sensitivity was measured on a global scale, and body tension was self-reported.
PAD plays a crucial role in the development of infant attachment. Interaction-focused interventions, helping mothers to decrease intrusiveness, and body-focused interventions, helping mothers to deal with their fear of anxiety symptoms, might be promising pathways to buffer the influence of PAD on infant attachment.
•Maternal postpartum anxiety disorders influence infant attachment.•Development of infant attachment is associated with maternal body sensations.•Fear of anxiety-related body sensations is related to infant attachment insecurity.•Maternal intrusive behavior increases the likelihood of infant attachment insecurity.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>36958486</pmid><doi>10.1016/j.jad.2023.03.048</doi><tpages>10</tpages></addata></record> |
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| subjects | Anxiety Anxiety Disorders - diagnosis Body sensations Child Child, Preschool Depression, Postpartum - diagnosis Female Humans Infant Infant attachment Longitudinal Studies Mother-Child Relations Mothers Object Attachment Postpartum anxiety disorders Postpartum Period Strange situation test |
| title | Maternal postpartum anxiety and the development of infant attachment: The effect of body sensations on infant attachment |
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