Persistent symptoms of maternal post-traumatic stress following childbirth across the first months postpartum: Associations with perturbations in maternal behavior and infant avoidance of social gaze toward mother.

Autor: Rousseau S; School of Education, Ariel University, Ariel, Israel.; Baruch Ivcher School of Psychology, Reichman University (IDC Herzliya), Herzliya, Israel., Feldman T; Baruch Ivcher School of Psychology, Reichman University (IDC Herzliya), Herzliya, Israel., Shlomi Polachek I; Be'er Ya'akov Medical Center, Beer Yaakov, Israel.; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel., Frenkel TI; Baruch Ivcher School of Psychology, Reichman University (IDC Herzliya), Herzliya, Israel.
Jazyk: angličtina
Zdroj: Infancy : the official journal of the International Society on Infant Studies [Infancy] 2023 Sep-Oct; Vol. 28 (5), pp. 882-909. Date of Electronic Publication: 2023 Jun 17.
DOI: 10.1111/infa.12553
Abstrakt: Recent literature identifies childbirth as a potentially traumatic event, following which mothers may develop symptoms of Post-Traumatic-Stress-Following-Childbirth (PTS-FC). The current study examines whether stable symptoms of PTS-FC during the early postpartum period may impose risk for perturbations in maternal behavior and infant social-engagement with mother, controlling for comorbid postpartum internalizing symptoms. Mother-infant dyads (N = 192) were recruited from the general population, during the third trimester of pregnancy. 49.5% of the mothers were primipara, and 48.4% of the infants were girls. Maternal PTS-FC was assessed at 3-day, 1-month and 4-month postpartum, via self-report and clinician-administered interview. Latent Profile Analysis generated two profiles of symptomology: "Stable-High-PTS-FC" (17.0%), and "Stable-Low-PTS-FC" (83%). Membership in the "Stable-High-PTS-FC" profile associated with perturbed maternal sensitivity, which was in turn significantly associated with infant avoidance of social gaze toward mother (Indirect effect β = -0.15). Results suggest the need for early screening and inform the planning of early preventive interventions.
(© 2023 The Authors. Infancy published by Wiley Periodicals LLC on behalf of International Congress of Infant Studies.)
Databáze: MEDLINE
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