Evidence map›Paper›PMID 37316760›Full record

SynthesisArchives of women's mental health2023

Associations between maternal psychological distress and mother-infant bonding: a systematic review and meta-analysis.

Gypsy A O'Dea, George J Youssef, Lauryn J Hagg, Lauren M Francis, Elizabeth A Spry, Larissa Rossen, Imogene Smith, Samantha J Teague, Kayla Mansour, Anna Booth and 3 more

2 registry-linked trialsOpen access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Archives of women's mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 80 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 2 pooled it
31.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06781307 nacompletednot on this map

Department of Nurse-Midwifery and Women Health Graduate Institute of Nurse-Nurse-Midwifery

TypeinterventionalSponsorJen-Ai Hospital Institutional Review BoardRan2023 to 2025Enrolled70ConditionsAttachmentArmsskin to skin
NCT07195006 recruitingnot on this mapstarted 2025, after this paper: background citation

Early Life Diarrhoea Episode(s), Malnutrition, Environmental Enteric Dysfunction and Microbiome Trajectories From Birth Until 3 Years of Life ; The University of Zimbabwe Birth Cohort Study-2 (UZBCS-2)

TypeobservationalSponsorUniversity of ZimbabweRan2025 to 2032Enrolled368ConditionsMalnutrition Pregnancy, Malnutrition in Children, Malnutrition (Calorie), Environmental Enteric DysfunctionArmsMalnutrition in pregnancy as exposure, Poor WASH living conditions as exposure
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.

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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Gypsy A O'DeaSchool of Psychology, Centre for Social and Emotional Early Development, Deakin University, Geelong, Australia. gypsy.odea@research.deakin.edu.au.ORCID 0000-0001-5871-8398
George J YoussefSchool of Psychology, Centre for Social and Emotional Early Development, Deakin University, Geelong, Australia.ORCID 0000-0002-6178-4895
Lauryn J HaggSchool of Psychology, Centre for Social and Emotional Early Development, Deakin University, Geelong, Australia.ORCID 0000-0001-7305-4980
Lauren M FrancisSchool of Psychology, Centre for Social and Emotional Early Development, Deakin University, Geelong, Australia.ORCID 0000-0002-4050-5711
Elizabeth A SprySchool of Psychology, Centre for Social and Emotional Early Development, Deakin University, Geelong, Australia.ORCID 0000-0003-2837-3514
Larissa RossenCounselling Psychology Department, Trinity Western University, Langley Township, BC, Canada.ORCID 0000-0002-9382-0387
Imogene SmithSchool of Psychology, Centre for Social and Emotional Early Development, Deakin University, Geelong, Australia.ORCID 0000-0003-2576-8182
Samantha J TeagueSchool of Psychology, Centre for Social and Emotional Early Development, Deakin University, Geelong, Australia.ORCID 0000-0002-0487-7307
Kayla MansourSchool of Psychology, Centre for Social and Emotional Early Development, Deakin University, Geelong, Australia.ORCID 0000-0002-4165-3943
Anna BoothLa Trobe University, School of Psychology and Public Health, The Bouverie Centre, Brunswick, Australia.ORCID 0000-0001-8945-4778
Sasha DaviesSchool of Psychology, Centre for Social and Emotional Early Development, Deakin University, Geelong, Australia.ORCID 0000-0002-7252-9603
Delyse HutchinsonSchool of Psychology, Centre for Social and Emotional Early Development, Deakin University, Geelong, Australia.ORCID 0000-0003-3221-7143
Jacqui A MacdonaldSchool of Psychology, Centre for Social and Emotional Early Development, Deakin University, Geelong, Australia.ORCID 0000-0001-9451-2709
Deakin University · AULa Trobe University · AUWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMaternal psychological distress and mother-infant bonding problems each predict poorer offspring outcomes. They are also related to each other, yet the extensive literature reporting their association has not been meta-analysed.

methodsWe searched MEDLINE, PsycINFO, CINAHL, Embase, ProQuest DTG, and OATD for English-language peer-reviewed and grey literature reporting an association between mother-infant bonding, and multiple indicators of maternal psychological distress.

resultsWe included 133 studies representing 118 samples; 99 samples (110,968 mothers) were eligible for meta-analysis. Results showed concurrent associations across a range of timepoints during the first year postpartum, between bonding problems and depression (r = .27 [95% CI 0.20, 0.35] to r = .47 [95% CI 0.41, 0.53]), anxiety (r = .27 [95% CI 0.24, 0.31] to r = .39 [95% CI 0.15, 0.59]), and stress (r = .46 [95% CI 0.40, 0.52]). Associations between antenatal distress and subsequent postpartum bonding problems were mostly weaker and with wider confidence intervals: depression (r = .20 [95% CI 0.14, 0.50] to r = .25 [95% CI 0.64, 0.85]), anxiety (r = .16 [95% CI 0.10, 0.22]), and stress (r = .15 [95% CI - 0.67, 0.80]). Pre-conception depression and anxiety were associated with postpartum bonding problems (r = - 0.17 [95% CI - 0.22, - 0.11]).

conclusionMaternal psychological distress is associated with postpartum mother-infant bonding problems. Co-occurrence of psychological distress and bonding problems is common, but should not be assumed. There may be benefit in augmenting existing perinatal screening programs with well-validated mother-infant bonding measures.

Indexed as

Depression, PostpartumObstetric Labor ComplicationsAnxietyFemaleHumansInfantMother-Child RelationsMothersObject AttachmentParturitionPostpartum PeriodPregnancyMaternal-infant bondingMental healthMeta-analysisPerinatalSystematic review

Identifiers

PMID37316760
PMCPMC10333415
OpenAlexW4380589691

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.