ArticleArchives of women's mental health2024
Peripartum dissociation, sense of control, postpartum posttraumatic stress disorder and emotional adjustment to motherhood in adult survivors of childhood maltreatment.
Article in Archives of women's mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 8 citations in OpenAlex.
- From childhood to adult trauma and negative birth experiences: distal and proximal factors associated with childbirth-related posttraumatic stress symptoms.European journal of psychotraumatology · 2026Article
- Understanding how adverse childhood experiences influence the development of postpartum post-traumatic stress disorder: a qualitative study in China.European journal of psychotraumatology · 2026Article
- Beyond Trauma Exposure and Symptoms: Preconception Transdiagnostic Vulnerability and Postpartum Outcomes in Healthy Women.Journal of clinical medicine · 2026Article
- Emotional and dissociative responses to childbirth as predictors of postpartum PTSD symptoms: a prospective observational study.BMC psychology · 2026Observational
- The masking effects of self-efficacy and marital satisfaction on the association between childhood trauma and postpartum depressive symptoms: a cross-sectional study.Scientific reports · 2025Article
- Reframing obstetric care through a trauma-informed lens: A narrative review of trauma-informed principles and clinical applications.Pregnancy (Hoboken, N.J.) · 2025Review
- Psychological functioning in pregnant women who experienced complex trauma.Frontiers in global women's health · 2025Article
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Survivors of childhood maltreatment (CM) may experience difficulties in the peripartum period and in adjustment to motherhood. In this study we examined a model wherein CM is associated with maternal self-efficacy and maternal bonding three months postpartum, through mediation of peripartum dissociation and reduced sense of control during childbirth and postpartum-posttraumatic-stress disorder (P-PTSD). Women were recruited in a maternity ward within 48 h of childbirth (T1, N = 440), and contacted three-months postpartum (T2, N = 295). Participants completed self-report questionnaires: peripartum dissociation, sense of control (T1), and CM, P-PTSD, postpartum-depression, maternal self-efficacy and bonding (T2). Obstetrical data were collected from medical files. Structural equation modeling was conducted to test the hypothesized model, controlling for mode of delivery and postpartum-depression. Reported CM included child emotional neglect (CEN; 23.5%), child emotional abuse (CEA; 16.3%), child sexual abuse (CSA; 12.9%) and child physical abuse (CPA; 7.1%). CM was positively associated with peripartum dissociation and P-PTSD (p < .001). Peripartum dissociation was positively associated with P-PTSD (p < .001). P-PTSD was negatively associated with maternal self-efficacy (p < .001) and maternal bonding (p < .001). Association between CM and maternal self-efficacy and bonding was serially mediated by peripartum dissociation and P-PTSD, but not by sense of control. Findings remained significant after controlling for mode of delivery and postpartum-depression. CM is a risk factor for adjustment to motherhood, owing to its effects on peripartum dissociation and P-PTSD. Implementation of a trauma-informed approach in obstetric care and recognition of peripartum dissociative reactions are warranted.
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