Evidence map›Paper›PMID 38602553›Full record

ArticleArchives of women's mental health2024

Identifying distinct subtypes of mother-to-infant bonding using latent profile analysis in a nationwide Japanese study.

Kosuke Hagiwara, Chong Chen, Ryo Okubo, Sumiyo Okawa, Shin Nakagawa, Takahiro Tabuchi

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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 1 paper.

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kosuke HagiwaraDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Chong ChenDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan. cchen@yamaguchi-u.ac.jp.ORCID 0000-0002-3189-7397
Ryo OkuboDepartment of Psychiatry, National Hospital Organization Obihiro Hospital, Obihiro, Japan.
Sumiyo OkawaInstitute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
Shin NakagawaDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Takahiro TabuchiCancer Control Center, Osaka International Cancer Institute, Osaka, Japan.

Funding

Innovative Research Program on Suicide Countermeasures R3-2-2Japan Science and Technology Agency JPMJSC21U6Japan Society for the Promotion of Science JP 21H04856National Institute for Environmental Studies naReady for COVID-19 Relief Fund 5th period 2nd term 001
6 · The paper itself

Abstract

backgroundMother-to-infant bonding (MIB) is foundational for nurturing behaviors and an infant's development. Identifying risk factors for difficulties or problems in MIB is vital. However, traditional research often dichotomizes MIB using cutoff thresholds, overlooking its underlying complexities. This research utilizes latent profile analysis (LPA) to discern MIB subtypes in a nationwide Japanese dataset.

methodsWe conducted LPA on data from the Mother-to-Infant Bonding Scale (MIBS), collected from 3,877 postpartum women within one year of childbirth. To empirically validate the derived profiles, we examined their associated risk factors, focusing on sociodemographic, health, and perinatal variables.

resultsFour distinct MIB profiles emerged. Profile 1 indicated minimal difficulties, while Profile 4 exhibited severe multifaceted difficulties. Profiles 2 and 3 showed moderate difficulties distinguished by lack of positive affection and presence of negative affection (especially indifference), respectively. Compared to Profile 1, women in Profiles 2-4 had a higher likelihood of postpartum depression and low family support. Each profile also presented unique risk factors: medium family support in Profile 2, maternal working status in Profile 3, and pre-pregnancy underweight status in Profile 4. Notably, both Profiles 3 and 4 were also linked to increased feelings of loneliness since the onset of the COVID-19 pandemic.

conclusionThis study represents the first application of LPA to MIB, revealing distinct subtypes and their respective risk profiles. These insights promise to enhance and personalize early interventions for difficulties in MIB, affirming the necessity of acknowledging MIB's heterogeneity.

Indexed as

Depression, PostpartumMother-Child RelationsMothersObject AttachmentAdultEast Asian PeopleFemaleHumansInfantInfant, NewbornJapanPostpartum PeriodPregnancyRisk FactorsFamily supportMaternity leaveMother-to-infant bonding scalePostpartum depressionPre-pregnancy weight

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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.