Evidence map›Paper›PMID 40483410›Full record

ArticleBMC pregnancy and childbirth2025

Postpartum depression and maternal-infant bonding: the mediating role of mentalizing and parenting self-efficacy.

Weijing Qi, Ziqi Wei, Huicong Lv, Jinping Zhao, Yuanyuan Hu, Yitong Wang, Qing Guo, Jie Hu

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
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  6. Review
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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

8 authors.

Weijing Qi *Innovation Center of Humanistic Care and Health Management, School of Nursing, Hebei Medical University, 48 Donggang Road, Yuhua District, Shijiazhuang, Hebei Province, 050030, China.
Ziqi Wei *Innovation Center of Humanistic Care and Health Management, School of Nursing, Hebei Medical University, 48 Donggang Road, Yuhua District, Shijiazhuang, Hebei Province, 050030, China.
Huicong LvInnovation Center of Humanistic Care and Health Management, School of Nursing, Hebei Medical University, 48 Donggang Road, Yuhua District, Shijiazhuang, Hebei Province, 050030, China.
Jinping ZhaoInnovation Center of Humanistic Care and Health Management, School of Nursing, Hebei Medical University, 48 Donggang Road, Yuhua District, Shijiazhuang, Hebei Province, 050030, China.
Yuanyuan HuInnovation Center of Humanistic Care and Health Management, School of Nursing, Hebei Medical University, 48 Donggang Road, Yuhua District, Shijiazhuang, Hebei Province, 050030, China.
Yitong WangInnovation Center of Humanistic Care and Health Management, School of Nursing, Hebei Medical University, 48 Donggang Road, Yuhua District, Shijiazhuang, Hebei Province, 050030, China.
Qing GuoShijiazhuang Obstetrics and Gynecology Hospital, 206 East Zhongshan Road, Changan District, Shijiazhuang, Hebei Province, 050011, China. yfguoqing@163.com.
Jie HuInnovation Center of Humanistic Care and Health Management, School of Nursing, Hebei Medical University, 48 Donggang Road, Yuhua District, Shijiazhuang, Hebei Province, 050030, China. Hujie@hebmu.edu.cn.

Funding

Social Science Foundation of Hebei Province HB22SH006
6 · The paper itself

Abstract

backgroundThe accumulated evidence suggested that postpartum depression was mainly associated with maternal-infant bonding. However, this link needed to be further explained by potential mediating factors. This study aimed to investigate the impact of postpartum depression on maternal-infant bonding, examining the mediating roles of mentalizing and parenting self-efficacy.

methodsA sample of 390 postpartum women was recruited from a maternity hospital around four weeks postpartum. A multiple mediating analysis was conducted to investigate how mentalizing and parenting self-efficacy affected the relationship between postpartum depression and maternal-infant bonding.

resultsThe mediation analyses indicated that postpartum depression had a direct negative impact on maternal-infant bonding among postpartum women. It could also exert an indirect effect via three pathways: the independent mediation of parenting self-efficacy, the serial mediation of hypermentalizing and parenting self-efficacy, and the serial mediation of hypomentalizing and parenting self-efficacy. LIMITATIONS: Women were sampled from a single maternity hospital, and self-report measures were utilized. The cross-sectional design also limited conclusions about causation and directionality.

conclusionsThe findings suggest that postpartum depression may negatively affect maternal-infant bonding. Moreover, the significant roles of a mother’s mentalizing and parenting self-efficacy in the relationship between postpartum depression and maternal-infant bonding should not be overlooked. These results could offer insights into supporting women with postpartum depressive symptoms to establish positive mother-infant relationships. CLINICAL TRIAL NUMBER: No. 20230128.

Indexed as

Depression, PostpartumMentalizationMother-Child RelationsMothersObject AttachmentParentingSelf EfficacyAdultCross-Sectional StudiesFemaleHumansInfantPregnancyYoung AdultMaternal-infant bondingMentalizingParenting self-efficacyPostpartum depression

Identifiers

PMID40483410
PMCPMC12145625

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LicenceCC BY-NC-ND
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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.