Evidence map›Paper›PMID 40487974›Full record

ArticlePCN reports : psychiatry and clinical neurosciences2025

Clusters and case vignettes of impaired maternal-fetal bonding in pregnancy: A mixed method approach.

Toshinori Kitamura, Ayako Hada, Yuriko Usui, Yukiko Ohashi

Abstract read
In one paragraph

Article in PCN reports : psychiatry and clinical neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

  1. Observational
  2. Article
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

4 authors.

Toshinori KitamuraKitamura Institute of Mental Health Tokyo Tokyo Japan.ORCID https://orcid.org/0000-0002-2326-3140
Ayako HadaKitamura Institute of Mental Health Tokyo Tokyo Japan.ORCID https://orcid.org/0000-0002-2835-8456
Yuriko UsuiKitamura Institute of Mental Health Tokyo Tokyo Japan.ORCID https://orcid.org/0000-0002-6224-5391
Yukiko OhashiKitamura Institute of Mental Health Tokyo Tokyo Japan.ORCID https://orcid.org/0000-0003-3707-0742

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Clinical attention to and understanding of women with impaired fetal bonding is important for early therapeutic intervention. This study aimed to clarify the clinical characteristics of women belonging to groups derived by cluster analysis of impaired maternal-fetal bonding. Methods: A mixed-method approach was adopted. We conducted a two-wave internet survey targeting pregnant women less than 36 gestational weeks by using a questionnaire (33-item Dimensional Assessment of Mother Baby Organization Questionnaire [DAMBO Q33]) with subsequent online interviews (Dimensional Assessment of Mother and Baby Organization-Research Version). The maternal-fetal bonding disorder items in the DAMBO Q33 were entered into a two-step cluster analysis. Two representative cases from each of the clusters, except for the positive bonding cluster, were selected to describe their clinical pictures. Finally, quantitative data and qualitative data were integrated and interpreted. Results: A two-step cluster analysis elicited four clusters: bonding disorder ( Conclusion: Patterns of impaired maternal-fetal bonding were identified. We should not think of a pathological category of mental illness among them but recognize that such parents are targets for professional assessments and supportive (therapeutic) interventions. Understanding the meaning of getting pregnant and difficulties in the process of maternal role attainment is required.

Indexed as

ambivalent bondingcase vignetteclinical characteristicsfetal bonding disordersgroupinglack of bonding emotionspositive bonding

Identifiers

PMID40487974
PMCPMC12141512

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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.