Does rejection sensitivity predict impaired mother-infant bonding? A longitudinal study
Maja Brekalo1, Marijana Matijaš1,2, Maja Žutić1
1Department of Psychology, Catholic University of Croatia, Zagreb, Croatia.
Insights
High rejection sensitivity in expectant mothers can lead to impaired mother-infant bonding. Early identification and support during pregnancy are crucial for preventing bonding difficulties.
Area of Science:
- Perinatal mental health
- Developmental psychology
- Attachment theory
Background:
- Mother-infant bonding encompasses emotional, cognitive, neurobiological, and behavioral connections, developing from pregnancy through infancy.
- Rejection sensitivity, a disposition marked by anxious expectations of social rejection, is a known relationship risk factor, but its impact on mother-infant bonding was unexplored.
Purpose of the Study:
- To investigate the association between maternal rejection sensitivity and mother-infant bonding.
- To explore the mediating role of mother-foetal bonding in this relationship.
Main Methods:
- A three-wave longitudinal online study involving 1052 pregnant women.
- Data collection included the Adult Rejection Sensitivity Questionnaire, Prenatal Attachment Inventory, and Postpartum Bonding Questionnaire.
- Path analysis examined rejection sensitivity (T1) predicting mother-infant bonding (T3), with mother-foetal bonding (T2) as a mediator.
Main Results:
- Higher maternal rejection sensitivity directly predicted impaired mother-infant bonding postpartum.
- Rejection sensitivity also indirectly impacted mother-infant bonding through reduced mother-foetal bonding during pregnancy.
- Specific dimensions of impaired bonding included anxiety about care and lack of affection.
Conclusions:
- Maternal rejection sensitivity is a significant risk factor for impaired mother-infant bonding in the peripartum period.
- Identifying women with high rejection sensitivity during pregnancy is essential for targeted interventions.
- Proactive support can help prevent bonding difficulties and promote healthier maternal-infant relationships.
Background:
Mother-infant bonding refers to emotional, cognitive, neurobiological, and behavioural ties between mother and infant. It is a process that develops from pregnancy throughout infancy. Rejection sensitivity could be one of the risk factors for impaired bonding, and it is defined as a personality disposition that is characterised by an anxious expectation of rejection in social situations. It is known that rejection sensitivity is a predictor of problems in relationships, but its association with difficulties in mother-infant bonding is still unknown.
Design:
This was a three-wave online longitudinal study.
Methods:
In this study, 1052 women participated in the second trimester of pregnancy (T1), 879 of them participated during the third trimester (T2), and 758 of them in the postpartum period (T3; 6-21 weeks). Women completed the Adult Rejection Sensitivity Questionnaire, Prenatal Attachment Inventory, Postpartum Bonding Questionnaire, and Sociodemographic and obstetric data. Mother-infant bonding had three dimensions: Impaired bonding, Anxiety about care and maternal distress, and Lack of enjoyment and affection with the baby.
Results:
The path analysis was conducted where rejection sensitivity (T1) was the predictor, mother-foetal bonding (T2) mediator, and mother-infant bonding (T3) criterium while parity, education level, and place of living were covariates. Higher rejection sensitivity predicted impaired dimensions of mother-infant bonding in the postpartum directly and indirectly via lower mother-foetal bonding during pregnancy.
Conclusion:
Women with high rejection sensitivity are at risk for impaired bonding in the peripartum period. Those women should be identified during pregnancy, and special attention should be given to prevent bonding difficulties.
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