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Yıl:2015; Cilt: 16; Sayı: 6>> Özet
TAM METİN
Anadolu Psikiyatri Dergisi; 2015;16(6):440-450
Doğum öncesi, doğum sırası ve doğum sonrası etkenlerin annenin bağlanması ile ilişkisi
C Mutlu, Ö Yorbık, İA Tanju, F Çelikel, RG Sezer.
Bakırköy Prof. Dr. Mazhar Osman Ruh ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi, İstanbul
Amaç: Bu çalışmada, 1-4 ay arasında bebeği olan ve ruhsal sorun tanımlamayan annelerde doğum öncesi, doğum sırası ve doğum sonrası etkenlerin annenin bağlanması ile ilişkisini incelemek amaçlanmıştır. Yöntem: İki hastane-nin çocuk hastalıkları polikliniğine altı ay içerisinde başvuran, 1-4 ay arasında bebeği olan, bu bebeğe ait doğum kayıtları bu hastanelerin birinde olan, daha önce herhangi bir nedenle psikiyatrik yardım almamış olan, bilinen psikiyatrik ve/veya kronik tıbbi bir hastalığı olmayan en az ilkokul mezunu olan ve çalışmaya katılmayı kabul eden anneler tarafından bilgi formu, Belirti Tarama Listesi-90 (BTL-90) ve Maternal Bağlanma Ölçeği (MBÖ) dolduruldu (s=105). Bilgi formunda yer alan doğum öncesi, doğum sırası ve doğum sonrası değişkenler ile BTL-90’ın genel belirti düzeyi (GBD) ve MBÖ puanları arasındaki ilişki değerlendirildi. Bulgular: İlk kez çocuk sahibi olan annelerin MBÖ puanı, diğer annelerin puanına göre istatistiksel olarak anlamlı derecede daha yüksek bulundu. Bebeğin istenilen cinsiyetinin farklı olduğu annelerde, aynı olan annelere göre GBD anlamlı olarak daha yüksek bulundu. Annenin yaşı, evlilik süresi ve GBD puanı ile MBÖ puanı arasında anlamlı ilişki saptanmadı. Tartışma: İlk kez çocuk sahibi olmak, doğumdan sonraki birinci ile dördüncü ay arasında ruhsal sorun tanımlamayan annelerin bağlanma-sını etkileyen en önemli etkenlerden biri olarak görülebilir. Diğer yandan, doğum öncesi, doğumsal ve doğum sonra-sı etkenlerin hemen tamamında annenin bağlanma puanı açısından fark bulunmaması, annenin sevgiyle bağlanma sürecinin ruhsal sorunlar dışındaki olumsuz koşullardan belirgin etkilenmeyebileceğini düşündürmektedir
Association of prenatal, natal, and postnatal factors with maternal attachment
Objective: The purpose of this study was to investigate the association of prenatal, natal and postnatal factors with maternal attachment in mothers having infants aged 1-4 months and defining no mental health problems. Methods: Information form, Symptom Checklist-90 (SCL-90) and Maternal Attachment Scale (MAS) were filled by mothers admitting to the pediatric clinics of two hospitals within six months, having infants aged 1-4 months, having birth records of their infants in one of these hospitals, having no previous psychiatric help for any reason, having no known psychiatric and/or chronic medical illness, being at least primary school graduates and agreeing to participate in the study (n=105). Associations of variables in the information form with scores of general symptom index (GSI) of the SCL-90 and MAS were evaluated. Results: Score of MBO of mothers having first baby was significantly higher compared to other mothers' scores. GSI score was significantly higher in mothers having a baby with undesired gender, compared to mothers having a baby with desired gender. There was no significant correlation between mother's age, length of marriage and the GSI score and MAS score. Conclusion: Having a baby for the first time, can be seen as one of the most important factors affecting attachment of mothers defining no mental health problems between the first and fourth months after birth. On the other hand, no difference found in almost all of prenatal, natal and postnatal factors in terms of maternal attachment suggests that maternal lovingly bonding process cannot be significantly affected by adverse conditions other than mental health problems

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