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Issue: 
Publication Date: 
05/1991
Page Count: 
12
Starting Page: 
347
Price: $10.00
Abstract: 

This study examined the frequency of disruptions in maternal-infant bonding within a pediatric asthma population. Two groups, 30 mothers of asthmatic children and 30 mothers of well children, were interviewed through the Maternal Infant Bonding Survey (M.I.B.S.) to study the frequency of non-bonding events in the birth histories of their children. Raters determined that 86% of the asthmatic children were non-bonded as compared to 26% of the well children. The often noted relationship of childhood asthma and maternal rejection/over-protection is re-examined, and a treatment for pediatric asthma targeted at repairing psychological effects of maternal-infant non-bonding is discussed.

References: 

1. Agarwal K, Sethi JP: A study of psychogenic factors in bronchial asthma. J. Asthma Res 15: 191-198, 1978

2. Florin I, Freudenberg G, Hollaender J: Facial expression of emotion and physiologic reactions in children with bronchial asthma. Psychosom Med 47: 382-393, 1985

3. Herrera H, Fialkov J, Psychologic considerations in the evolution and natural history of bronchial asthma. In Gershwin HE (ed), Bronchial Asthma: Principles of Diagnosis and Treatment. New York, Grump and Stratton, 1981, pp 405-423

4. Kelly E, Zeller A: Asthma and the psychiatrist. J Psychosom Res 13: 377-395,1969

5. Levenson RW: Effects of thematically relevant and general stressors on specificity of responding in asthmatic and non-asthmatic subjects. Psychosom Med 41: 38-39, 1979

6. Luparello TJ, Leist N, Lourie C, Sweet P: The interaction of psychologic stimuli and pharmacologic agents on airway reactivity in asthmatic subjects. Psychosom Med 5: 500-507, 1970

7. Matus I: Assessing the nature and clinical significance of psychological contributions to childhood asthma. J Orthopsychiat 51: 327-341, 1981

8. Miklich DR, Chai H, Purcell K: Naturalistic observation of emotions preceding low pulmonary flow rates. J Allergy Clin Immunol 53: 102, 1974

9. Piazza E: Comprehensive therapy of chronic asthma on a psychosomatic unit. Adolescence 16: 139-144, 1981

10. Tal A, Miklich D: Emotionally induced decreases in pulmonary flow rates in asthmatic children. Psychosom Med 38: 190-200, 1976

11. Block J, Harvey E, Jennings PH, Simpson E: Clinicans' conception of the asthmatogenic mother. Arch Gen Psychiat 15: 610-618, 1966

12. Block J: Parents of schizophrenic, neurotic, asthmatic and congenitally ill children. Arch Gen Psychiat 20: 659-674, 1969

13. Byrne DG, Murrell TGC: Self descriptions of mothers of asthmatic children. Austral New Zeal J Psychiat 11: 179-183, 1977

14. Gautheir Y: The mother-child relationship and the development of autonomy and self-assertion in young (14-30 months) asthmatic children: correlating allergic and psychological factors. J Am Acad Child Psychiat 16: 109-131, 1977

15. Gautheir, Y: Follow-up study of 35 asthmatic preschool children. J Am Acad Child Psychiat 17: 679-694, 1978

16. Madrid, A: The treatment of pediatric asthma through maternal-infant bonding in hypnosis: I. In Guanteiri G (ed), Hypnosis in Psychotherapy and Psychosomatic Medicine. Verona, Edizione Post-Universitaire Verona, 1984, pp 199-201

17. Madrid A, McPhee MX: The treatment of pediatric asthma through maternal-infant bonding in hypnosis: H. J Pre Peri-Natal Psych Assoc N Am: 4-6, 1985

18. Meijer A: Emotional disorders of asthmatic children. Child Psychiat Hum Dev 9: 161-169, 1979

19. Meijer A: Conflictual maternal attitudes towards asthmatic children. Psychother Psychosom 33: 105-111, 1980a

20. Meijer a: Maternal feelings toward asthmatic children. Child Psychiat Hum Dev 11:33-41, 1980b

21. Mahler M, Pine F, Bergman A: The mother's reaction to her toddler's drive for individuation. In EJ Anthony, T Benedek (eds), Parenthood: It's Psychology and Psychopathology. Boston, Little, Brown and Company, 1970, pp 257-274

22. Williams J: Aspects of dependence-interdependence conflict in children with asthma. J Child Psych Psychiat 16: 199-218, 1975

23. Zlatich D, Kenny T, Sila V, Huang S: Parent-child life events: relation to treatment in asthma. J Dev Behav Pediatr 3: 69-72, 1982

24. Klaus MH, Kennell JH: Maternal-Infant Bonding, New York, Mosby, 1976

25. Madrid A, Brown G: Maternal Infant Bonding Survey (M.I.B.S.) Unpublished test instrument, 1981

26. Minuchin S, Baker L, Rosman B, Libeman R, Rilman L, Todd T: A conceptual model of psychosomatic illness in children. Arch Gen psychiat 32: 1031-3038, 1975

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Antonio Madrid, Ph.D. and Melissa Schwartz, Ph.D.

Tony Madrid is a clinical psychologist and clinical director of Erickson Institute in Santa Rosa, California. He has had an adjunct professor appointment at University of San Francisco since 1977 and has been in private practice for 20 years. Melissa Schwartz is a clinical psychologist and is an adjunct professor at Sonoma State University in the Psychology and Counseling departments. She is in private practice in Santa Rosa, California. Please address proofs and correspondence to: Melissa Schwartz, Ph.D.; 818 Cherry Street; Santa Rosa, CA 95404.

APPENDIX A

Maternal-Infant Bonding Questionnaire

1. Why is your child being seen today? (if applicable)

2. How old were you when this child was born?_________years

3. What were the ages of your older children (if any) at the time of this child's birth?

4. Did you have any miscarriages during the two years before this child's birth? Yes/No. If yes, how far along were you?_________ weeks

5. Was there any death in the family during the two years before this child was born? Yes/No. If yes, relationship to you

6. What was your physical condition during the pregnancy? (Check one only)

____ very seriously ill

____ poor

____ average

____ good

____ excellent

Please describe any conditions you experienced.

7. What was your emotional condition during pregnancy? (Check one only)

____ very seriously ill

____ poor

____ average

____ good

____ excellent

Please describe any conditions you experienced.

8. In what hospital was your child born?

9. Please describe any complications at birth.

10. Please describe any anesthesia used during the birth.

11. Was your child delivered by cesarean section? Yes/No.

12. Was your child a twin, triplet, etc.?

13. How long was it after your child's birth before you first saw him/ her?

____ 0-30 minutes

____ 30-60 minutes

____ 60-90 minutes

____ over 90 minutes (how long?_________)

How long were you together?

____ 0-30 minutes

____ 30-60 minutes

____ 60-90 minutes

____ over 90 minutes (how long?_________)

14. How long was it after your child's birth before you first held him/her?

____ 0-30 minutes

____ 30-60 minutes

____ 60-90 minutes

____ over 90 minutes (how long?_________)

How long did you hold him/her at that time?

____ 0-30 minutes

____ 30-60 minutes

____ 60-90 minutes

____ over 90 minutes (how long?_________)

15. After delivery, where was your child placed? (Check one only)

____ the hospital nursery

____ an intensive care nursery

____ an incubator

____ other (describe)__________________________________

16. Was there any significant separation from your child in the first year? Yes/No. If yes, for how long?______________________

17. Were there any deaths in the family during the child's first year? Yes/No. If yes, relationship to you__________________

18. Did you experience any serious emotional difficulties during your child's first year? Yes/No.

19. How did you feel when you first held your baby?

THANK YOU FOR YOUR PATIENCE AND COOPERATION!

JOURNAL OF PRENATAL AND PERINATAL PSYCHOLOGY AND HEALTH publishes research and clinical articles from the cutting edge of the science of prenatal and perinatal psychology and health. The journal, published quarterly since 1986, is dedicated to the in-depth exploration human reproduction and pregnancy and the mental and emotional development of the unborn and newborn child.

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JOURNAL of PRENATAL & PERINATAL PSYCHOLOGY & HEALTH
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