Bebeklerde bağlanmanın önemi ve etkileyen etmenler

Bağlanma, anne ve bebeği arasında her iki yönde gelişen ve kurulan bir iletişim ve etkileşim örüntüsüdür. Ruhen ve bedenen sağlıklı bireylerin yetişmesi için, annenin bebeği ile doğum öncesinden başlayan ve doğum sonrası da devam eden uygun bağlanma oluşturması ve sürdürmesi beklenirken, benzer şekilde bebeğin de annesi ile uygun ve güvenli bağlanma kurması gerekmektedir. Bağlanmayı etkileyen birçok etmen bulunmaktadır. Bağlanmada sorun yaşayan çocukların ileriki yaşamlarında sorunlar olduğunu gösteren çalışmalar da bulunmaktadır. Sağlık çalışanlarının, bu etmenlerin farkında olması ve sağlıklı çocuk izlemlerinde, çocuğu sağlıklı ebeveyn iletişimi ve gelişimi açısından değerlendirilmesi gereklidir. Bu değerlendirme sonucunda, anne-çocuk ikilisine çok disiplinli yaklaşımlar yapılabilir ve sağlıklı nesiller için çocuğun sağlığı ruhen ve bedenen korunmuş olur.

The importance of attachment in infant and influencing factors

Attachment is a pattern of interaction and communication established and developed between mother and baby. For the growth of mentally and physically healthy individuals, the mother is expected to create a suitable attachment starting before the birth and to maintain it afterwards. It is also necessary for the baby to establish appropriate and safe attachment towards the mother in a similar manner. There are several factors that affect the attachment. Also, some studies show that children with attachment problems also have problems in their future lives. Healthcare professionals need to be aware of these factors and evaluate the child in terms of healthy parental communication and child development in well-child visits. As a result of these evaluations, multidisciplinary approaches to the mother-child pair can be established and the child’s health is protected mentally and physically for healthy generations.

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1. Soysal AŞ, Bodur Ş, İşeri E, Şenol S. Attachment Process in Infancy: A Review. J Clin Psy 2005; 88–9.
2. Yüksel N. Ruhsal ve fiziksel gelişim, ruhsal hastalıklar kitabı. 1. Baskı. Ankara Hatipoğlu Yayınevi; 1995. p. 5–7.
3. Esposito G, Setoh P, Shinohara K, Bornstein MH. The development of attachment: Integrating genes, brain, behavior, and environment. Behav Brain Res 2017; 325: 87–9. [CrossRef]
4. Bowlby J. Attachment and Loss: Vol I Attachment. New York: Basic Books; 1969.
5. Bowlby J. Attachment. 2nd ed. New York: Basic Books; 1982.
6. Kozlowska K, Hanney L. The network perspective: an integration of attachment and family systems theories. Fam Process 2002; 41: 285–312. [CrossRef]
7. Thompson RA. Attachment theory and research. In: Child and Adolescent Psychiatry. M Lewis, editor. 3rd ed. Philadelphia: Lippincott Williams Wilkins; 2002. p. 164– 72.
8. Kavlak O. Maternal Bağlanma Ölçeği’nin Türk Toplumuna Uyarlanması. Yayınlanmış Doktora Tezi. İzmir: Ege Üniversitesi Sağlık Bilimleri Enstitüsü; 2004. p. 16–22.
9. Bowlby J. Attachemnt and Loss: Seperation, anxiety and anger. New York: Basic Books; 1973.
10. Page T. The Attachment Partnership as Conceptual Base for Exploring 93 the Impact of Child Maltreatment. Child and Adolescent Social Work 1999; 16: 419–37. [CrossRef]
11. Main M, Solomon J. Procedures for identifying infants as disorganized/disoriented during the Ainsworht Strange Situation. In: Greenberg MT, Cicchetti D, Cummings EM, editors. Atachment in the preschool year: Theory, research, and intervention. Chicago, IL: University of Chicago Press; 1990. p. 121–60.
12. Yılmaz SD. Prenatal Maternal - Fetal Attachment. HEAD 2013; 10: 28–33
13. Bloom KC. The development of attachment behaviors in pregnant adolecents. Nurs Res 1995; 44: 284–9. [CrossRef]
14. Kaplan HI, Sadock BJ, Grebb JA. Kaplan and Sadock’s synopsis of psychiatry. Baltimore, MD, US: Williams & Wilkins Co; 1994. p. 161–5. [CrossRef]
15. Esposito G, Truzzi A, Setoh P, Putnick DL, Shinohara K, Bornstein MH. Genetic predispositions and parental bonding interact to shape adults’ physiologicalresponses to social distress. Behav Brain Res 2017; 325: 156–62. [CrossRef]
16. Mogi K, Takakuda A, Tsukamoto C, et al. Mutual mother-infant recognition in mice: The role of pup ultrasonic vocalizations. Behav Brain Res 2017; 325: 138–46. [CrossRef]
17. Senese VP, Shinohara K, Esposito G, Doi H, Venuti P, Bornstein MH. Implicit association to infant faces: Genetics, early care experiences, and cultural factorsinfluence caregiving propensities. Behav Brain Res 2017; 325: 163–72.
18. Menardo E, Balboni G, Cubelli R. Environmental factors and teenagers’ personalities: The role of personal and familialSocio-Cultural Level. Behav Brain Res 2017; 325: 181–7. [CrossRef]
19. Kim MH, Shimomaeda L, Giuliano RJ, Skowron EA. Intergenerational associations in executive function between mothers and children in the context of risk. J Exp Child Psychol 2017;164:1–15. [CrossRef]
20. Cerezo MA, Pons-Salvador G, Trenado RM. Mother-infant interaction and children’s socio-emotional development with high- and low-risk mothers. Infant Behav Dev 2008; 31: 578–89. [CrossRef]
21. Belsky J, Rovine MJ. Nonmaternal care in the first year of life and the security of infant-parent attachment. Child Dev 1988; 59: 157–67. [CrossRef]
22. Lerum CW, LoBiondo-Wood G. The relationship of maternal age, quickening, and physical symptoms of pregnancy to the development of maternal-fetal attachment. Birth 1989; 16: 13–7. [CrossRef]
23. Lindgren K. Relationships among maternal-fetal attachment, prenatal depression, and health practices in pregnancy. Res Nurs Health 2001; 24: 203–17. [CrossRef]
24. Lumley JM. Attitudes to the fetus among primigravidae. Aust Paediatr J 1982; 18: 106–9. [CrossRef]
25. Gaffney KF. Maternal-fetal attachment in relation to self-concept and anxiety. Matern Child Nurs J 1986; 15: 91–101.
26. Lindgren K. A comparison of pregnancy health practices of women in inner-city and small urban communities. J Obstet Gynecol Neonatal Nurs 2003; 32: 313–21. [CrossRef]
27. Sagi A, van IJzendoorn MH, Aviezer O, Donnell F, Mayseless O. Sleeping out of home in a Kibbutz communal arrangement: it makes a difference for infant-mother attachment. Child Dev 1994; 65: 992–1004. [CrossRef]
28. Onnis L. Caregiver communication to the child as moderator and mediator of genes for language. Behav Brain Res 2017; 325: 197–202. [CrossRef]
29. Biller HB. Fathers and families paternal factors in child development. London: Auburn House; 1993.
30. Robinson JP, Moss HA. Patterns and determinants of maternal attachment. J Pediatr 1970; 77: 976–85. [CrossRef]
31. Salter Ainsworth MD, Blehar MC, Waters E, Walls S. Patterns of attachment: A psychological study of the strange situation. Hillsdale: Lawrence Erlbaum; 1978.
32. Abbasoğlu A, Atay G, İpekçi AM, et al. The relationship between maternal-infant bonding and infantile colic. Çocuk Sağlığı ve Hastalıkları Dergisi 2015; 58: 57–61.
33. Ho SS, Swain JE. Depression alters maternal extended amygdala response and functional connectivityduring distress signals in attachment relationship. Behav Brain Res 2017; 325: 290–6. [CrossRef]
34. Öztürk MO. Ruh sağlığı ve bozukluklan. Ankara: Nobel Tıp Kitapevleri; 2002. p. 566–70.
35. Lewis M, Feiring C, McGuffog C, Jaskir J. Predicting psychopathology in six-year-olds from early social relations. Child Dev 1984; 55: 123–36. [CrossRef]
36. Şen S. Anneanne-anne-bebek bağlanmasının incelenmesi. Yüksek Lisans Tezi. İzmir: Ege Üniversitesi Kadın Sağlığı ve Hastalıkları Hemşireliği Anabilim Dalı; 2007. p. 14–43.
37. Moore ER, Anderson GC, Bergman N. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev 2007: CD003519. [CrossRef]
38. Şener S, Karacan E. Anne-bebek-çocuk etkileşiminde olumlu ve olumsuz özellikler. İçinde: Ekşi A, editör. Ben Hasta Değilim - Çocuk Sağlığı ve Hastalıklarının Psikososyal yönü. Ankara: Nobel Tıp Kitapevi; 1999. s. 35–44.
39. Jaafar SH, Lee KS, Ho JJ. Separate care for new mother and infant versus rooming-in for increasing the duration of breastfeeding. Cochrane Database Syst Rev 2012: CD006641. [CrossRef]