Journals / Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi / 2026 / Cilt: 8 Sayı: 1

The Relationship Between Psychological Resilience and Maternal Attachment in Mothers of Premature Newborns

Prematüre Yenidoğan Annelerinde Psikolojik Dayanıklılık ile Maternal Bağlanma Arasındaki İlişki

Didem Polat Külcü(Toros University, Faculty of Health Sciences, Department of Nursing, Mersin)0000-0002-2535-349X
Melek Gülgün Altıntaş(Mersin City Training and Research Hospital, Mersin)0000-0001-5085-3747
Ayda Çelebioğlu(Mersin University, Faculty of Nursing, Department of Pediatric Nursing, Mersin)0000-0002-5610-9801
Pages
1–8
Publication Date
2026-04-03
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Findings indicate that psychological resilience positively influences mother-infant bonding in the Neonatal Intensive Care Unit context.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: This research aimed to explore how psychological resilience correlates with the level of maternal attachment among mothers of premature infants.
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Key Findings & Data:Materials and Methods: This cross-sectional study included 150 mothers whose preterm infants received care in the Neonatal Intensive Care Unit at Mersin City Training and Research Hospital.
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Conclusion & Impact:Conclusion: Findings indicate that psychological resilience positively influences mother-infant bonding in the Neonatal Intensive Care Unit context.
🔬Design:Araştırma Makalesi
📍Scope:2024 Verileri
⚙️Variables:Maternal bağlanma · yenidoğaan · ebeveyn

Abstract

Aim: This research aimed to explore how psychological resilience correlates with the level of maternal attachment among mothers of premature infants. Materials and Methods: This cross-sectional study included 150 mothers whose preterm infants received care in the Neonatal Intensive Care Unit at Mersin City Training and Research Hospital. Data collection occurred between April and September 2024, utilizing a Personal Information Form, the Brief Psychological Resilience Scale, and the Maternal Attachment Scale. Statistical evaluations employed Kruskal-Wallis, Mann-Whitney U, and Spearman correlation analyses. Results: The average Brief Psychological Resilience Scale score was 21.77±4.82, while the Maternal Attachment Scale average was 96.30±13.87. A weak but statistically significant positive correlation was observed between the two scales (r=0.166; p<0.05). Furthermore, maternal education level significantly affected resilience scores, and employment status was significantly linked to maternal attachment levels (p<0.05). Conclusion: Findings indicate that psychological resilience positively influences mother-infant bonding in the Neonatal Intensive Care Unit context. It is essential to provide targeted psychosocial support to enhance maternal resilience and foster healthy attachment in mothers of preterm newborns.

Özet

Amaç: Bu araştırmanın amacı, prematüre bebek annelerinde psikolojik dayanıklılık düzeyi ile maternal bağlanma arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Kesitsel tasarıma sahip bu çalışma, Nisan-Eylül 2024 tarihleri arasında Mersin Şehir Eğitim ve Araştırma Hastanesi Yenidoğan Yoğun Bakım Ünitesi’nde tedavi gören prematüre bebeklerin 150 annesi ile gerçekleştirilmiştir. Veri toplama aracı olarak Kişisel Bilgi Formu, Kısa Psikolojik Dayanıklılık Ölçeği ve Maternal Bağlanma Ölçeği kullanılmıştır. Verilerin analizinde Kruskal-Wallis, Mann-Whitney U ve Spearman korelasyon testleri uygulanmıştır. Bulgular: Katılımcıların Kısa Psikolojik Dayanıklılık Ölçeği ortalama puanı 21.77±4.82, Maternal Bağlanma Ölçeği ortalaması ise 96.30±13.87 olarak bulunmuştur. İki ölçek arasında zayıf düzeyde fakat istatistiksel olarak anlamlı pozitif bir ilişki tespit edilmiştir (r=0.166; p<0.05). Ayrıca, annelerin eğitim düzeyi ile psikolojik dayanıklılık puanları arasında anlamlı bir fark bulunurken, çalışma durumu ile maternal bağlanma düzeyleri arasında da anlamlı bir ilişki saptanmıştır (p<0.05). Sonuç: Bulgular, Yenidoğan Yoğun Bakım Ünitesi bağlamında psikolojik dayanıklılığın anne-bebek bağlanmasını olumlu yönde etkilediğini göstermektedir. Prematüre bebek annelerinde sağlıklı bağlanmanın desteklenebilmesi için hedefe yönelik psikososyal destek sağlanması önem arz etmektedir.

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Cite This Article

Külcü, D. P., Altıntaş, M. G., Çelebioğlu, A. (2026). The Relationship Between Psychological Resilience and Maternal Attachment in Mothers of Premature Newborns. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, Cilt: 8 Sayı: 1, 1–8. https://doi.org/10.48071/sbuhemsirelik.1714283

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References (32)

  1. Bartels, A., & Zeki, S. (2004). The neural correlates of maternal and romantic love. Neuroimage, 21(3),1155-66. doi: 10.1016/j.neuroimage.2003.11.003
  2. Bianciardi, E., Barone, Y., Lo Serro, V., De Stefano, A., Giacchetti, N., Aceti, F., & Niolu, C. (2021). Inflammatory markers of perinatal depression in women with and without history of trauma. Rivista di Psichiatria, 56(5), 237–245. doi: 10.1708/3681.36671
  3. Bonacquisti, A., Geller, P. A., & Patterson, C. A. (2020). Maternal depression, anxiety, stress, and maternal-infant attachment in the neonatal intensive care unit. Journal of Reproductive and Infant Psychology, 38(3), 297–310. doi: 10.1080/02646838.2019.1695041
  4. Brockington I. (2004). Postpartum psychiatric disorders. Lancet, 363(9405), 303–310. doi: 10.1016/S0140-6736(03)15390-1
  5. Di Florio, A., Putnam, K., Altemus, M., Apter, G., Bergink, V., Bilszta, J.… Meltzer-Brody, S. (2017). The impact of education, country, race and ethnicity on the self-report of postpartum depression using the Edinburgh Postnatal Depression Scale. Psychological Medicine, 47(5), 787–799. doi: 10.1017/S0033291716002087
  6. Dogan T. (2015). Turkish adaptation of the brief psychological resilience scale: Validity and reliability study. The Journal of Happiness & Well-Being, 3(1), 93-102.
  7. Dülgeroğlu Bayazıt, D., Noyan Ahlatcıoğlu, E., Dönmez, M., Yavuzlar Civan, H., & Aydın, N. (2021). The effects of maternal employment on depression, anxiety, maternal attachment, and self-confidence. Neuropsychiatr Invest, 59(4), 96-101. doi: 10.5152/NeuropsychiatricInvest.2021.10-34
  8. Evans, T., Boyd, R. N., Colditz, P. B., Sanders, M., & Whittingham, K. (2022). Predictors of maternal bonding and responsiveness for mothers of very preterm ınfants. Journal of Clinical Psychology in Medical Settings, 29(2), 391–402. doi: 10.1007/s10880-021-09833w
  9. Gündüzalp, R., & Gürol, A. (2024). Determination of the relationship between stress levels and mother-ınfant contact barriers and mother-ınfant attachment of mothers with their ınfants in the neonatal ıntensive care unit. Journal of Midwifery and Health Sciences, 7(1),114-124.
  10. Hagen, I. H., Iversen, V. C., Nesset, E., Orner, R., & Svindseth, M. F. (2019). Parental satisfaction with neonatal intensive care units: a quantitative cross-sectional study. BMC Health Services Research, 19(1), 37. doi: 10.1186/s12913-018-3854-7
  11. Hemati, Z., Namnabati, M., Taleghani, F. and Sadeghnia, A. (2017). Mothers' challenges after ınfants' discharge from neonatal ıntensive care unit: A qualitative study. Iranian Journal of Neonatology, 8(1), 31-36. doi: 10.22038/ijn.2017.15546.1174
  12. Hendy, A., El-Sayed, S., Bakry, S., Mohammed, S. M., Mohamed, H., Abdelkawy, A., Hassani, R., Abouelela, M. A., & Sayed, S. (2024). The stress levels of premature ınfants' parents and related factors in NICU. SAGE Open Nursing, 10. doi: 10.1177/23779608241231172
  13. Huston, A. C., & Rosenkrantz Aronson, S. (2005). Mothers' time with infant and time in employment as predictors of mother-child relationships and children's early development. Child Development, 76(2), 467–482. doi: 10.1111/j.1467-8624.2005.00857.x
  14. Kadiroğlu, T., & Güdücü Tüfekci, F. (2022). Effect of ınfant care training on maternal bonding, motherhood self-efficacy, and self-confidence in mothers of preterm newborns. Maternal and Child Health Journal, 26(1), 131–138. doi: 10.1007/s10995-021-03287-0
  15. Kavlak, O., & Şirin, A. (2009). The adaptation of the Maternal Attachment Scale to Turkish society. Journal of Human Sciences, 6(1).10-15.
  16. Kim, S. Y., & Kim, A. R. (2022). Attachment and relationship based ınterventions during NICU hospitalization for families with preterm/low-birth weight ınfants: A systematic review of RCT Data. International Journal of
  17. Environmental Research and Public Health, 19(3), 1126. doi: 10.3390/ijerph19031126
  18. Kopp, M., Lindauer, M., & Garthus-Niegel, S. (2024). Association between maternal employment and the child´s mental health: A systematic review with meta-analysis. European Child & Adolescent Psychiatry, 33(9), 3025–3042. doi: 10.1007/s00787-023-02164-1
  19. Malouf, R., Harrison, S., Burton, H. A. L., Gale, C., Stein, A., Franck, L. S., & Alderdice, F. (2021). Prevalence of anxiety and post-traumatic stress (PTS) among the parents of babies admitted to neonatal units: A systematic review and meta-analysis. E clinical Medicine, 43(1), 1012-33. doi: 10.1016/j.eclinm.2021.101233
  20. Mayers, A. (2013). Introduction to statistics and SPSS in psychology (1st ed.). Harlow, UK: Pearson Education Limited, 560 pp.
  21. Müller M. E. (1994). A questionnaire to measure mother-to-infant attachment. Journal of Nursing Measurement, 2(2), 129–141.
  22. Nie, R., Pan, M. & Liu, X. (2023). The mediation role of resilience and postpartum traumatic stress disorder on parental attachment and the maternal infant bonding. BMC Psychology, 11(359), 13. doi: 10.1186/s40359-023-01370-5
  23. O'Dea, G. A., Youssef, G. J., Hagg, L. J., Francis, L. M., Spry, E. A., Rossen, L., ….Macdonald, J. A. (2023). Associations between maternal psychological distress and mother-infant bonding: a systematic review and meta-analysis. Archives of Women's Mental Health, 26(4), 441–452. doi: 10.1007/s00737-023-01332-1
  24. Ohuma, E. O., Moller, A. B., Bradley, E., Chakwera, S., Hussain-Alkhateeb, L., Lewin, A., …. & Moran, A. C. (2023). National, regional, and global estimates of preterm birth in 2020, with trends from 2010: A systematic analysis. Lancet, 402(10409), 1261–1271. doi: 10.1016/S0140-6736(23)00878-4
  25. Rossen, L., Hutchinson, D., Wilson, J., Burns, L., A Olsson, C., Allsop, S., …. & Mattick, R. P. (2016). Predictors of postnatal mother-infant bonding: the role of antenatal bonding, maternal substance use and mental health. Archives of Women's Mental Health, 19(4), 609–622. doi: 10.1007/s00737-016-0602-z
  26. Servet Yilmaz, M., & Akgun Kostak, M. (2021). Postpartum depression and maternal attachment levels of mothers whose premature babies are hospitalised in the neonatal ıntensive care unit. Eurasian Journal of Health Sciences, 4(2), 71-9.
  27. Shani-Sherman, T., Dolgin, M. J., Leibovitch, L., & Mazkereth, R. (2019). Internal and external resources and the adjustment of parents of premature ınfants. Journal of Clinical Psychology in Medical Settings, 26(3), 339–352. doi: 10.1007/s10880-018-9583-6
  28. Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The brief resilience scale: assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194–200. doi: 10.1080/10705500802222972
  29. Wesselhoeft, R., Madsen, F. K., Lichtenstein, M. B., Sibbersen, C., Manongi, R., Mushi, D. L.,….Rasch, V. (2020). Postnatal depressive symptoms display marked similarities across continents. Journal of Affective Disorders, 261(1), 58–66. doi: 10.1016/j.jad.2019.09.075
  30. Worrall, S., Christiansen, P., Khalil, A., Silverio, S. A., & Fallon, V. (2024). Associations between prematurity, postpartum anxiety, neonatal intensive care unit admission, and stress. Frontiers in Psychiatry, 15(1), 1323773. doi: 10.3389/fpsyt.2024.1323773
  31. Worrall, S., Silverio, S. A., & Fallon, V. (2023). The relationship between prematurity and maternal mental health in the first postpartum year. Journal of Neonatal Nursing, 29(1), 511-518. doi: 10.1016/j.jnn.2022.10.002
  32. Hemati, Z., Namnabati, M., Taleghani, F. and Sadeghnia, A. (2017). Mothers' challenges after ınfants' discharge from neonatal ıntensive care unit: A qualitative study. Iranian Journal of Neonatology, 8(1), 31-36. doi: 10.22038/ijn.2017.15546.1174