Archives of psychiatric nursing · 2026
Associations of nonattachment with infant care-related obsessive-compulsive behaviours, depression, anxiety, and stress in postpartum women.
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Koçak Vesile, Kösretaş Nergiz Eryılmaz
Аннотация
BACKGROUND: Postpartum women frequently experience depression, anxiety, stress, and infant care-related obsessive-compulsive behaviours, adversely affecting maternal psychological adjustment and well-being. Nonattachment is a potentially protective psychological construct associated with lower psychological distress and greater well-being, however; evidence on its relationship with postpartum psychological symptoms is limited.
AIM: This study aimed to examine the associations between nonattachment and infant care-related obsessive-compulsive behaviours, depression, anxiety, and stress among postpartum women.
METHODS: This cross-sectional descriptive-correlational study included 220 women between the second and eighth postpartum weeks. Data were collected using a sociodemographic and obstetric form, the Nonattachment Scale-Short Form, the Postpartum Obsessive-Compulsive Behaviours Toward Infant Care Scale, and the Depression Anxiety Stress Scale. Data were analysed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and linear regression.
FINDINGS: Nonattachment was negatively correlated with stress, anxiety, depression, and infant care-related obsessive-compulsive behaviours. Higher stress, depression, and obsessive-compulsive behaviour scores were independently associated with lower nonattachment. The model explained 30.5% of the variance in nonattachment. Lower nonattachment was observed among women with previous mental health symptoms, poor economic status, and poorer spousal relationships.
CONCLUSION: Lower nonattachment was associated with greater postpartum psychological distress and higher infant care-related obsessive-compulsive behaviours, suggesting that nonattachment may be a clinically relevant psychological construct for understanding maternal cognitive-emotional adjustment during the postpartum period.
RECOMMENDATIONS: Assessment of nonattachment may complement postpartum mental health screening for women at increased risk of psychological distress. Future studies should evaluate whether mindfulness- or acceptance-based approaches that enhance nonattachment improve postpartum mental health outcomes.
AIM: This study aimed to examine the associations between nonattachment and infant care-related obsessive-compulsive behaviours, depression, anxiety, and stress among postpartum women.
METHODS: This cross-sectional descriptive-correlational study included 220 women between the second and eighth postpartum weeks. Data were collected using a sociodemographic and obstetric form, the Nonattachment Scale-Short Form, the Postpartum Obsessive-Compulsive Behaviours Toward Infant Care Scale, and the Depression Anxiety Stress Scale. Data were analysed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and linear regression.
FINDINGS: Nonattachment was negatively correlated with stress, anxiety, depression, and infant care-related obsessive-compulsive behaviours. Higher stress, depression, and obsessive-compulsive behaviour scores were independently associated with lower nonattachment. The model explained 30.5% of the variance in nonattachment. Lower nonattachment was observed among women with previous mental health symptoms, poor economic status, and poorer spousal relationships.
CONCLUSION: Lower nonattachment was associated with greater postpartum psychological distress and higher infant care-related obsessive-compulsive behaviours, suggesting that nonattachment may be a clinically relevant psychological construct for understanding maternal cognitive-emotional adjustment during the postpartum period.
RECOMMENDATIONS: Assessment of nonattachment may complement postpartum mental health screening for women at increased risk of psychological distress. Future studies should evaluate whether mindfulness- or acceptance-based approaches that enhance nonattachment improve postpartum mental health outcomes.