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The Role of Attachment in Perinatal Loss: A Systematic Review.

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Title: The Role of Attachment in Perinatal Loss: A Systematic Review.
Authors: Santamaría-Gutiez, Rebeca, González-Sala, Francisco, Lacomba-Trejo, Laura
Source: Journal of Loss & Trauma. 2025, Vol. 30 Issue 6, p813-850. 38p.
Subjects: Parents, Mental health, Attention-deficit hyperactivity disorder, Attachment behavior, Perinatal death, Magnetic resonance imaging, Bereavement, MEDLINE, Prenatal bonding, Individual development, Online information services, Grief, Pathological psychology
Abstract: Perinatal loss (PL) disrupts maternal-fetal attachment (MFA) and poses significant emotional challenges for parents and their future children. The attachment style of parents prior to the loss is crucial for their adjustment to PL. This systematic review examines "How does parental attachment (including prior maternal attachment and attachment to the deceased infant) affect bereavement outcomes (grief intensity, duration, and psychological well-being) in parents who have experienced PL, and the emotional development and attachment in their subsequent children?". A bibliographic search was conducted following PRISMA guidelines in Web of Science, PubMed, and ProQuest Central. Screening through Hubmeta included 33 studies based on set criteria. Two independent evaluators conducted the search, selection, data extraction, and quality evaluation, with excellent agreement (κ values between 0.77 and 0.90). The sample included 6,283 women (mean age = 29.08 years), 937 men (mean age = 34.16 years), and 11,569 children. Studies assessed attachment, perinatal grief, and psychopathology (depression, anxiety, PTSD symptoms, and event impact). Individuals with insecure attachment showed poorer psychological adjustment and a higher likelihood of unresolved grief. Additionally, there is an increased tendency toward disorganized attachment, as well as behavioral issues and ADHD in one-year-old children born after pregnancies following PL. However, no differences were found in MFA to future children between mothers who have experienced PL and those who have not. This review highlights the complexity of perinatal grief, its effects on parental mental health and child development, and emphasizes the need for personalized, multidisciplinary support for affected families. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Loss & Trauma is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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PubType: Academic Journal
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  Data: The Role of Attachment in Perinatal Loss: A Systematic Review.
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  Data: <searchLink fieldCode="AR" term="%22Santamaría-Gutiez%2C+Rebeca%22">Santamaría-Gutiez, Rebeca</searchLink><br /><searchLink fieldCode="AR" term="%22González-Sala%2C+Francisco%22">González-Sala, Francisco</searchLink><br /><searchLink fieldCode="AR" term="%22Lacomba-Trejo%2C+Laura%22">Lacomba-Trejo, Laura</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Loss+%26+Trauma%22">Journal of Loss & Trauma</searchLink>. 2025, Vol. 30 Issue 6, p813-850. 38p.
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  Data: <searchLink fieldCode="DE" term="%22Parents%22">Parents</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Attention-deficit+hyperactivity+disorder%22">Attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Attachment+behavior%22">Attachment behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Perinatal+death%22">Perinatal death</searchLink><br /><searchLink fieldCode="DE" term="%22Magnetic+resonance+imaging%22">Magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Bereavement%22">Bereavement</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Prenatal+bonding%22">Prenatal bonding</searchLink><br /><searchLink fieldCode="DE" term="%22Individual+development%22">Individual development</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Grief%22">Grief</searchLink><br /><searchLink fieldCode="DE" term="%22Pathological+psychology%22">Pathological psychology</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Perinatal loss (PL) disrupts maternal-fetal attachment (MFA) and poses significant emotional challenges for parents and their future children. The attachment style of parents prior to the loss is crucial for their adjustment to PL. This systematic review examines "How does parental attachment (including prior maternal attachment and attachment to the deceased infant) affect bereavement outcomes (grief intensity, duration, and psychological well-being) in parents who have experienced PL, and the emotional development and attachment in their subsequent children?". A bibliographic search was conducted following PRISMA guidelines in Web of Science, PubMed, and ProQuest Central. Screening through Hubmeta included 33 studies based on set criteria. Two independent evaluators conducted the search, selection, data extraction, and quality evaluation, with excellent agreement (κ values between 0.77 and 0.90). The sample included 6,283 women (mean age = 29.08 years), 937 men (mean age = 34.16 years), and 11,569 children. Studies assessed attachment, perinatal grief, and psychopathology (depression, anxiety, PTSD symptoms, and event impact). Individuals with insecure attachment showed poorer psychological adjustment and a higher likelihood of unresolved grief. Additionally, there is an increased tendency toward disorganized attachment, as well as behavioral issues and ADHD in one-year-old children born after pregnancies following PL. However, no differences were found in MFA to future children between mothers who have experienced PL and those who have not. This review highlights the complexity of perinatal grief, its effects on parental mental health and child development, and emphasizes the need for personalized, multidisciplinary support for affected families. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Loss & Trauma is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=187069021
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/15325024.2025.2471817
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 38
        StartPage: 813
    Subjects:
      – SubjectFull: Parents
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Attention-deficit hyperactivity disorder
        Type: general
      – SubjectFull: Attachment behavior
        Type: general
      – SubjectFull: Perinatal death
        Type: general
      – SubjectFull: Magnetic resonance imaging
        Type: general
      – SubjectFull: Bereavement
        Type: general
      – SubjectFull: MEDLINE
        Type: general
      – SubjectFull: Prenatal bonding
        Type: general
      – SubjectFull: Individual development
        Type: general
      – SubjectFull: Online information services
        Type: general
      – SubjectFull: Grief
        Type: general
      – SubjectFull: Pathological psychology
        Type: general
    Titles:
      – TitleFull: The Role of Attachment in Perinatal Loss: A Systematic Review.
        Type: main
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            NameFull: Santamaría-Gutiez, Rebeca
      – PersonEntity:
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            NameFull: González-Sala, Francisco
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          Name:
            NameFull: Lacomba-Trejo, Laura
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            – D: 01
              M: 08
              Text: 2025
              Type: published
              Y: 2025
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              Value: 30
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              Value: 6
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            – TitleFull: Journal of Loss & Trauma
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