Antenatal caregiving representations among expectant mothers with severe mental illness

a cross-sectional study

Katrine Røhder, Maja Nyström-Hansen, Angus MacBeth, Kirstine Agnete Davidsen, Andrew Gumley, Jessica Brennan, Carol George, Susanne Harder

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

OBJECTIVE: The study explores predictors of antenatal caregiving representations among mothers with a history of severe mental illness (SMI).

BACKGROUND: Attachment research has demonstrated that multifactorial assessment of antenatal caregiving representations predicts later maternal behaviour and child attachment. However, the field lacks research among clinical groups. Knowledge of factors influencing caregiving representations during pregnancy can contribute to our understanding of caregiving risk among SMI-mothers and inform intervention decisions.

METHOD: The current study is a cross-sectional subsample of the WARM study. Participants were 65 Danish or Scottish pregnant women with a history of either schizophrenia, bipolar disorder, moderate-severe depression, or non-clinical controls. Caregiving representations, adverse childhood experiences, social support and current symptom severity were assessed during pregnancy.

RESULTS: Symptom severity was associated with more non-optimal caregiving representations expecting less parental enjoyment, more difficulties separating from the child, and more feelings of caregiving helplessness. Lack of social support and adverse childhood experiences served as independent predictors of caregiving representations. Parental mental illness during own childhood predicted role reversed expectations.

CONCLUSION: Antenatal caregiving representations can be assessed with a time-efficient self-report measure that assesses caregiving as a multidimensional construct. Prenatal treatment planning should target individual difficulties in undertaking transformation of the caregiving system.

OriginalsprogEngelsk
TidsskriftJournal of Reproductive and Infant Psychology
Vol/bind37
Udgave nummer4
Sider (fra-til)370-383
ISSN0264-6838
DOI
StatusUdgivet - sep. 2019

Fingeraftryk

Cross-Sectional Studies
Mothers
Maternal Behavior
Research
Self Report
Pregnant Women
Depression

Citer dette

Røhder, Katrine ; Nyström-Hansen, Maja ; MacBeth, Angus ; Davidsen, Kirstine Agnete ; Gumley, Andrew ; Brennan, Jessica ; George, Carol ; Harder, Susanne. / Antenatal caregiving representations among expectant mothers with severe mental illness : a cross-sectional study. I: Journal of Reproductive and Infant Psychology. 2019 ; Bind 37, Nr. 4. s. 370-383.
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abstract = "OBJECTIVE: The study explores predictors of antenatal caregiving representations among mothers with a history of severe mental illness (SMI).BACKGROUND: Attachment research has demonstrated that multifactorial assessment of antenatal caregiving representations predicts later maternal behaviour and child attachment. However, the field lacks research among clinical groups. Knowledge of factors influencing caregiving representations during pregnancy can contribute to our understanding of caregiving risk among SMI-mothers and inform intervention decisions.METHOD: The current study is a cross-sectional subsample of the WARM study. Participants were 65 Danish or Scottish pregnant women with a history of either schizophrenia, bipolar disorder, moderate-severe depression, or non-clinical controls. Caregiving representations, adverse childhood experiences, social support and current symptom severity were assessed during pregnancy.RESULTS: Symptom severity was associated with more non-optimal caregiving representations expecting less parental enjoyment, more difficulties separating from the child, and more feelings of caregiving helplessness. Lack of social support and adverse childhood experiences served as independent predictors of caregiving representations. Parental mental illness during own childhood predicted role reversed expectations.CONCLUSION: Antenatal caregiving representations can be assessed with a time-efficient self-report measure that assesses caregiving as a multidimensional construct. Prenatal treatment planning should target individual difficulties in undertaking transformation of the caregiving system.",
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Antenatal caregiving representations among expectant mothers with severe mental illness : a cross-sectional study. / Røhder, Katrine; Nyström-Hansen, Maja; MacBeth, Angus; Davidsen, Kirstine Agnete; Gumley, Andrew; Brennan, Jessica; George, Carol; Harder, Susanne.

I: Journal of Reproductive and Infant Psychology, Bind 37, Nr. 4, 09.2019, s. 370-383.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Antenatal caregiving representations among expectant mothers with severe mental illness

T2 - a cross-sectional study

AU - Røhder, Katrine

AU - Nyström-Hansen, Maja

AU - MacBeth, Angus

AU - Davidsen, Kirstine Agnete

AU - Gumley, Andrew

AU - Brennan, Jessica

AU - George, Carol

AU - Harder, Susanne

PY - 2019/9

Y1 - 2019/9

N2 - OBJECTIVE: The study explores predictors of antenatal caregiving representations among mothers with a history of severe mental illness (SMI).BACKGROUND: Attachment research has demonstrated that multifactorial assessment of antenatal caregiving representations predicts later maternal behaviour and child attachment. However, the field lacks research among clinical groups. Knowledge of factors influencing caregiving representations during pregnancy can contribute to our understanding of caregiving risk among SMI-mothers and inform intervention decisions.METHOD: The current study is a cross-sectional subsample of the WARM study. Participants were 65 Danish or Scottish pregnant women with a history of either schizophrenia, bipolar disorder, moderate-severe depression, or non-clinical controls. Caregiving representations, adverse childhood experiences, social support and current symptom severity were assessed during pregnancy.RESULTS: Symptom severity was associated with more non-optimal caregiving representations expecting less parental enjoyment, more difficulties separating from the child, and more feelings of caregiving helplessness. Lack of social support and adverse childhood experiences served as independent predictors of caregiving representations. Parental mental illness during own childhood predicted role reversed expectations.CONCLUSION: Antenatal caregiving representations can be assessed with a time-efficient self-report measure that assesses caregiving as a multidimensional construct. Prenatal treatment planning should target individual difficulties in undertaking transformation of the caregiving system.

AB - OBJECTIVE: The study explores predictors of antenatal caregiving representations among mothers with a history of severe mental illness (SMI).BACKGROUND: Attachment research has demonstrated that multifactorial assessment of antenatal caregiving representations predicts later maternal behaviour and child attachment. However, the field lacks research among clinical groups. Knowledge of factors influencing caregiving representations during pregnancy can contribute to our understanding of caregiving risk among SMI-mothers and inform intervention decisions.METHOD: The current study is a cross-sectional subsample of the WARM study. Participants were 65 Danish or Scottish pregnant women with a history of either schizophrenia, bipolar disorder, moderate-severe depression, or non-clinical controls. Caregiving representations, adverse childhood experiences, social support and current symptom severity were assessed during pregnancy.RESULTS: Symptom severity was associated with more non-optimal caregiving representations expecting less parental enjoyment, more difficulties separating from the child, and more feelings of caregiving helplessness. Lack of social support and adverse childhood experiences served as independent predictors of caregiving representations. Parental mental illness during own childhood predicted role reversed expectations.CONCLUSION: Antenatal caregiving representations can be assessed with a time-efficient self-report measure that assesses caregiving as a multidimensional construct. Prenatal treatment planning should target individual difficulties in undertaking transformation of the caregiving system.

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DO - 10.1080/02646838.2019.1578868

M3 - Journal article

VL - 37

SP - 370

EP - 383

JO - Journal of Reproductive and Infant Psychology

JF - Journal of Reproductive and Infant Psychology

SN - 0264-6838

IS - 4

ER -