Antenatal caregiving representations among expectant mothers with severe mental illness: a cross-sectional study
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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; Brennan, Jessica; George, Carol; Harder, Susanne; Gumley, Andrew.
In: Journal of Reproductive and Infant Psychology, Vol. 37, No. 4, 15.02.2019, p. 370-383.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Antenatal caregiving representations among expectant mothers with severe mental illness: a cross-sectional study
AU - Røhder, Katrine
AU - Nyström-Hansen, Maja
AU - Macbeth, Angus
AU - Davidsen, Kirstine Agnete
AU - Brennan, Jessica
AU - George, Carol
AU - Harder, Susanne
AU - Gumley, Andrew
PY - 2019/2/15
Y1 - 2019/2/15
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.
KW - Faculty of Social Sciences
KW - Caregiving system
KW - expectant mothers
KW - severe mental illness (SMI)
KW - psychosis
KW - adverse childhood experiences (ACEs)
U2 - 10.1080/02646838.2019.1578868
DO - 10.1080/02646838.2019.1578868
M3 - Journal article
C2 - 30767656
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 -
ID: 226868833