scholarly journals Does maternal reflective functioning mediate associations between representations of caregiving with maternal sensitivity in a high-risk sample?

2019 ◽  
Vol 36 (1) ◽  
pp. 82-92 ◽  
Author(s):  
Mauricio Alvarez-Monjarás ◽  
Thomas J. McMahon ◽  
Nancy E. Suchman
Keyword(s):  
High Risk ◽  
Maternal Sensitivity ◽  
Reflective Functioning ◽  
Maternal Reflective Functioning

scholarly journals Efficacy of Parent-Infant-Psychotherapy with mothers with postpartum mental disorder: study protocol of the randomized controlled trial as part of the SKKIPPI project.

2020 ◽  
Author(s):  
Janna Mattheß ◽  
Melanie Eckert ◽  
Katharina Richter ◽  
Gabriele Koch ◽  
Thomas Reinhold ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Controlled Trial ◽  
Maternal Sensitivity ◽  
Reflective Functioning ◽  
Well Being ◽  
Compulsive Disorder ◽  
Randomized Controlled ◽  
Psychotherapeutic Interventions ◽  
German Health

Abstract Background: After the birth of a child, many mothers and fathers experience postpartum mental disorders like depression, anxiety, obsessive-compulsive disorder, stress or other illnesses. This endangers the establishment of a secure attachment between the children and their primary caregivers. Early problems in parent-child interaction can have adverse long-term effects on the family and the child’s well-being. In order to prevent a transgenerational transmission of mental disorders, it is necessary to evaluate psychotherapeutic interventions that target psychologically burdened parents of infants or toddlers. The aim of this trial is to investigate the efficacy of Parent-Infant-Psychotherapy (PIP) for mothers with postpartum mental disorder and their infants (0-12 month).Methods: In this open randomized controlled intervention trial 180 mother-infant dyads will be included and randomly allocated to 12 sessions of PIP or care as usual. The interventions take place either in inpatient adult psychiatric departments or in outpatient settings with home visits. The primary outcome is the change in maternal sensitivity assessed by the Sensitivity subscale of the Emotional Availability Scale (EAS) through videotaped dyadic play-interactions after 6 weeks. Secondary outcomes are maternal psychopathology, stress, parental reflective functioning, infant development and attachment after 6 weeks and 12 months. In addition, maternal attachment (AAI) and reflective functioning (AAI) will be analyzed as potential moderators, and resource usage in the German health system as well as associated costs will be evaluated. Discussion: There is increasing demand for well-controlled studies on psychotherapeutic interventions in the postpartum period that do not only focus on particular risk groups. This RCT represents one of the first studies to investigate the efficacy of PIP in inpatient psychiatric departments and outpatient care centres in Germany. The results will fill knowledge gaps on the factors contributing to symptom reduction in postpartum mental disorders and improvements in mother-child relationships and help developing preventive and therapeutic strategies for the fragmented German health care system.Trial registration: German Register for Clinical Trials: DRKS00016353.

scholarly journals Peri-partum psychosis: How does parental reflective function affect the quality of mother-infant interaction?

2018 ◽  
Vol 24 ◽  
Author(s):  
Juane Voges ◽  
Astrid Berg ◽  
Daniel J.H. Niehaus
Keyword(s):  
Maternal Sensitivity ◽  
Reflective Functioning ◽  
Small Sample ◽  
Psychotic Symptoms ◽  
Reflective Function ◽  
Parental Reflective Functioning ◽  
Play Interaction ◽  
Attachment Difficulties ◽  
Parental Reflective Function

Introduction: The purpose of this exploratory study was to examine the impact of peri-partum psychosis on parental reflective function and quality of mother-infant interaction in a South African sample at high risk of developing attachment difficulties. Besides the effects of physical separation, attachment difficulties may arise from other maternal factors, such as a lack of reflective capacity or negative symptoms affecting the warmth with which a mother interacts with her child. This study examined the quality of mother-infant interaction to determine how the presence of psychotic symptoms during pregnancy or shortly after delivery affects aspects like maternal sensitivity, child social involvement and dyadic engagement. Ultimately, the study aimed to investigate the association between psychosis, parental reflective functioning and quality of parent-infant interaction.Methods: The study followed a descriptive, observational design. Mothers were recruited if they experienced psychotic symptoms during pregnancy or within the first 6 months postpartum. Demographic information and psychiatric history were collected. Parental reflective function was assessed by the Parent Development Interview (PDI), and the quality of mother-infant interaction in an unstructured play interaction was coded using the Coding Interactive Behaviour (CIB).Results: Eight participants aged between 22 and 44 years, with diagnoses of bipolar disorder, schizophrenia and MDD with psychosis, were recruited. Parental reflective functioning showed significant variation with scores approaching and exceeding ordinary reflective functioning, typically found in non-clinical populations. At the time of the play interaction, infants were aged between 6 and 10 months. Play interactions were mostly parent-led, with some surprising findings, such as a lower than anticipated frequency of parental negative affect, moderate maternal sensitivity and wide variation in scores for infant withdrawal.Conclusion: The results found in this small sample of mothers with peri-partum psychosis have presented unexpected results, both in terms of higher than anticipated capacity for parental reflective functioning and aspects of the quality of interaction with their infants. Possible implications for future interventions will be discussed.

Influence of maternal reflective functioning on mothers’ and children's weight: A follow‐up study

2019 ◽  
Vol 40 (6) ◽  
pp. 862-873
Author(s):  
Gaia Campora ◽  
Luciano Giromini ◽  
Viviana Guerriero ◽  
Carina Chiodo ◽  
Giulio Cesare Zavattini ◽  
...  
Keyword(s):  
Reflective Functioning ◽  
Follow Up Study ◽  
Maternal Reflective Functioning

scholarly journals The longitudinal development of emotion regulation capacities in children at risk for externalizing disorders

2013 ◽  
Vol 25 (2) ◽  
pp. 391-406 ◽  
Author(s):  
Sarah L. Halligan ◽  
Peter J. Cooper ◽  
Pasco Fearon ◽  
Sarah L. Wheeler ◽  
Michelle Crosby ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
High Risk ◽  
Behavioral Problems ◽  
Emotional Regulation ◽  
Maternal Sensitivity ◽  
Externalizing Disorders ◽  
High Risk Group ◽  
Low Risk ◽  
Externalizing Psychopathology ◽  
Degree Of Stability

AbstractThe development of emotional regulation capacities in children at high versus low risk for externalizing disorder was examined in a longitudinal study investigating: (a) whether disturbances in emotion regulation precede and predict the emergence of externalizing symptoms and (b) whether sensitive maternal behavior is a significant influence on the development of child emotion regulation. Families experiencing high (n = 58) and low (n = 63) levels of psychosocial adversity were recruited to the study during pregnancy. Direct observational assessments of child emotion regulation capacities and maternal sensitivity were completed in early infancy, at 12 and 18 months, and at 5 years. Key findings were as follows. First, high-risk children showed poorer emotion regulation capacities than their low-risk counterparts at every stage of assessment. Second, from 12 months onward, emotion regulation capacities showed a degree of stability and were associated with behavioral problems, both concurrently and prospectively. Third, maternal sensitivity was related to child emotion regulation capacities throughout development, with poorer emotion regulation in the high-risk group being associated with lower maternal sensitivity. The results are consistent with a causal role for problems in the regulation of negative emotions in the etiology of externalizing psychopathology and highlight insensitive parenting as a potentially key developmental influence.

The quality of the mother–child relationship in high-risk dyads: Application of the Emotional Availability Scales in an intergenerational, longitudinal study

2012 ◽  
Vol 24 (1) ◽  
pp. 93-105 ◽  
Author(s):  
Dale M. Stack ◽  
Lisa A. Serbin ◽  
Nadine Girouard ◽  
Leah N. Enns ◽  
Vivianne M. N. Bentley ◽  
...  
Keyword(s):  
High Risk ◽  
Middle Childhood ◽  
Social Withdrawal ◽  
Community Sample ◽  
Maternal Sensitivity ◽  
Emotional Availability ◽  
Preschool Age ◽  
Parental History ◽  
Child Relationship ◽  
Mother Child Relationship

AbstractThe present research examined how family psychosocial risk may be associated with emotional availability (EA) across age and time in two longitudinal, intergenerational studies with high-risk, disadvantaged mother–child dyads. Study 1 examined dyads during preschool and middle childhood. Study 2 examined a different sample of dyads, tested intensively at five time points (6, 12, and 18 months; preschool; and school age). Across studies, maternal childhood histories of aggression and social withdrawal predicted negative EA (higher levels of maternal hostility) during mother–child interactions at preschool age. In Study 1, mothers with higher levels of social withdrawal during childhood had preschoolers who were less appropriately responsive to and involving of their mothers during interactions. In Study 2, higher levels of observed appropriate maternal structuring predicted child responsiveness while observed maternal sensitivity (and structuring) predicted observed child involvement. More maternal social support and better home environment combined with lower stress predicted better mother–child relationship quality. Findings contribute to the burgeoning literature on EA by focusing on a high-risk community sample across time and generations. Results are interpreted in light of the developmental psychopathology framework, and have implications for a broader understanding of how EA is related to parental history and personal characteristics, as well as ongoing family and environmental context.

scholarly journals PRENATAL REFLECTIVE FUNCTIONING IN PRIMIPAROUS WOMEN WITH A HIGH-RISK PROFILE

2015 ◽  
Vol 36 (3) ◽  
pp. 251-261 ◽  
Author(s):  
Hanneke J.A. Smaling ◽  
Stephan C.J. Huijbregts ◽  
Jill Suurland ◽  
Kristiaan B. Van Der Heijden ◽  
Stephanie H.M. Van Goozen ◽  
...  
Keyword(s):  
High Risk ◽  
Reflective Functioning ◽  
Risk Profile ◽  
Primiparous Women
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