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Antenatal caregiving representations among expectant mothers with severe mental illness: A cross-sectional study

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

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    Rights statement: This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Reproductive and Infant Psychology on 15 February 2019, available online: https://www.tandfonline.com/doi/full/10.1080/02646838.2019.1578868

    Accepted author manuscript, 816 KB, PDF document

Original languageEnglish
Pages (from-to)370-383
JournalJournal of reproductive and infant psychology
Volume37
Issue number4
Early online date15 Feb 2019
DOIs
Publication statusPublished - 8 Aug 2019

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.

    Research areas

  • caregiving system, expectant mothers, severe mental illness (SMI), psychosis, adverse childhood experiences (ACEs)

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