Attachment and coparenting representations in men during the transition to parenthood

Coparenting is based on parents’ representations of themselves as coparents. Attachment theory can be a useful framework to understand the way that different coparenting representations are developed during the transition to parenthood. This study aimed to analyze the association between men's attachment and coparenting representations at the first trimester of pregnancy and from the first trimester of pregnancy to 6 months’ postpartum. A sample of 86 men was recruited and completed self-report measures of attachment and coparenting representations at the first and third trimester of pregnancy and at 1 and 6 months’ postpartum. At the first trimester of pregnancy, higher attachment avoidance was associated with higher lack of coparenting support. From the first trimester of pregnancy to 6 months’ postpartum, higher attachment avoidance was associated with (a) a steeper increase on lack of coparenting support, (b) an increase on coparenting conflict (while low attachment avoidance was associated with a decrease), and (c) a lower decrease on coparenting disagreement. This study may contribute to coparenting research by showing new evidence on attachment theory as a useful framework to understand how different coparenting representations are developed in men during the transition to parenthood.     

Social representations and memory: The case of AIDS

In this study evidence is given on the mechanisms subjects use to guarantee the stability of their social representations. An initial interview was held in which subjects were asked about the causes of AIDS, affected groups and modes of transmission. Their responses were found to divide into two social representations of AIDS: a conservative-blaming representation and a liberal representation. Subjects were then given technical information about AIDS. Two weeks later, the same subjects were given a free recall test and a recognition test. The results of these tests confirmed subject's tendency to select information which is congruent with their pre-existing representations, and to distort the recall of contradictory information in order to make it compatible with pre-existing representations.     

A PROSPECTIVE STUDY OF SOMATIC AND EMOTIONAL SYMPTOMS OF PREGNANCY

Using a prospective design, this study examined somatic and emotional symptoms of planned pregnancy in a sample of 162 healthy women. All women participated in a baseline (prepregnancy) interview. Seventy women became pregnant and were assessed at each trimester; the 92 nonpregnant controls were interviewed 3, 6, and 9 months after their baseline interview. All participants also completed the Anxiety and Depression subscales of the Symptom Checklist–Revised (SCL 90-R). No significant group differences were found at baseline. As expected, however, pregnant women reported significantly more instances of digestive symptoms (nausea, vomiting, heartburn), fatigue, and moodiness than nonpregnant controls. Discriminant-function analyses found that in the context of all symptom variables, nausea and fatigue were the primary distinguishing features of the first trimester. In the second and third trimester, fatigue and heartburn contributed to the distinction of pregnant and nonpregnant women. Although pregnancy precipitates many physical and psychological changes in this sample of women who had planned pregnancies, our results did not support the notion that pregnancy is either a time of significant emotional turmoil or of heightened emotional well-being.     

Maternal representations during pregnancy and early motherhood

The aim of the present study was to study the maternal representations of pregnant women and mothers in their early postpartum period, by beginning the process of validating the maternal representations questionnaire L'entretien R₁ and by developing a means to assess the content‐free aspects of the representations. Participants were 23 primiparous (first‐time mothers) pregnant women in their fourth to seventh month of pregnancy and 22 primiparous mothers in their early (zero to six months) postpartum period. It was found that the four subscales of L'entretien (self‐as‐mother, self‐as‐person, own‐mother, and partner) produced meaningful results for Turkish subjects. The results were compatible with the idea of integrated representations of self‐as‐person and self‐as‐mother even in the second trimester of their pregnancy and also showed that they could differentiate themselves from their mothers as early as that period. The results revealed no significant differences in the content and content‐free dimensions of the representations of pregnant women and mothers. ©2004 Michigan Association for Infant Mental Health.     

Envisioning motherhood: Mental-state language in caregiving narratives across the perinatal period

Nancy Suchman's work highlighted the fundamental role of maternal mentalization in maternal addiction, mental health, and caregiving challenges. In this study, we aimed to examine the role of mental-state language (MSL) as a measure of mentalization in prenatal and postnatal narratives and their sentiment in a sample of 91 primarily White mothers from the western United States, followed from the second trimester of pregnancy, through the third trimester, to 4 months postpartum. Specifically, we investigated the use of affective and cognitive MSL in prenatal narratives when mothers visualized caring for their baby and postnatal narratives when mothers compared their prenatal visualization to the current caregiving reality. Results indicated moderate consistency in MSL between the second and third trimesters, but prenatal and postnatal MSL was not significantly correlated. Across all time points, higher use of MSL was related to more positive sentiment, indicating an association between mentalization and positive caregiving representations across the perinatal period. Women used more affective than cognitive MSL in prenatal imagination of caregiving, but this pattern was reversed in their postpartum reflection. Implications on assessing parental mentalization prenatally and considering the relative dominance of affective and cognitive mentalizing are discussed while considering study limitations.     

Exploring Maternal Representations During Pregnancy in Normal and At‐Risk Samples: The Use of the Interview of Maternal Representations During Pregnancy

The purpose of this study is to evaluate the potentiality of the Interview of Maternal Representations during Pregnancy‐Revised Version (IRMAG‐R; M. Ammaniti & R. Tambelli, 2010) in exploring maternal representations in at‐risk and nonrisk conditions. Maternal representations were assessed during the last trimester of pregnancy in 411 nonrisk women and in 255 depressed and/or psychosocially at‐risk women. The results showed a prevalence of Integrated/Balanced representations in nonrisk women and a higher frequency of Not Integrated/Ambivalent representations in at‐risk women. Data obtained confirm that the IRMAG‐R is a valid instrument for exploring maternal representation during the last trimester of pregnancy in both the absence and presence of risk conditions.     

Understanding the “ghosts in the nursery” of pregnant women experiencing domestic violence: Prenatal maternal representations and histories of childhood maltreatment

Selma Fraiberg and colleagues (1975) conceptualized the “ghosts in the nursery” as experiences from a mother's past that influenced her ability to form a warm and attuned relationship with her child. Contemporary infant mental health interventions often ask the mother to reflect on her own history of attachment relationships to gain insight into as well as to strengthen her developing relationship with her child. This study investigated the association between a mother's history of childhood maltreatment (CM) and her subsequent prenatal maternal representation during the third trimester of pregnancy. Controlling for domestic violence (DV), distorted prenatal representations were associated with higher rates of self‐reported childhood physical neglect. In addition, DV moderated the relationship between representations and CM, such that women who were exposed to DV during pregnancy and had distorted prenatal representations were least likely to report childhood physical and sexual abuse. Implications are discussed in relation to infant mental health interventions which rely on a parent's ability to psychologically access and reflect on childhood histories to more sensitively parent her own child.     

The impact of domestic violence on mothers' prenatal representations of their infants

This study examined the relationship between domestic violence during pregnancy and mothers' prenatal representations of their infants and themselves as mothers. Two hundred and six women were recruited from the community and interviewed during their last trimester of pregnancy. Forty‐four percent of women reported experiencing domestic violence during the current pregnancy, while 56% reported no domestic violence during the pregnancy. Maternal representations were assessed using the Working Model of the Child Interview (WMCI; Zeanah, Benoit, Hirshberg, Barton, & Regan, 1994). Multiple analysis of variance (MANCOVA) and χ² analyses revealed that women who experienced domestic violence had significantly more negative representations of their infants and themselves as mothers and were significantly more likely to be classified as insecurely attached (either Disengaged or Distorted) than women who had not experienced domestic violence. These results, along with several excerpts from battered women's interviews, highlight the importance of domestic violence as a risk factor for maternal and infant well being. These findings and their clinical implications are discussed in light of attachment theory. ©2004 Michigan Association for Infant Mental Health.     

Social representations of drugs,causal judgment and social perception

The aim of this study was to analyse the influence of social representation on both social perceptions and social judgments. In the first stage of this study, 47 drug users and 80 ‘normal’ subjects were asked to respond to a questionnaire about representations of drugs. Three weeks later we contacted the same subjects. They were asked to answer some questions about a fictitious story in which an actor labelled as ‘a drug user’ or ‘a person’ disputed with a trader. Three different social representations of drugs were found. It was shown that these social representations were anchored in different social groups which were defined by their proximity to the world of drugs. Subjects who were themselves drug users shared an accepting or an ambivalent social representation of drugs but they also made the most negative judgements about the causes of a fictitious dispute between a trader and a drug addict. Moreover, these subjects had the most negative perception of the drug addict. Furthermore, some factors which increase the salience of social representations were studied. The effect on social perception and causal attributions of the interaction between social representations, the context and personal involvement in drugs was also shown. Some relations between the theory of social representations and the theories about asymmetrical intergroup relationships are exposed.     

A prospective study of factors that lead to body dissatisfaction during pregnancy

This study examined changes in body image and predictors of body dissatisfaction during pregnancy. It was expected that higher levels of depression, social comparison tendencies, teasing, societal pressure to be thin and public self-consciousness would predict body dissatisfaction prospectively. Healthy pregnant women (n = 128) completed questionnaires on three occasions during their pregnancies reporting on a total of four time points: 3 months prior to pregnancy (retrospectively reported), in the early to mid-second trimester, the late-second/early-third trimester, and the latter part of the third trimester. For the most part women reported adapting to the changes that occurred in their body; however, women were most likely to experience higher levels of body dissatisfaction in early to mid-second trimester. Findings related to predictors of body dissatisfaction revealed that both social and psychological factors contributed to body image changes in pregnancy. Implications of the findings are discussed.     

Qualitative Exploration of the Experiences and Challenges of Adolescents during Pregnancy

This study explores and describes the experiences and challenges of pregnant adolescents (N = 9, mean age = 16.33 years, SD = 1.58 years) by focusing on their thoughts and feelings about their pregnancies and future prospects. The expectant mothers were in their in their second and third trimester of pregnancy. All participants were poor working-class Black South Africans from different ethnic groups. Two were Tsonga, three Zulu and four Tswana speakers. Data were collected using semistructured interviews and analysed using thematic content analysis. Findings suggest that family relationships after disclosure of the pregnancy were strained, particularly the father-daughter relationship. The teens expressed unpreparedness for the challenges of motherhood, uncertainty about the future and feelings of anger, regret and anxiety.     

Continuity in mind-mindedness from pregnancy to the first year of life

Relations between parents' representations of the unborn child and postpartum infant-parent interaction were investigated in 25 couples and 3 solo mothers. In the last trimester of pregnancy, participants reported on involvement with the fetus and predicted what the unborn child would be like at age 6 months. Mothers (n=21) and fathers (n=17) were observed during separate interactions with their 6-month olds, which yielded measures of their tendency appropriately to interpret their infants' internal states (mind-mindedness). Parents' involvement with the fetus was unrelated to antenatal predictions and to postnatal mind-mindedness. Parents who had predicted more about the unborn child's characteristics were more likely to comment appropriately on their infants' internal states during infant-parent interaction. For fathers, overall antenatal predictions were also positively associated with misinterpretations of their infants' thoughts and feelings. Findings are discussed with reference to mind-mindedness being governed by caregiver-centered factors and differences between mothers and fathers in caregiving practices.     

Evidence for a neuroendocrinological foundation of human affiliation: plasma oxytocin levels across pregnancy and the postpartum period predict mother-infant bonding

Although research on the neurobiological foundation of social affiliation has implicated the neuropeptide oxytocin in processes of maternal bonding in mammals, there is little evidence to support such links in humans. Plasma oxytocin and cortisol of 62 pregnant women were sampled during the first trimester, last trimester, and first postpartum month. Oxytocin was assayed using enzyme immunoassay, and free cortisol was calculated. After the infants were born, their interactions with their mothers were observed, and the mothers were interviewed regarding their infant-related thoughts and behaviors. Oxytocin was stable across time, and oxytocin levels at early pregnancy and the postpartum period were related to a clearly defined set of maternal bonding behaviors, including gaze, vocalizations, positive affect, and affectionate touch; to attachment-related thoughts; and to frequent checking of the infant. Across pregnancy and the postpartum period, oxytocin may play a role in the emergence of behaviors and mental representations typical of bonding in the human mother.     

The impact of optimality on maternal sensitivity in mothers with substance abuse and psychiatric problems and their infants at 3 months

The main aim of this study was to investigate the predictive validity of four different optimality indexes, as well as infant perinatal status, in relation to maternal sensitivity in interaction at 3 months. The four optimality indexes comprised items related to substance abuse, psychiatric condition, relational experience and socioeconomic status (SES). Maternal sensitivity in mother-infant interaction was assessed in two different groups of mothers. One group consisted of mothers with substance abuse and psychiatric problems who underwent treatment during pregnancy. The other group of mothers had neither substance abuse nor psychiatric problems. The expectant mothers were interviewed in the third trimester of pregnancy. Medical records and meconium were obtained from the infants at birth. Three months after birth, maternal sensitivity in mother-infant interaction was assessed. Altogether 79 mother-infant dyads participated in the study. The mothers' optimality associated with relational experiences, as well as the infants' perinatal status were found to predict maternal sensitivity in mother-infant interaction at 3 months. The SES index was also significantly related to maternal sensitivity. The relation between group and maternal sensitivity was mediated by the mothers' optimality associated with relational experiences. This study points to the importance of addressing the mothers' own relational experiences and their current representations of motherhood during treatment, in order to support and enhance maternal sensitivity.     

First-time mothers’ experiences of meaningfulness during their third trimester of pregnancy: A focus on spirituality

This study sought to gain in-depth understanding of the lived experiences of first-time mothers during their third trimester of pregnancy. The non-probability, purposive sample were Afrikaans speaking first-time mothers aged between 22 and 40 years. Data on their experiences of meaningfulness during their pregnancy were collected using the Mmogo-Method® and reflective journals. The data were thematically analyzed combining textual data and visual depictions. This group of first-time mothers expressed a very personal relationship with a Divine reality that they rely on and derive meaningfulness from their pregnancy and birthing experiences. They perceived a Divine reality as the giver of life and that they were given a responsibility to carry new life. Sense of meaningfulness during pregnancy was strongly associated with spirituality.     

Understanding physical activity behavior and cognitions in pregnant women: An application of self-determination theory

ObjectivesAlthough regular exercise during pregnancy is linked with improved health outcomes for both mother and foetus, many pregnant women are inactive. The purpose of this study was to use organismic integration theory (OIT) as the guiding theory for examining the relationship between autonomous and controlled motives for (a) exercise behavior reported over a typical week and barriers to exercise and (b) exercise and stage of pregnancy (i.e., trimester).DesignCross-sectional.MethodsParticipants (N = 75) were pregnant women who completed a multi-component, Internet-based survey.ResultsMultiple regression analyses showed that identified regulation predicted greater exercise behavior and fewer exercise barriers, irrespective of trimester. Further analyses indicated that women in the first trimester reported significantly higher identified regulation compared to women in either second or third trimesters.ConclusionsOverall, these findings reinforce the importance of distinguishing controlled from autonomous exercise motives and demonstrate the tenability of OIT for enhancing our understanding of exercise behavior and barriers during pregnancy.     

Understanding the Academic–Practitioner Gap for Structured Interviews: ‘Behavioral’ interviews diffuse, ‘structured’ interviews do not

Recent studies about the academic–practitioner gap suggest that the nonadoption of evidenced‐based practices can be explained by their diffusion through practitioner‐oriented literature. This study extends these findings by investigating the case of the structured interview, which has not been widely adopted by practitioners despite its good psychometric properties. Using a social representations approach, we investigate how the academic concepts of ‘structured’ and ‘behavioral’ interviewing are diffused to practitioners in advice books. Results show that ‘behavioral’ interviews diffuse while ‘structured’ interviews do not, and that different arguments are used to describe these concepts. Facilitating the diffusion of structured interview practices requires academics to rethink their ways of communicating with practitioners through media.     

Maternal depression and infant temperament characteristics

One hundred-thirty-nine women participated in this longitudinal study from the third trimester of pregnancy through 8-months postpartum. Women completed depression scales at several time points and rated their infant's characteristics and childcare stress at 2- and 6-months postpartum. Mothers' reports of infant temperament were significantly different for depressed and non-depressed mothers, with depressed mothers reporting more difficult infants at both measurement points. These differences remained after controlling for histories of maternal abuse or prenatal anxiety, which occurred more often in the depressed mothers. There were no significant differences in childcare stress or perceived support between the groups. Infant temperament and childcare stress did not change over time. Recommendations for practice include consistent ongoing evaluations of the "goodness of fit" within the dyad and exploring interventions for depressed mothers that provide guidance about interactions with their infants and the appropriateness of the infant behaviors.     

Subjects At-Risk for Genetic Diseases in Portugal: Illness Representations

This study investigates illness representations of subjects at-risk for 3 autosomal dominant late-onset disorders: Familial Amyloid Polyneuropathy (FAP) TTR V30M, Huntington’s disease (HD) and Machado-Joseph disease (MJD), comparing them with the illness representations of subjects at-risk for Hemochromatosis (HH). The present study included a clinical group that consisted of 213 subjects at genetic risk (FAP, HD and MJD), comprising 174 subjects at-risk for FAP, 34 subjects at-risk for HD and only 5 subjects at-risk for MJD; and the control group consisting of 31 subjects at genetic risk for HH. All subjects at-risk were undergoing the process of genetic counseling to learn their genetic status (carrier or non-carrier). Subjects were assessed through a semi-structured single interview, in order to obtain sociodemographic data and the answer to an open-ended question relating to the illness representation issue: “What does this illness mean to you?/ What is this disease to you?” It was in the subjects’ metaphors that subjects best expressed what they felt regarding the disease and the situation of being at-risk for this disease. Family is their mirror and their source of learning and, therefore, it is inevitable that family is related to the meaning of the disease itself.     

Family environment, affect, ambivalence and decisions about unplanned adolescent pregnancy

This study investigated the relationships among family environment, demographic measures, the decisions made by unintentionally pregnant adolescents regarding postdelivery plans and the certainty with which these decisions were made. Subjects were 175 pregnant adolescents, ages 14 through 22, who intended to carry their pregnancies to term. Greater uncertainty was associated with living with both natural parents or with mother only. Higher levels of negative affect were related to lower levels of perceived family cohesion, independence, expressiveness, and intellectual-cultural orientation. Age, trimester of pregnancy, and family constellation also were related to levels of negative affect. Discriminant analysis revealed that subjects choosing adoption were more likely to be older and to be white than were those choosing to keep the child. They also tended to perceive higher levels of expressiveness and independence in their families. The implications of these findings for the delivery of services and for future research efforts in this area are discussed.