Predictors and correlates of coping well with early motherhood in the Australian Longitudinal Study on Women's Health

Women who become mothers at an early age are characterised by socio-economic disadvantage and unhealthy lifestyles; however, some cope extremely well. This paper describes Australian women who become mothers at an early age, in order to identify factors that predict coping. The younger cohort of the Australian Longitudinal Study of Women's Health was used to identify 1064 young women who became mothers between Survey 1 and Survey 2. These women were categorised on the basis of the Mental Health Index of the SF-36 as having High, Normal or Low mental health. Survey 1 data were used to examine predictors, and Survey 2 data to examine correlates, of mental health. Surprisingly, few socio-demographic or health-related variables predict level of coping with early motherhood. Women who would have High mental health as mothers were likely to be in paid work, had few symptoms, and had low levels of stress. They were least likely to have a history of miscarriage and most likely to use contraception. There were no significant effects for other socio-demographic factors, or health-related behaviours. In the longer term, however, all young mothers may suffer an increasing level of disadvantage and distress relative to their peers.     

The Role of Romantic Involvement and Social Support in Italian Adolescent Mothers’ Live

This study examined the experience of mothering in adolescence in the context of romantic involvement and social support. 30 adolescent mothers completed measures of adolescent self-development and motherhood, romantic relationship experience, availability of and satisfaction with social support, and parenting stress. Findings suggest that young mothers benefit greatly from the support of a partner, as evidenced by a more functional understanding of motherhood and the maternal role, greater satisfaction with social support, and lower levels of psychological distress. Education on social support should be made available to young mothers to address stress associated with adolescent parenting.     

Relation of Maternal Role Concepts to Parenting, Employment Choices, and Life Satisfaction Among Japanese Women

Japanese women are often described as heavily invested in the role of mother, yet young women in contemporary Japan are increasingly likely to postpone or opt out of marriage and child rearing. To understand the psychological dynamics of parenting among Japanese women who have chosen to become mothers, we examined the relation of maternal role salience beliefs, personal maternal role commitment, and parenting self-efficacy to life satisfaction, number of children, and employment status. Survey data were obtained from 116 urban Japanese women with children in the 2nd grade. Mothers with more children expressed greater personal role commitment. Those who had sought employment were less likely to hold strong maternal role salience beliefs. Life satisfaction was predicted by having more children, feeling efficacious as a parent, and being employed. These findings suggest that even in a society characterized by strong normative expectations for women, women's life satisfaction and choices about family life and employment are related to individual beliefs, attitudes, and judgments about their role.     

Bad,Pathetic and Greedy Women: Expressions of Surrogate Motherhood Stigma in a Russian Online Forum

Gestational surrogacy, in which the surrogate mother is not biologically related to the child she is carrying, is the most common type of surrogacy today. Although technologically well-developed and legal in many countries, it is stigmatized socially because it provokes and even contradicts basic traditional concepts of family, motherhood, and gender roles. The present study examines the types and expressions of the surrogacy stigma in Russia, applying a dual-pathway stigma model to a qualitative content analysis of 15,602 posts on a Russian-language online forum for surrogate mothers. Our findings reveal that the women’s choice to become surrogate mothers initiated a social process in which these women experienced four types of stigma: Bad mothers, bad wives, pathetic losers, and greedy women. Surrogate mothers described the experience and internalization of stigma as threatening their social roles in the traditional family and financial realm alike. Our study places surrogacy stigma in the context of the post-Soviet financial and social climate as experienced and expressed by participants. Furthermore, understandings of the essence of perceived surrogacy stigma may help professionals develop a more nuanced and accurate approach for psychological and social care and may lead to increased accuracy in media, law, and political representation of members of this vulnerable group.

     

Personality and attitudinal correlates of healthy and unhealthy lifestyles in young adults

Abstract

The relationship between healthy lifestyle and personality and attitudinal variables was analyzed with data collected from 809 men and 996 women aged 18–30 years in England, Belgium, Finland and Norway as part of the European Health and Behaviour Survey. A health practices index was constructed on the basis of performance of sixteen behaviours including smoking, alcohol consumption, exercise, sleep time and a variety of dietary and preventive practices. Scores on the health practices index were higher in women than men, but in both sexes the index was normally distributed. Consistently healthy practices were positively correlated with extraversion and optimism, and negatively associated with neuroticism, psychoticism and chance locus of control beliefs. These effects were maintained after controlling for social desirability, but together accounted for only a modest proportion of the variance in the health practices index. The results are discussed in relation to the factors characterising health conscious and unhealthy lifestyles.     

‘I think motherhood for me was a bit like a double‐edged sword’: the narratives of older mothers

It is assumed in Western society that women want to become mothers. This desire is situated within the ideology of the ‘perfect mother’. However, feminists have highlighted contradictions between this ideology and the reality of mothering. A trend towards later motherhood has recently been identified. Delayed motherhood has been associated with a number of advantages such as a sense of psychological readiness, however this may mask some of its negative aspects. The aim of the study reported here was to explore the transition to, and lived experience of, delayed motherhood. Five women who were over 30 prior to the birth of their first child were interviewed. A narrative analysis at the personal, interpersonal and societal levels was conducted. At the personal level, diverse stories which contained both problems in adapting to motherhood and also progressive aspects of positive experiences and integration of maternal identities were told. At the interpersonal level, the prominence of the ‘double‐edged’ tone conveyed maternal ambivalence. At the societal level, dominant ideologies of the ‘good mother’ and normative development were identified. Though the women actively constructed their stories and attempted to resist dominant representations, this analysis emphasises the need for more realistic portrayals of delayed motherhood. Copyright © 2006 John Wiley & Sons, Ltd.     

‘You've got to grow up when you've got a kid’: Marginalized young women's accounts of motherhood

Teenage motherhood has been a source of considerable debate in policy and media circles in recent years. This paper explores the meanings of teenage motherhood for young women who were mothers before the age of 21, who were living in economically deprived areas of England and most of whom had been in residential or foster care. Qualitative interviews were carried out at several sites across England, with a total of 33 young women taking part in group interviews and one‐to‐one interviews. The accounts of the young women suggest that they talk about motherhood in three main ways: as ‘hardship and reward’, ‘growing up and responsibility’ and ‘doing things differently’. It is argued that these ways of talking about motherhood present a different picture of teenage motherhood from that of dominant discourses. Furthermore, the young women are active in negotiating and constructing their own identities as mothers, carers and women. Copyright © 2008 John Wiley & Sons, Ltd.     

Life transitions and mental health in a national cohort of young Australian women

Young adulthood, a time of major life transitions and risk of poor mental health, may affect emotional well-being throughout adult life. This article uses longitudinal survey data to examine young Australian women's transitions across 4 domains: residential independence, relationships, work and study, and motherhood. Changes over 3 years in health-related quality of life, optimism, depressive symptoms, stress, and life satisfaction, were examined in relation to these transitions among 7,619 young adult participants in the nationally representative Australian Longitudinal Study on Women's Health. Positive changes in mental health occurred for women moving into cohabitation and marriage, whereas reductions were observed among those experiencing marital separation or divorce and those taking on or remaining in traditionally "feminine" roles (out of the workforce, motherhood). The data suggest that women cope well with major life changes at this life stage, but reductions in psychological well-being are associated with some transitions. The findings suggest that preventive interventions to improve women's resilience and coping might target women undergoing these transitions and that social structures may not be providing sufficient support for women making traditional life choices.     

Attitudes Toward Women and Motherhood: Their Role in Australian Women’s Childbearing Behaviour

Financial and employment concerns are frequently identified as salient factors in women’s childbearing behaviour in low fertility, developed countries. The contribution of attitudinal variables is not well understood. The aim of this study was to investigate the relationship between attitudes toward women and motherhood and women’s childbearing desires and outcomes. A broadly representative sample of 569 women aged 30–34 years living in Victoria, one Australian state, was recruited from the Australian Electoral Roll. Participants completed a self administered anonymous questionnaire which included a new measure of attitudes toward women and motherhood. Women with more traditional attitudes had larger desired and actual family sizes. The findings indicate that attitudes toward women and motherhood are related to women’s childbearing behaviour.     

Lived experiences of school-going early mothers in Swaziland

This study explored the lived family and community experiences of Swazi school-going early mothers (N = 15; age range 13–22 years). Participants responded to family and community relationship experiences focus group discussions. The data were content thematically analysed. The findings suggest that early mothers experience strained relationships with their fathers, and receive emotional and material support from their mothers. The young mothers perceived themselves to be discriminated against by teachers in educational support. Early motherhood appeared to cause feelings of happiness, regret and anxiety in many, and a personal sense of satisfaction and accomplishment in some.     

Maternal Guilt and Shame: Relationship to Postnatal Depression and Attitudes towards Help-Seeking

Existing literature indicates that women can experience feelings of shame and guilt in relation to motherhood. This study investigated whether maternal feelings of shame and guilt were associated with postnatal depressive symptoms and attitudes towards help-seeking. A cross-sectional, correlational design was employed. Shame and guilt were measured as both dispositional factors and contextual factors i.e. in relation to motherhood (event-related shame and guilt). A UK community sample of 183 mothers with an infant between 4?weeks and 1?year of age completed a series of online questionnaires. The results indicated that shame proneness significantly predicted postnatal depressive symptoms once demographics and social support had been accounted for. Furthermore, shame proneness significantly predicted less positive attitudes towards help-seeking. Guilt proneness was not a significant predictor of postnatal depressive symptoms or attitudes towards help-seeking. These findings highlight the potential negative consequences of maternal feelings of shame in the postnatal period.     

Invisible Mothers: A Content Analysis of Motherhood Ideologies and Myths in Magazines

The purpose of this study is to identify prevalent motherhood ideologies and myths in contemporary women's magazines. The results indicate that contemporary magazines promote a traditional motherhood ideology, yet perpetuate motherhood myths that undermine mothers who stay home. Traditional motherhood, which excludes Women of Color and employed mothers, is promoted. Mothers are almost exclusively presented in the domestic, rather than the public or integrated domestic–public, contexts. Myths that employed mothers are busy, tired, and guilty, and that employed mothers neglect and are unattached to their children, are not upheld. However, negative myths that at-home mothers are confused, overwhelmed, and interested only in superficial topics are upheld in the magazines analyzed. The implications of these results on the perpetuation of patriarchy are discussed.     

For Shame: Feminism,Breastfeeding Advocacy,and Maternal Guilt

In this paper, we provide a new framework for understanding infant‐feeding‐related maternal guilt and shame, placing these in the context of feminist theoretical and psychological accounts of the emotions of self‐assessment. Whereas breastfeeding advocacy has been critiqued for its perceived role in inducing maternal guilt, we argue that the emotion women often feel surrounding infant feeding may be better conceptualized as shame in its tendency to involve a negative self‐assessment—a failure to achieve an idealized notion of good motherhood. Further, we suggest, both formula‐feeding and breastfeeding mothers experience shame: the former report feeling that they fail to live up to ideals of womanhood and motherhood, and the latter transgress cultural expectations regarding feminine modesty. The problem, then, is the degree to which mothers are vulnerable to shame generally, regardless of infant feeding practices. As an emotion that is less adaptive and potentially more damaging than guilt, shame ought to be the focus of resistance for both feminists and breastfeeding advocates, who need to work in conjunction with women to oppose this shame by assisting them in constructing their own ideals of good motherhood that incorporate a sense of self‐concern.     

MILFS and Matrons: Images and Realities of Mothers’ Sexuality

Motherhood and sexual appeal are rarely linked in Western culture. There seems to be a notion that once a woman has children she is first and foremost an example, and must be responsible and conservative in a culturally specific way. Most women become mothers at some point in their lives and this is a major physical, emotional, and role transition, one that many women struggle with privately given societal ideals of a ??good?? mother. Despite its essential role in motherhood and life, and the health benefits known to be associated with sexual activity, public expression of sexuality is still primarily associated with being young, childless, and unmarried. Using a social constructionist perspective, we look at the ways in which acceptable expressions of mothers?? sexuality are defined and negotiated by contemporary women. Based on in-depth interviews with fifty women in their 20s, 30s, and 40s, we discuss women??s images of mothers?? sexuality and the ways in which motherhood impacts women??s experiences of sexuality. We find that for most mothers interviewed, the way they felt about sex, their sexual appeal, and their level of sexual desire changed after having children. Coupled with the fatigue and responsibility associated with being a new mother, women felt disconnected from their sexuality for a period of time.     

Cognitive development in children of adolescent mothers: The impact of socioeconomic risk and maternal sensitivity

BackgroundAdolescent motherhood is accompanied by a constellation of risk factors that translate into developmental risk for the off-spring. Socioeconomic risk that is associated with adolescent motherhood as well as maternal interactive behaviors may contribute to the impact of adolescent motherhood on children’s developmental outcome.ObjectiveTherefore, the aim of the current study was to investigate differences in children’s cognitive development between children of adolescent and adult mothers in their first two years of life and to examine whether socioeconomic risk (e.g. such as educational and financial problems) and/or maternal sensitivity mediate developmental differences between children of adolescent and adult mothers.MethodsAdolescent mothers (<21 years; N = 64) and adult mothers (>25 years; N = 34) and their infants were included in the current study. Child cognitive development and maternal sensitivity were assessed at three different time points (T1: mean child age 5.26 months; T2: mean child age 14.69 months; T3: mean child age 21.16 months).ResultsChildren of adult mothers showed better cognitive performance at T3 compared to children of adolescent mothers but not at T1 and T2. A multiple mediation model including socioeconomic risk and maternal sensitivity as serial mediators demonstrated that the effect of adolescent motherhood on cognitive development was mediated in a causal effect chain with socioeconomic risk negatively affecting maternal sensitivity and maternal sensitivity affecting children’s cognitive development.DiscussionThe present findings demonstrate that maternal interactive behaviors are not only a simple predictor of cognitive development but may also act as a mediator of the association between more distal variables such as socioeconomic risk and cognitive development in adolescent mothers. This supports the need to promote prevention and intervention programs for adolescent mothers during the early postpartum period to reduce socioeconomic problems and enhance maternal interactive behaviors.     

JAPANESE PERCEPTIONS OF MOTHERHOOD

Differences in Japanese attitudes toward motherhood were investigated using Hare-Mustin and Broderick's (1979) Motherhood Inventory (MI), administered to 157 male and 85 female university students and 72 mothers. Factor analyses revealed distinctive profiles for each group. Male students believed that motherhood was appropriate and natural for women and were content to let women operate independently within this role. Mothers emphasized that women's greatest fulfillment was associated with mothering. Female university students recognized the importance of and the hard work involved in mothering, but were less likely to perceive it as the primary source of women's fulfillment. Comparisons of group means on MI items revealed that university women held the least conventional views. Further research is needed to determine whether their attitudes about female gender roles reflect a general trend within this cohort of women or transitory responses related to stage in the life cycle.     

Infant massage improves attitudes toward childbearing,maternal satisfaction and pleasure in parenting

The first year of motherhood is a period of growth and adaptation in women's lives with several challenges such as identifying the baby’s needs and giving appropriate answers, so that mother and baby get to know each other and form a strong bond. Infant massage is one of the approaches that make an important contribution to the psychological and physiological wellbeing of both baby and mother, helping to form a harmonious relationship. This longitudinal study assessed the benefits of infant massage in the relationship between mother and baby, from birth to 12 months old. Comprising 194 dyads of mothers and their babies the subjects were divided into two groups of 97 dyads each. The Experimental group (EG) comprised mothers who undertook infant massage in a postnatal program with a physical therapist once a week. The Control group (CG) comprised mothers who did not attend any postnatal program and did not perform infant massage. Self-reported measures of attitudes concerning motherhood (CAQ-P), experience associated to motherhood (WBPB), parental satisfaction (PSS) and maternal separation anxiety (MSAS) were evaluated. Results showed that mothers in the experimental group were better adapted to motherhood, had greater confidence in their abilities and received more support from their mothers and husbands than mothers in the control group and were therefore more confident in their abilities. The EG group experienced a stronger relationship with their babies and described it as more positive than mothers in the control group. This longitudinal study suggests that mothers who learned how to perform infant massage had more positive attitudes towards the experience of motherhood in helping to increase the level of knowledge, regulation and proximity in the dyad. These findings can in turn help mothers to develop strategies that enable them to better cope with motherhood.     

Mothers’ Experiences of Parent-Reported and Video-Recorded Observational Assessments

Rigorous evaluation of early childhood interventions requires accurate and efficient measurement. Researchers commonly use parent-reported surveys or direct observations; both of which have inherent strengths and limitations. Existing attempts to understand the correspondence between these methods have been primarily quantitative in design. Little is known about parents’ unique, subjective experiences of parent-reported surveys and direct parent-child observations. In this paper, we describe the experiences of ten mothers of children aged 24 months, recruited from a randomised controlled trial of a nurse home visiting program for mothers at risk of experiencing social adversity. After completing both a survey and video-recorded parent-child observation, mothers participated in in-depth semi-structured interviews which were analysed thematically. Mothers voiced concerns about how researchers may view their parenting skills, and their child’s behaviour and development. Contrary to previous quantitative evidence, mothers reported parent and child behavioural change, which they attributed to the researcher’s presence. Mothers described how the structured requirements of the observation contributed to forced and unnatural interactions. The survey was viewed as a welcome opportunity to reflect on parenting skills, the parent-child relationship and the child’s development. Mothers identified practical strategies for minimising parent-child discomfort during video-recorded observations, such as the researcher averting their gaze or stepping out of the room. We highlight opportunities for enhanced data validity in research and clinical settings, strengthened participant engagement, and minimisation of participant discomfort. Given the exploratory nature of this study, we do not claim that results are necessarily generalisable to other parent or general populations. Further research is warranted to build the evidence regarding parent participation in early childhood research.     

Stigma and hostility towards pregnant smokers: Does individuating information reduce the effect?

Australia is at the forefront of tobacco control, yet 17% of Australian women smoke during pregnancy. Negative attitudes to smoking are intensified when the smoker is pregnant, consistent with a discourse that encourages surveillance of pregnant women. Such overt anti-smoking attitudes create a context which may make it difficult for pregnant smokers to seek assistance to stop. However, there is little evidence on the extent to which pregnant smokers are stigmatised by community members. We used vignettes to examine the degree of smoking-related stigma expressed by 595 Australian university students who rated a woman, described as a mother who was smoking or not, and pregnant or not. Further, we examined whether provision of individuating information reduced the degree of stigma. Mothers described as smokers were rated more negatively than those not, particularly if they were pregnant: smokers were perceived as unhealthy, and also as bad mothers. Provision of individuating information slightly reduced these effects. These findings support the view that smokers – particularly if pregnant – are subject to negative moral judgement. Our findings contribute to the ethical debate about stigma-inducing tobacco control efforts, and suggest that anti-smoking campaigns that contextualise smoking in pregnancy might reduce stigma and assist cessation.     

Modifying CBT for Perinatal Depression: What Do Women Want?: A Qualitative Study

The evidence for the efficacy of CBT for depression during the perinatal period is mixed. This was a qualitative study that aimed to understand the perinatal-specific needs of depressed women in an effort to inform treatment modifications that may increase the relevance and acceptability of CBT during this period. Stratified purposeful sampling resulted in 23 participants selected by pregnancy, socioeconomic, and depression status. Participants completed semistructured interviews exploring their experiences of pregnancy and the postpartum period and its relationship to mood, and perspectives on ideal treatment content. Thematic analysis revealed a number of perinatal-specific themes that were relevant to CBT in three key domains: self, motherhood, and interpersonal. Mothers particularly struggled with: internalization of “motherhood myths,” self-sacrifice, and managing social support during this period. Shifts in women's themes across the perinatal period, and between racial and socioeconomic groups are discussed as are implications for modification of CBT to improve relevance for perinatal depression.