What tools should be used to identify women in need of additional support in pregnancy?

IF 2.1 4区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Journal of Reproductive and Infant Psychology Pub Date : 2024-03-01 Epub Date: 2022-08-05 DOI:10.1080/02646838.2022.2103525

Bryony Insua-Summerhays, Becca Knowles Bevis, Professor Jane Barlow

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Abstract

Objective: This study aimed to identify and inform recommendation of self-report and interview-based instruments that are feasible, reliable and valid to evaluate the quality of the maternal-fetal relationship (MFR).

Background: Several constructs predicting parent-infant interaction and later infant adjustment are used to assess mothers' thoughts and feelings towards their unborn baby, including reflective functioning, mind-mindedness, representation, and fetal attachment. As yet, there is no existing review comparing the quality and accessibility of instruments across each of these constructs.

Methods: A systematic literature review was undertaken to synthesise psychometric information on measures reporting on the MFR. Searches of six databases were conducted. English articles were selected based on inclusion and exclusion criteria. The QATSDD checklist was used to assess study quality.

Results: Of 669 studies identified, 28 met inclusion criteria. Thirteen different instruments were identified for evaluation. Reported reliability and validity varied significantly across instruments, as well as availability for research and/or clinical use.

Conclusion: Suggestions for research and clinical practice include further evaluation of the psychometric properties of tools, particularly for self-report measures of reflective functioning, use of interviews to scaffold reflexivity, and development of clinical policies and procedures to clarify care pathways for expectant mothers needing further support.

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应使用哪些工具来识别需要额外支持的孕期妇女？

目的：本研究旨在确定可行、可靠和有效的自我报告和访谈工具，并为推荐这些工具提供信息：本研究旨在确定和推荐可行、可靠和有效的自我报告和访谈工具，以评估母胎关系（MFR）的质量：背景：有几种预测亲婴互动和婴儿日后适应的方法被用于评估母亲对胎儿的想法和感受，包括反思功能、心智、表象和胎儿依恋。到目前为止，还没有一篇综述对上述每种构念的工具的质量和可获得性进行比较：方法：我们进行了一次系统的文献综述，以综合有关MFR测量方法的心理测量学信息。对六个数据库进行了检索。根据纳入和排除标准筛选出英文文章。采用 QATSDD 检查表评估研究质量：在确定的 669 项研究中，28 项符合纳入标准。确定了 13 种不同的评估工具。不同工具所报告的可靠性和有效性以及研究和/或临床使用的可用性差异很大：对研究和临床实践的建议包括：进一步评估工具的心理测量特性，尤其是反思功能的自我报告测量；使用访谈来加强反思性；制定临床政策和程序，以明确需要进一步支持的准妈妈的护理途径。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Reproductive and Infant Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.80

自引率

8.00%

发文量

期刊介绍： The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.