Infant Mental Health Journal最新文献

Children born to mothers with opioid use disorder (OUD) are at increased risk of maltreatment and out-of-home care (OOHC) placement. This study examines the parent-child interaction quality and home environments of 92 New Zealand children with prenatal opioid exposure (OE) and 106 non-opioid-exposed (NE) children. Experiences for those in maternal care versus OOHC were of particular interest. Biological mothers completed a lifestyle interview during late pregnancy/at birth. At 18 months, parent-child interaction observations, maternal/primary caregiver interviews, and the Home Observation for Measurement of the Environment were completed during a home visit. At age 4.5, children underwent developmental assessment. By 18 months, 20% of OE children were in OOHC. Mothers with OUD who were younger, less cooperative, and had increased polysubstance use during pregnancy were more likely to have lost custody of their child. OE children in their mother's care experienced less positive parenting and lower-quality home environments than NE children. OE children in OOHC had similarly resourced environments to NE children, yet experienced lower levels of parental warmth and responsiveness. Early parenting predicted child cognition, language, and behavior 3 years later, underscoring the critical importance of supporting the parenting and psychosocial needs of OE children's parents/caregivers to improve long-term outcomes.

We compared referrals and connection to care between perinatal patients: 90 receiving OB/GYN care in clinics with integrated behavioral health consultants with infant mental health specialization (IMH-BHC), and 68 receiving traditional care, in the United States. Participants identified as: Native American/Alaskan native, 1.90%; Asian, .63%; African American, 58.23%; Middle Eastern, 6.96%; African National/Caribbean Islander, .63%; Latin-American, 8.86%; and White, 28.48%.

Approximately 80% of families in each group were offered referrals. By design, intervention women received mental health services during pregnancy; 16% of women in either group received postpartum mental health services. Intervention group participants were over three times as likely to engage in IMH home visiting. Treatment families were less likely to follow up with infant referrals, but also had fewer infant emergency room visits.

All intervention participants met with an IMH-BHC prior to recruitment; however, only 20% self-reported encounters with a mental health professional, indicating these interactions may not be identified by the participants as mental health care; therefore, openness to treatment may be increased for women who feel stigma around mental health care.

Given the importance of perinatal mental health, OB/GYN clinics and others serving perinatal patients may consider integrating IMH providers as part of the care team.

Promoting First Relationships (PFR) is an evidence-based home-visiting program for caregivers and their children from birth to age 5 years. It focuses on caregiver–child interaction, attachment, and relationship quality using video feedback of unedited recordings to elicit reflection and provide positive feedback linked to knowledge development. This paper provides a brief history of PFR and reports on a qualitative study of 222 caregivers’ comments about their PFR experiences following participation in one of four randomized controlled trials conducted over the past decade in the United States (two studies within child welfare setting, one study with Native American families, and one study with Spanish and English-speaking mothers), using a thematic analysis approach to code excerpts from written satisfaction surveys and oral satisfaction interviews. Caregivers’ comments about PFR were positive and were classified into four major thematic areas: a caring, trusting relationship with the provider; enthusiastic program endorsement; improved relationship with their child; and reports of their personal growth and development. The qualitative results align with the key components of the PFR program and confirm aspects of the PFR theory of change model.

Parents serve as the primary informants about infant development, wherefore interparent agreement is essential for facilitating timely identification of children at risk. We studied interparent agreement about infant socioemotional adjustment among 323 mothers and fathers/co-parents of 11-month-old infants living in Denmark using The Ages & Stages Questionnaires^®: Social-Emotional, Second Edition (ASQ^®:SE-2). Agreement was assessed through correlation, mean differences, and agreement on different risk levels. We also examined predictors of agreement including child gender, duration of paternity leave, parental educational level, and parenting stress. Finally, interaction effects between parents’ educational levels and parenting stress were also examined. Results showed moderate correlations and a small mean difference between parents’ total scores, with mothers reporting better infant socioemotional adjustment than fathers. There were also significant differences in terms of placing the child at different risk levels, emphasizing the practical implications of interparent disagreement for screening purposes. Interparent disagreement was predicted by an interaction effect between parents’ levels of parenting stress. Results showed that when fathers/co-parents experience low levels of parenting stress, higher levels of parenting stress among mothers are associated with more disagreement. The study is limited as the sample primarily comprises parents of Danish origin with high educational levels.

The purpose of this article is to share our story of conceptualizing Indigenous early relational wellbeing (ERW), specifically reflecting American Indian and Alaska Native worldviews. Our approach is grounded in Indigenous methodologies and guided by a Community of Learning comprised of Indigenous and allied Tribal early childhood community partners, researchers, practitioners, and federal funders. We describe the steps we took to conceptualize caregiver–child relationships from an Indigenous perspective, center Indigenous values of child development, apply an established Indigenous connectedness framework to early childhood, and co-create a conceptual model of Indigenous ERW to guide future practice and research. This model highlights relational practices as seeds of connectedness and relational wellbeing, and includes the roles of spirituality, culture, and ceremony in nurturing ERW; the manifestations of relational wellbeing across the lifespan; and the interdependence of relational wellbeing within communities and families, across generations, and with the environment. The model also informs the creation of a measure to understand practices that foster relational wellbeing among Indigenous children and families and their relationship to positive development, thus informing research, practice, and policy.

Differences in mind-mindedness and parental reflective functioning (PRF) were investigated in mothers and their 6-month-old infants from South Korea (N = 66, 32 girls) and the United Kingdom (N = 63, 26 girls). Mind-mindedness was assessed in terms of appropriate and non-attuned mind-related comments during infant–mother interaction; PRF was assessed using a questionnaire. British mothers commented more on infant desires and preferences, whereas Korean mothers commented more on cognitions and emotions, but there were no cultural differences in overall levels of mind-mindedness. For PRF, Korean mothers reported more certainty about their infants’ mental states compared with their British counterparts, but there were no cultural differences in mothers’ reported interest in their infants’ mental states. Greater reported certainty about infants’ mental states was positively related to self-reported parenting quality in both cultural groups, but this association was not seen for parenting quality as assessed observationally. Mind-mindedness and PRF were unrelated in both Korean and British mothers. Results are discussed in terms of the Korean concept of mother–infant oneness and the multi-dimensional nature of parental mentalization.

The COVID-19 pandemic affected healthcare practices, especially the provision of face-to-face services due to restrictions and social distance. The aim of the study was to analyze the experience of childbirth care among mothers in Lithuania during the pandemic. A qualitative design was adopted in the study. Research data were collected as part of the international Babies Born Better survey. Data of 200 women who gave birth in Lithuania (February–June 2020 during the COVID-19 pandemic) was included. Participant responses to open-ended questions regarding childbirth care experiences were analyzed using an inductive thematic framework. Four themes emerged: “Subjective experience of birth care service,” “COVID-19 policies,” “Consideration of mother/baby needs,” and “Perception towards staff.” Emotional aspects of different care levels were highlighted in themes. Women expressed feelings of thankfulness for staff professionality and responding to their needs. However, perceived staff rudeness, lack of information and absence of an accompanied person negatively related to mothers’ perceptions of satisfaction. The results revealed mothers’ perceptions of strengths and challenges of the maternity care system in the country where the pandemic was managed with early vaccination, strict lockdown measures and social distancing—higher appreciation of service, regret for disturbed emotional aspects of communication, and lack of support from family members.