1
|
Demir E, Öz S, Aral N, Gürsoy F. A Reliability Generalization Meta-Analysis of the Mother-To-Infant Bonding Scale. Psychol Rep 2024; 127:447-464. [PMID: 35815798 DOI: 10.1177/00332941221114413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The Mother-to-Infant Bonding Scale (MIBS) is among the most popular measurement tools to evaluate caregiver-infant attachment. We carried out a meta-analysis study to explore the generalizability of the reliability coefficients for the MIBS in different studies. The literature review yielded a total of 702 studies investigating caregiver-infant attachment. After removing duplicate studies, we also excluded compilations, meta-analyses, qualitative studies, those using different measurement tools, studies published in a language other than English, citations, and those whose full texts could not be accessed. Eventually, we considered a total of 26 studies with 33 Cronbach's alpha coefficients that satisfied the inclusion criteria. We normalized the alpha coefficients using Bonett's transformation, and the analyses were performed using a 95% confidence interval. The findings revealed a Cronbach's alpha (n = 33) coefficient of 0.73 (CI = 0.68-0.77); hence, the present reliability generalization study provides evidence that the reliability scores produced after measurements with the MIBS in previous studies are acceptable across samples. Overall, further studies may reliably utilize the MIBS to evaluate mother-infant attachment.
Collapse
Affiliation(s)
- Emin Demir
- Faculty of Health Sciences, Department of Child Development, Tarsus University, Tarsus, Turkey
| | - Sena Öz
- Faculty of Health Sciences, Department of Child Development, Ankara University, Ankara, Turkey
| | - Neriman Aral
- Faculty of Health Sciences, Department of Child Development, Ankara University, Ankara, Turkey
| | - Figen Gürsoy
- Faculty of Health Sciences, Department of Child Development, Ankara University, Ankara, Turkey
| |
Collapse
|
2
|
Salera-Vieira J. Gaps in Postnatal Support for Intended Parents. MCN Am J Matern Child Nurs 2023; 48:238-243. [PMID: 37335549 DOI: 10.1097/nmc.0000000000000919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/21/2023]
Abstract
PURPOSE To identify gaps in postnatal depression screening and support services for intended parents (parents who are intended to receive the baby from a gestational surrogacy pregnancy), also known as commissioned parents. STUDY DESIGN AND METHODS This descriptive study used quantitative and free-text survey questions designed to assess postnatal depression screening and postnatal services available for all parents and, more specifically, for intended parents. SAMPLE The survey was sent to 2,000 randomly selected postpartum nurses in the United States who are members of the Association of Women's Health, Obstetric and Neonatal Nurses. RESULTS Completion of the survey was offered to the 125 nurses who responded that they provided care for intended parents. Thirty-seven percent of respondents indicated that postpartum support services are available for both parents. Free-text responses describe a gap in postnatal services for intended parents. Although 85% of survey respondents reported that postpartum depression screening occurs in their setting, nurses reported neither fathers nor intended parents are screened for postnatal depression. CLINICAL IMPLICATIONS This study expands the known gap in postnatal support services for intended parents, including postnatal depression screening. Recommendations for nurses working in the perinatal setting include providing consistent support for all parents as they transition to parenthood. Creating standardized policies and practices reflecting the diverse needs and cultures of intended parents can help direct all clinicians toward providing more significant support. Adapting current postnatal screening and support systems could provide a continuum of support for all families.
Collapse
Affiliation(s)
- Jean Salera-Vieira
- Jean Salera-Vieira is an Associate Chief Nursing Officer, Professional Development, Women and Infants Hospital, Providence, RI. At the time that this study was conducted, Dr. Salera-Vieira was the Perinatal Clinical Nurse Specialist at Newport Hospital, Newport, RI. Dr. Salera-Vieira can be reached via email at
| |
Collapse
|
3
|
Kaźmierczak I, Zajenkowska A, Rajchert J, Jakubowska A, Abramiuk-Szyszko A. The Role of Anger Expression in Unmet Expectations and Depressive Symptoms. DEPRESSION RESEARCH AND TREATMENT 2023; 2023:8842805. [PMID: 37601160 PMCID: PMC10439833 DOI: 10.1155/2023/8842805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 06/23/2023] [Accepted: 07/18/2023] [Indexed: 08/22/2023]
Abstract
Background and Objectives. Depression is associated with unmet relational expectations, but little is known about how both partners experience meeting expectations and how this relates to anger expression and depressive symptoms. The aim of study 1 was to explore the role of anger expression in explaining the link between relational expectations and depression using the actor-partner interdependence mediation model. Additionally, social expectations beyond romantic relationships are associated with societal demands. Study 2 is aimed at investigating the role of anger expression in the relationship between internalized social demands (i.e., outer self-awareness) and depressive symptoms. Design and Methods. Online self-report data were collected from N = 194 romantic partners (97 dyads) in study 1 and N = 407 individuals in study 2. Results. In study 1, unmet expectations were associated with both actor and partner effects on depressive symptoms and anger expression. In particular, inwardly directed anger was linked to depressive symptoms in the case of the individual experiencing unmet expectations, whereas outwardly directed anger predicted such symptoms in the case of the partner's unmet expectations. In study 2, there was a positive association between outer self-awareness and directing anger inwards and outwards, which was linked to higher depressive symptoms. Furthermore, while directing anger inwards seemed to be a universal mechanism underlying the association, the interpersonal mechanism (i.e., directing anger outwards) was found to be dependent on gender.
Collapse
|
4
|
Abstract
This article provides an overview of the prevalence and cause of postpartum depression in women and postnatal depression among their male partners, as well as a review of related symptoms, risk factors, and effects on children. Evidence-based screening tools, management options, and resources for patients and providers are also presented.
Collapse
|
5
|
Rossman SM, Eddy KT, Franko DL, Rose J, DuBois R, Weissman RS, Dierker LC, Thomas JJ. Behavioral symptoms of eating disorders among adopted adolescents and young adults in the United States: Findings from the Add Health survey. Int J Eat Disord 2020; 53:1515-1525. [PMID: 32701179 DOI: 10.1002/eat.23334] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2019] [Revised: 06/09/2020] [Accepted: 06/09/2020] [Indexed: 12/16/2022]
Abstract
OBJECTIVE More adopted individuals report experiencing general psychopathology, poor parental attachment, and early childhood eating difficulties than nonadopted individuals, yet little is known about disordered eating in this population. This study sought to describe the relationship between adoption status and behavioral eating-disorder (ED) symptoms, and to examine potential correlates of ED symptoms that are unique to adopted individuals. METHOD We examined data from adolescents and young adults from Waves 1 (n adopted = 561, nonadopted = 20,184), 2 (n adopted = 211, nonadopted = 14,525), and 3 (n adopted = 416, nonadopted = 14,754) of the National Longitudinal Study of Adolescent to Adult Health. ED symptom items included dieting, breakfast skipping, binge eating, extreme weight loss behaviors (EWLBs; i.e., self-induced vomiting, laxative use, diet pill use) and lifetime ED diagnosis. RESULTS Compared to nonadopted individuals, adopted individuals were more likely to report EWLBs at Wave 2 and binge eating and lifetime ED diagnosis at Wave 3 (ps < .05). Among adopted individuals, contact with a biological parent was associated with higher rates of binge eating and lifetime ED diagnosis at Wave 3 (ps < .05), whereas age at adoption and having ever been in foster care were not associated with rates of ED symptoms. DISCUSSION This study provides preliminary evidence that being adopted may be a risk factor for certain behavioral symptoms of EDs. Given the benefits of early detection and treatment of ED symptoms, mental health professionals working with adopted individuals should assess for disordered eating.
Collapse
Affiliation(s)
- Setareh M Rossman
- Department of Psychology, Clark University, Worcester, Massachusetts, USA
| | - Kamryn T Eddy
- Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.,Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
| | - Debra L Franko
- Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.,Department of Applied Psychology, Northeastern University, Boston, Massachusetts, USA
| | - Jennifer Rose
- Department of Psychology, Wesleyan University, Middletown, Connecticut, USA
| | - Russell DuBois
- Department of Clinical Research, Blueprint Health, Chicago, Illinois, USA
| | | | - Lisa C Dierker
- Department of Psychology, Wesleyan University, Middletown, Connecticut, USA
| | - Jennifer J Thomas
- Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.,Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
| |
Collapse
|
6
|
Anthony RE, Paine AL, Shelton KH. Depression and Anxiety Symptoms of British Adoptive Parents: A Prospective Four-Wave Longitudinal Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E5153. [PMID: 31861100 PMCID: PMC6949987 DOI: 10.3390/ijerph16245153] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Revised: 12/11/2019] [Accepted: 12/13/2019] [Indexed: 11/23/2022]
Abstract
The mental health of birth parents has gained attention due to the serious negative consequences for personal, family, and child outcomes, but depression and anxiety in adoptive parents remains under-recognized. Using a prospective, longitudinal design, we investigated anxiety and depression symptoms in 96 British adoptive parents over four time points in the first four years of an adoptive placement. Depression and anxiety symptom scores were relatively stable across time. Growth curve analysis showed that higher child internalizing scores and lower parental sense of competency at five months post-placement were associated with higher initial levels of parental depressive symptoms. Lower parental sense of competency was also associated with higher initial levels of parental anxiety symptoms. Parents of older children and those with higher levels of parental anxiety and sense of competency at five months post-placement had a steeper decrease in depressive symptoms over time. Support for adoptive families primarily focuses on child adjustment. Our findings suggest that professional awareness of parental mental health post-placement may be necessary, and interventions aimed at improving parents' sense of competency may be beneficial.
Collapse
Affiliation(s)
- Rebecca E. Anthony
- Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), School of Social Sciences, Cardiff University, 1-3 Museum Place, Cardiff CF10 3BD, UK;
| | - Amy L. Paine
- School of Psychology, Cardiff University, Tower Building, 70 Park Place, Cardiff CF10 3BD, UK;
| | - Katherine H. Shelton
- School of Psychology, Cardiff University, Tower Building, 70 Park Place, Cardiff CF10 3BD, UK;
| |
Collapse
|
7
|
Foli KJ, Lim E, South SC. Longitudinal analyses of adoptive parents' expectations and depressive symptoms. Res Nurs Health 2017; 40:564-574. [PMID: 29112297 DOI: 10.1002/nur.21838] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2017] [Accepted: 09/26/2017] [Indexed: 11/09/2022]
Abstract
Grounded in a theoretical model specific to adoptive parents, we examined the relationship between parental expectations and depressive symptoms across time. Assessments of 129 adoptive parents of 64 children were performed at three time points before and after placement of an adopted child with the family: 4-6 weeks pre-placement and 4-6 weeks and 5-6 months post-placement. Expectations were assessed in four dimensions: expectations of self as parents, of the child, of family and friends, and of society. Depressive symptoms were assessed with the Center for Epidemiologic Studies-Depression scale. Associations between parental expectations and depressive symptoms were analyzed, and longitudinal multilevel modeling was conducted to explore influences on expectations over time. Parental expectations changed from pre- to post-placement. With the exception of expectations of self as parent, adoptive parents' pre-adoption expectations were affirmed in the post-adoption time periods. In each expectation dimension, higher affirmation of expectations was correlated with decreased depressive symptoms before and after placement of a child. While parental expectations are not unique to adoptive parents, the essence and characteristics of certain expectations are unique to these parents. When working with adoptive parents, nurses who care for families should assess expectations both pre- and post-placement with awareness of their relationship to depressive symptoms.
Collapse
Affiliation(s)
- Karen J Foli
- Purdue University School of Nursing, Johnson Hall of Nursing, West Lafayette, Indiana
| | - Eunjung Lim
- Office of Biostatistics and Quantitative Health Sciences, University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii
| | - Susan C South
- Purdue University Department of Psychological Sciences, West Lafayette, Indiana
| |
Collapse
|
8
|
Foli KJ, Hebdon M, Lim E, South SC. Transitions of Adoptive Parents: A Longitudinal Mixed Methods Analysis. Arch Psychiatr Nurs 2017; 31:483-492. [PMID: 28927513 PMCID: PMC5657499 DOI: 10.1016/j.apnu.2017.06.007] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2016] [Revised: 02/20/2017] [Accepted: 06/04/2017] [Indexed: 11/29/2022]
Abstract
As adoptive parents create a new family, they face myriad changes both pre-and post-placement of their child. The aim of this study was to describe parent perceptions and depressive symptoms during this transition via reports collected with an online survey. Using content analysis, we analyzed a total of 110 responses from 64 parents at three time points: 4-6weeks pre-placement, and 4-6weeks and 5-6months post-placement. Five main themes were revealed: Transition from uncertainty to a new normal; unique experiences related to adoption; rest/fatigue: out of balance; life stressors; and faith/spirituality. Two subthemes were also identified: previous losses (pre-placement) and joy and love (post-placement). During the transition from pre-to post-placement, adoptive parents experience a unique passage, with both challenges and strengths exclusive to this group of parents. While acknowledging the commonalities of some parenting experiences, healthcare and adoption professionals should recognize the unique dynamics that adoption brings to families.
Collapse
Affiliation(s)
- Karen J Foli
- Purdue University School of Nursing, Johnson Hall of Nursing, 502 N. University Street, Room 234, West Lafayette, IN 47907, United States.
| | - Megan Hebdon
- Radford University School of Nursing, Waldron Hall, Radford, VA 24142, United States
| | - Eunjung Lim
- Office of Biostatistics & Quantitative Health Sciences, University of Hawaii John A. Burns School of Medicine, Biosciences Building, Suite 211, 651 Ilalo Street, Honolulu, HI 96813, United States.
| | - Susan C South
- Purdue University Department of Psychological Sciences, 703 Third Street, West Lafayette, IN 47907, United States.
| |
Collapse
|
9
|
Foli KJ, South SC, Lim E, Jarnecke A. Post-adoption depression: Parental classes of depressive symptoms across time. J Affect Disord 2016; 200:293-302. [PMID: 27155072 PMCID: PMC4887416 DOI: 10.1016/j.jad.2016.01.049] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2015] [Revised: 01/05/2016] [Accepted: 01/24/2016] [Indexed: 10/21/2022]
Abstract
BACKGROUND Approximately 10-15% of birth mothers and fathers experience postpartum depression, but reports of depressive symptoms in adoptive parents are more variable. Findings from investigators range from 10% to 32%, which may mask the experiences of distinct groups of adoptive parents from pre-to post-placement of a child. METHODS We performed latent class growth analysis using the Center for Epidemiologic Studies-Depression scores of 129 primarily heterosexual, adoptive parents (50% females) for three time points: 4-6 weeks pre-placement of the child, 4-6 weeks post-placement, and 5-6 months post-placement. Mixed effects models by parent depressive trajectories were also conducted for three types of variables: interpersonal, psychological symptoms, and life orientation. RESULTS Five classes of depressive symptom trajectories were found. The majority of parents (71%) belonged to a class with low levels of depressive symptoms across time. However, two classes of parents were above the threshold for depressive symptoms at placement, and three classes of parents were above the threshold at 6 months post-placement. The majority of interpersonal, psychological symptom, and life orientation variables were significant across classes and by time. LIMITATIONS The homogeneity of the sample calls for replication of study findings. CONCLUSIONS An explanation for inconsistencies in the range of adoptive parent depressive symptoms may be explained by different subgroups of parents who vary by their trajectory of depressive symptoms before and after placement of the child. Adoption and mental health professionals should be aware that select adoptive parents may struggle pre-and post-placement of a child.
Collapse
Affiliation(s)
- Karen J. Foli
- Purdue University School of Nursing,Corresponding author: Karen J. Foli, PhD, Associate Professor, Purdue University School of Nursing, Johnson Hall of Nursing, 502 N. University Street, West Lafayette, IN 47907; (O): 765 494 4023; fax: 765 494 6339.
| | | | - Eunjung Lim
- Office of Biostatistics and Quantitative Health Sciences, University of Hawaii John A. Burns School of Medicine
| | | |
Collapse
|
10
|
Dørheim SK, Garthus-Niegel S, Bjorvatn B, Eberhard-Gran M. Personality and Perinatal Maternal Insomnia: A Study Across Childbirth. Behav Sleep Med 2016; 14:34-48. [PMID: 25174718 DOI: 10.1080/15402002.2014.941063] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Personality may influence sleep in perinatal women. A follow-up study was conducted among 3,752 pregnant, then postpartum women at Akershus University Hospital, Norway. The Big Five personality dimensions were measured by the Mini-International Personality Item Pool in week 17 of pregnancy. Insomnia was measured by the Bergen Insomnia Scale in pregnancy week 32 and 8 weeks postpartum, along with self-reported sleep times. The Edinburgh Postnatal Depression Scale measured depression, and the Hopkins Symptom Checklist measured anxiety. Adjusted for current anxiety, depression, and demographic variables, the personality traits Neuroticism and Agreeableness were associated with insomnia in pregnancy. No personality traits were associated with postpartum insomnia. Extraversion was associated with longer postpartum sleep duration and better sleep efficiency, and Agreeableness with shorter sleep duration.
Collapse
Affiliation(s)
- Signe K Dørheim
- a MoodNet Research Group Division of Psychiatry , Stavanger University Hospital
| | - Susan Garthus-Niegel
- b Division of Mental Health Norwegian Institute of Public Health ;,c Institute and Outpatient Clinics of Occupational and Social Medicine TU Dresden , Faculty of Medicine
| | - Bjørn Bjorvatn
- d Norwegian Competence Center for Sleep Disorders Haukeland University Hospital.,e Department of Global Public Health and Primary Care University of Bergen
| | - Malin Eberhard-Gran
- b Division of Mental Health Norwegian Institute of Public Health ;,f Health Services Research Center Akershus University Hospital.,g Institute of Clinical Medicine, Campus Akershus University Hospital, University of Oslo
| |
Collapse
|
11
|
Longitudinal Course of Risk for Parental Postadoption Depression. J Obstet Gynecol Neonatal Nurs 2016; 45:210-26. [PMID: 26874267 DOI: 10.1016/j.jogn.2015.12.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/01/2015] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To determine whether the Postpartum Depression Predictors Inventory-Revised (PDPI-R) could be used to reveal distinct classes of adoptive parents across time. DESIGN Longitudinal data were collected via online surveys at 4 to 6 weeks preplacement, 4 to 6 weeks postplacement, and 5 to 6 months postplacement. SETTING Participants were primarily clients of the largest adoption agency in the United States. PARTICIPANTS Participants included 127 adoptive parents (68 mothers and 59 fathers). METHODS We applied a latent class growth analysis to the PDPI-R and conducted mixed effects modeling of class, time, and class × time interaction for the following categories of explanatory variables: parental expectations, interpersonal variables, psychological symptoms, and life orientation. RESULTS Four latent trajectory classes were found. Class 1 (55% of sample) showed a stably low level of PDPI-R scores over time. Class 2 (32%) reported mean scores below the cut-off points at all three time points. Class 3 (8%) started with scores at an intermediate level that increased after postplacement but decreased at 5 to 6 months postplacement. Class 4 (5%) had high mean scores at all three time points. Significant main effects were found for almost all explanatory variables for class and for several variables for time. Significant interactions between class and time were found for expectations about the child and amounts of love and ambivalence in parent's intimate relationship. CONCLUSION Findings may help nurses be alert to trajectories of risk for postadoption depression. Additional factors not included in the PDPI-R may be needed to determine risk for postadoption depression in adoptive parents.
Collapse
|
12
|
Dollberg D, Keren M. CORRELATES OF CHANGE IN POSTINSTITUTIONALIZED INFANTS’ SUSTAINED SOCIAL WITHDRAWAL BEHAVIOR FOLLOWING ADOPTION. Infant Ment Health J 2013. [DOI: 10.1002/imhj.21411] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - Miri Keren
- Geha Mental Health Center and Tel Aviv University Sackler School of Medicine; Petah-Tiqwa Israel
| |
Collapse
|