1
|
Liang Q, Ye Z, Han C, Hong L, Fang J, Huang J, Tang J, Cai Z, Wang R, Liu Y, Wu S, Chen L. Understanding pathways from feeding difficulties of children to mental health risks of mothers at critical stages of childrearing: Does social support make a difference? Heliyon 2024; 10:e37673. [PMID: 39323801 PMCID: PMC11422024 DOI: 10.1016/j.heliyon.2024.e37673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 08/30/2024] [Accepted: 09/08/2024] [Indexed: 09/27/2024] Open
Abstract
Background Identifying the factors influencing mental health of mothers at critical stages of childrearing is significant for the implementation of effective promotion policies and counselling activities. Objective This study aimed to investigate the relationships between children's feeding difficulties, marital quality, parenting quality and maternal mental health risks amidst Chinese mothers with high and low social support using a multi-group structural equation modelling approach. Participants A cross-sectional study was conducted in Wenzhou, China and a total of 772 mothers with children aged 0-3 were surveyed by using purposive sampling. Findings Results showed that of the 772 participants, 23.6 % reported anxiety, 50.1 % reported depression, 91.2 % reported insomnia, and 24 % reported feeding difficulties. The joint occurrence of multiple forms of mental problems is the most commonly reported features of mental health risks among mothers. The positive association between feeding difficulties of children and mental health risks of mothers was mediated by marital quality and parenting quality. In addition, feeding difficulties were not related to mental health risks in high social support group but all the relationships were significant in low social support group. Conclusions These findings highlight the importance of the specific interventions to enhance social support, marital quality and parenting quality for improving mental health of mothers of children with feeding difficulties.
Collapse
Affiliation(s)
- Qi Liang
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Zixin Ye
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Chunchan Han
- The Affiliated Xiangshan Hospital of Wenzhou Medical University, Ningbo, China
| | - Liuzhi Hong
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Juan Fang
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Jiahui Huang
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Jiayi Tang
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Zhaohong Cai
- The Affiliated Xiangshan Hospital of Wenzhou Medical University, Ningbo, China
| | - Ruiliang Wang
- The Affiliated Xiangshan Hospital of Wenzhou Medical University, Ningbo, China
| | - Yanlong Liu
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Shaochang Wu
- Lishui Second People's Hospital, Wenzhou Medical University, Lishui, Zhejiang, China
| | - Li Chen
- The Affiliated Wenzhou Kangning Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China
| |
Collapse
|
2
|
Keskin G, Gümüşsoy S, Taşdemir Yiğitoğlu G. The effect of hopelessness on the perceived partner behaviors during Covid-19 pandemic process. Perspect Psychiatr Care 2022; 58:2800-2810. [PMID: 35762210 PMCID: PMC9350409 DOI: 10.1111/ppc.13127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 03/24/2022] [Accepted: 06/08/2022] [Indexed: 12/01/2022] Open
Abstract
PURPOSE It is aimed to evaluate the effect of hopelessness on the perceived partner behaviors during Covid-19 pandemic process in Turkey. DESIGN Descriptive. METHODS Totally, 486 participants have been included in the study. FINDINGS It has been found that there is a positive correlation between codependence, disconnection, controlling subdimension and hopelessness in both women and men (p < 0.05). PRACTICE IMPLICATIONS In the study, the women and men who evaluate their partners as dependent, disconnected and controlling are hopeless.
Collapse
Affiliation(s)
- Gülseren Keskin
- Atatürk Health Care Vocational SchoolEge UniversityBornova, İzmirTurkey
| | - Süreyya Gümüşsoy
- Atatürk Health Care Vocational SchoolEge UniversityBornova, İzmirTurkey
| | | |
Collapse
|
3
|
Fernández-Medina IM, Granero-Molina J, Hernández-Padilla JM, Jiménez-Lasserrotte MDM, Ruiz-Fernández MD, Fernández-Sola C. Socio-family support for parents of technology-dependent extremely preterm infants after hospital discharge. J Child Health Care 2022; 26:42-55. [PMID: 33599522 DOI: 10.1177/1367493521996490] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Parents of extremely preterm infants (<28 weeks of gestation) report high levels of stress and anxiety related to daily needs after hospital discharge. Social support has a significant role in reducing the negative psychological impact of preterm birth and parents' adaptation to caregiving. We conducted a hermeneutic phenomenological study using Gadamer's approach to explore and describe the experiences of parents of technology-dependent extremely preterm infants of socio-family support after hospital discharge. The study was conducted in four several Spanish organizations for families with preterm infants. It includes 17 semi-structured interviews (12 mothers and 5 fathers). Three main themes emerged from the analysis: post-discharge formal support for extremely preterm infants and families, home neonatal care: family support, and a thread of hope: parent-to-parent support. The parents' main support resources to deal with everyday difficulties are healthcare professionals, their partners, grandmothers, and peer parents of extremely preterm infants. The findings may be used to guide healthcare professionals in the creation of a support program according to preferences and needs of parents.
Collapse
Affiliation(s)
| | - José Granero-Molina
- Department of Nursing, Physiotherapy and Medicine, 16721University of Almería, Spain.,Faculty of Health Sciences, 16721Universidad Autónoma de Chile, Chile
| | - José Manuel Hernández-Padilla
- Department of Nursing, Physiotherapy and Medicine, 16721University of Almería, Spain.,Department of Adult, Child and Midwifery, School of Health and Education, Middlesex University, UK
| | | | | | - Cayetano Fernández-Sola
- Department of Nursing, Physiotherapy and Medicine, 16721University of Almería, Spain.,Faculty of Health Sciences, 16721Universidad Autónoma de Chile, Chile
| |
Collapse
|
4
|
Lutkiewicz K. Social Support, Perceived Stress, Socio-Demographic Factors and Relationship Quality among Polish Mothers of Prematurely Born Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E3876. [PMID: 32486170 PMCID: PMC7312671 DOI: 10.3390/ijerph17113876] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 05/22/2020] [Accepted: 05/27/2020] [Indexed: 11/17/2022]
Abstract
Families with a prematurely born child may be exposed to various difficulties associated with prematurity. The study aimed to explain the relationship between social support and the quality of the partnership among mothers of children born prematurely. In addition, the coexistence of social support, perceived stress and social-demographical factors in the neonatal period was examined. The study group consisted of 260 mothers of preterm born children. Subjects completed The Socio-Demographic Questionnaire, The Social Support Sources Questionnaire (SSQ), The Dyadic Adjustment Scale (DAS) and The Perceived Stress Questionnaire (PSQ). In the second phase of the study, mothers completed The Dyadic Adjustment Scale (DAS). Person's correlation coefficients were used to examine the variables and hierarchical linear regression analyses were performed to examine the relative contributions of social support on partnership relation quality. The study results showed that social support is positively related to partnership relationship quality among mothers of preterm born children. Social support measured in the neonatal period is not connected with relationship quality measured in the early childhood period. Social support is related with the father's level of education and perceived stress corresponds with the level of parents' education. The findings highlight the importance of expanding supportive resources for couples dealing with premature birth, especially among those with a lower level of education and lower financial status.
Collapse
|
5
|
Zdolska-Wawrzkiewicz A, Chrzan-Dętkoś M, Pizuńska D, Bidzan M. Attachment Styles, Various Maternal Representations and A Bond to a Baby. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17103363. [PMID: 32408643 PMCID: PMC7277533 DOI: 10.3390/ijerph17103363] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Revised: 05/07/2020] [Accepted: 05/10/2020] [Indexed: 11/16/2022]
Abstract
(1) Background: The aim of this study was to assess the relationship between: (a) new mothers’ styles of attachment to their own mothers with their representation of self as a mother as well as with their representation of one’s mother as a mother, (b) new mothers’ representation of self as a mother with their representation of one’s own mother as a mother, and (c) their bonds with their children and their styles of attachment to their own mothers. (2) Methods: A total of 86 mothers were interviewed approximately six months postpartum. The Adjective Checklist, a modified version of the Experiences in Close Relationships, and the Postpartum Bonding Questionnaire were used in the study. (3) Results: Analysis revealed a statistically significant relationship between the new mothers’ styles of attachment to their own mothers and both their representation of self as a mother and their representation of one’s mother as a mother. The relationship between representation of self as a mother and representation of one’s mother as a mother was also statistically significant. No statistically significant relationship was observed between the style of attachment to one’s mother and the bond with one’s child six months postpartum. (4) Conclusions: A deeper understanding of the relationship between these variables may improve the help system directed at young mothers.
Collapse
|
6
|
C. Santa-Cruz D, Caparros-Gonzalez RA, Romero-Gonzalez B, Peralta-Ramirez MI, Gonzalez-Perez R, García-Velasco JA. Hair Cortisol Concentrations as a Biomarker to Predict a Clinical Pregnancy Outcome after an IVF Cycle: A Pilot Feasibility Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E3020. [PMID: 32349221 PMCID: PMC7246651 DOI: 10.3390/ijerph17093020] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Revised: 04/21/2020] [Accepted: 04/25/2020] [Indexed: 12/29/2022]
Abstract
Our objective was to examine the feasibility of hair cortisol concentrations (HCC) as a biomarker to predict clinical pregnancy outcomes and investigate its potential associations with perceived anxiety, resilience, and depressive symptoms. A total of 43 participants were assessed using HCC, the state trait anxiety inventory (STAI), resilience scale (RS), and the depression subscale of the symptom checklist 90-R (SCL-90-R). Participants were approached at their second consultation with the reproductive endocrinologist (T1), before scheduling their IVF cycle, and then 12 weeks after (T2), at their post-transfer visit with the study coordinators, before the human chorionic gonadotropin (HCG) pregnancy test. The logistic regression model revealed that HCC at T2 predicted 46% of a positive pregnancy test [R2 = 0.46, (ß = 0.11, p < 0.05)]. Pregnant women had higher levels of resilience at T2 (M = 149.29; SD = 17.56) when compared with non-pregnant women at T2 (M = 119.96; SD = 21.71). Significant differences were found between both groups in depression at T2 (t = 3.13, p = 0.01) and resilience at T2 (t = -4.89, p = 0.01). HCC might be a promising biomarker to calculate the probability of pregnancy in women using assisted reproductive technologies (ART).
Collapse
Affiliation(s)
- Diana C. Santa-Cruz
- Faculty of Health Sciences, Universidad Rey Juan Carlos, Avenida de Atenas, s/n, 28922 Madrid, Spain;
- IVI-RMA Madrid, Avenida del Talgo, 68−70, 28023 Madrid, Spain
| | - Rafael A. Caparros-Gonzalez
- Faculty of Health Sciences, Department of Nursing, University of Granada, 18071 Granada, Spain;
- Mind, Brain and Behavior Research Center (CIMCYC), Faculty of Psychology, University of Granada, 18011 Granada, Spain; (B.R.-G.); (M.I.P.-R.)
| | - Borja Romero-Gonzalez
- Mind, Brain and Behavior Research Center (CIMCYC), Faculty of Psychology, University of Granada, 18011 Granada, Spain; (B.R.-G.); (M.I.P.-R.)
- Faculty of Psychology, Personality, Assessment and Psychological Treatment Department, University of Granada, 18011 Granada, Spain
| | - Maria Isabel Peralta-Ramirez
- Mind, Brain and Behavior Research Center (CIMCYC), Faculty of Psychology, University of Granada, 18011 Granada, Spain; (B.R.-G.); (M.I.P.-R.)
- Faculty of Psychology, Personality, Assessment and Psychological Treatment Department, University of Granada, 18011 Granada, Spain
| | - Raquel Gonzalez-Perez
- Department of Pharmacology, CIBERehd, Instituto de Investigación Biosanitaria ibs GRANADA, School of Pharmacy, University of Granada, 18011 Granada, Spain;
| | - Juan Antonio García-Velasco
- Faculty of Health Sciences, Universidad Rey Juan Carlos, Avenida de Atenas, s/n, 28922 Madrid, Spain;
- IVI-RMA Madrid, Avenida del Talgo, 68−70, 28023 Madrid, Spain
| |
Collapse
|
7
|
Zdolska-Wawrzkiewicz A, Bidzan M, Chrzan-Dętkoś M, Pizuńska D. The Dynamics of Becoming a Mother during Pregnancy and After Childbirth. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 17:ijerph17010057. [PMID: 31861696 PMCID: PMC6982180 DOI: 10.3390/ijerph17010057] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/27/2019] [Revised: 12/13/2019] [Accepted: 12/16/2019] [Indexed: 11/16/2022]
Abstract
Background: The aim of this study was to explore the relationship between one’s maternal attachment style and one’s self-image as a mother, image of one’s mother as a mother, and bond with the child over a period of several months. Methods: A total of 86 women took part in the study The Adjective Check List (ACL), Postpartum Bonding Questionnaire (PBQ), Maternal–Fetal Attachment Scale (MFAS), and a modified version of the Experiences in Close Relationships (ECR) were used. Two measurements were used: during pregnancy and about six months after the birth of the child. Results: In terms of their self-image as mothers, the women had higher results the first time they took the questionnaire, regardless of their attachment style. An interaction effect was found between attachment style and the ‘need for changes’ scale. The image of one’s mother as a mother depended on the level of avoidance in attachment, regardless of the measurement. An interaction effect was found between attachment style and the scale of ‘personal adaptation’. There was a correlation between the bond with the child during pregnancy, the bond following birth, and the style of maternal attachment; the main predictor of the bond with the child after birth is the bond with the child during the pregnancy. Conclusion: Those who provide care for pregnant women and new mothers should be aware of the complex psychological processes in the transition to motherhood, have knowledge about perinatal mental health, and when necessary, refer women to specialists such as support groups for new mothers, trained midwives, psychologists, psychotherapists, or psychiatrists.
Collapse
|