Parental Coping, Representations, and Interactions with Their Infants at High Risk of Cerebral Palsy
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design
2.2. Participants
2.3. Procedurals
2.4. Statistical Analysis
3. Results
3.1. Sample Characteristics
3.2. Parental Coping
3.3. Parental Representations
3.4. Parent–Infant Interaction
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Korzeniewski, S.J.; Slaughter, J.; Lenski, M.; Haak, P.; Paneth, N. The complex aetiology of cerebral palsy. Nat. Rev. Neurol. 2018, 14, 528–543. [Google Scholar] [CrossRef] [PubMed]
- Rosenbaum, P.; Paneth, N.; Leviton, A.; Goldstein, M.; Bax, M. A report: The definition and classification of cerebral palsy-April 2006. Dev. Med. Child Neurol. 2007, 49, 8–14. [Google Scholar] [CrossRef]
- Sellier, E.; Platt, M.J.; Andersen, G.L.; Krageloh-Mann, I.; De La Cruz, J.; Cans, C.; Networ, S.C.P. Decreasing prevalence in cerebral palsy: A multi-site European population-based study, 1980 to 2003. Dev. Med. Child Neurol. 2016, 58, 85–92. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Galea, C.; McIntyre, S.; Smithers-Sheedy, H.; Reid, S.M.; Gibson, C.; Delacy, M.; Watson, L.; Goldsmith, S.; Badawi, N.; Blair, E.; et al. Cerebral palsy trends in Australia (1995–2009): A population-based observational study. Dev. Med. Child Neurol. 2019, 61, 186–193. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Bufteac, E.G.; Andersen, G.L.; Torstein, V.; Jahnsen, R. Cerebral palsy in Moldova: Subtypes, severity and associated impairments. BMC Pediatr. 2018, 18, 332. [Google Scholar] [CrossRef]
- Kakooza-Mwesige, A.; Andrews, C.; Peterson, S.; Mangen, F.W.; Eliasson, A.C.; Forssberg, H. Prevalence of cerebral palsy in Uganda: A population-based study. Lancet Glob. Health 2017, 5, E1275–E1282. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- McIntyre, S.; Goldsmith, S.; Webb, A.; Ehlinger, V.; Hollung, S.J.; McConnell, K.; Arnaud, C.; Smithers-Sheedy, H.; Oskoui, M.; Khandaker, G.; et al. Global prevalence of cerebral palsy: A systematic analysis. Dev. Med. Child Neurol. 2022, 64, 1494–1506. [Google Scholar] [CrossRef]
- Novak, I.; Morgan, C.; Adde, L. Early, accurate diagnosis and early intervention in cerebral palsy: Advances in diagnosis and treatment. JAMA Pediatr 2017, 171, 897–907. [Google Scholar] [CrossRef]
- Morgan, C.; Fetters, L.; Adde, L.; Badawi, N.; Bancale, A.; Boyd, R.N.; Chorna, O.; Cioni, G.; Damiano, D.L.; Darrah, J.; et al. Early Intervention for Children Aged 0 to 2 Years With or at High Risk of Cerebral Palsy International Clinical Practice Guideline Based on Systematic Reviews. JAMA Pediatr 2021, 175, 846–858. [Google Scholar] [CrossRef]
- Aydin, R.; Nur, H. Family-centered approach in the management of children with cerebral palsy. Turkiye Fiz. Tip Ve Rehabil. Derg. 2012, 58, 229–235. [Google Scholar] [CrossRef]
- King, S.; Teplicky, R.; King, G.; Rosenbaum, P. Family-Centered Service for Children With Cerebral Palsy and Their Families: A Review of the Literature. Semin. Pediatr. Neurol. 2004, 11, 78–86. [Google Scholar] [CrossRef] [PubMed]
- Eberhard-Gran, M.; Engelsen, L.Y.; Al-Zirqi, I.; Vangen, S. Depressive symptoms and experiences of birthing mothers during COVID-19 pandemic. Tidsskr. Nor. Laegeforen. 2022, 142, 1–9. [Google Scholar] [CrossRef]
- Dennis, C.-L.; Falah-Hassani, K.; Shiri, R. Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis. Br. J. Psychiatry 2017, 210, 315–323. [Google Scholar] [CrossRef]
- Sørbø, M.F.; Grimstad, H.; Bjørngaard, J.H.; Lukasse, M.; Schei, B. Adult physical, sexual, and emotional abuse and postpartum depression, a population based, prospective study of 53,065 women in the Norwegian Mother and Child Cohort Study. BMC Pregnancy Childbirth 2014, 14, 316. [Google Scholar] [CrossRef] [Green Version]
- Condon, J.T.; Boyce, P.; Corkindale, C.J. The First-Time Fathers Study: A prospective study of the mental health and wellbeing of men during the transition to parenthood. Aust. N. Z. J. Psychiatry 2004, 38, 56–64. [Google Scholar] [CrossRef] [PubMed]
- Skjothaug, T.; Smith, L.; Wentzel-Larsen, T.; Moe, V. Prospective fathers’ adverse childhood experiences, pregnancy-related anxiety, and depression during pregnancy. Infant Ment Health J. 2015, 36, 104–113. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Paulson, J.F.; Bazemore, S.D. Prenatal and postpartum depression in fathers and its association with maternal depression: A meta-analysis. JAMA 2010, 303, 1961–1969. [Google Scholar] [CrossRef]
- Pinquart, M. Parenting stress in caregivers of children with chronic physical condition-A meta-analysis. Stress Health 2018, 34, 197–207. [Google Scholar] [CrossRef]
- Wang, H.-Y.; Jong, Y.-J. Parental Stress and Related Factors in Parents of Children with Cerebral Palsy. Kaohsiung J. Med. Sci. 2004, 20, 334–340. [Google Scholar] [CrossRef] [Green Version]
- Ketelaar, M.; Volman, M.J.M.; Gorter, J.W.; Vermeer, A. Stress in parents of children with cerebral palsy: What sources of stress are we talking about? Child Care Hlth Dev 2008, 34, 825–829. [Google Scholar] [CrossRef]
- Gugala, B.; Penar-Zadarko, B.; Pieciak-Kotlarz, D.; Wardak, K.; Lewicka-Chomont, A.; Futyma-Ziaja, M.; Opara, J. Assessment of Anxiety and Depression in Polish Primary Parental Caregivers of Children with Cerebral Palsy Compared to a Control Group, as well as Identification of Selected Predictors. Int. J. Environ. Res. Public Health 2019, 16, 4173. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Cheshire, A.; Barlow, J.H.; Powell, L.A. The psychosocial well-being of parents of children with cerebral palsy: A comparison study. Disabil. Rehabil. 2010, 32, 1673–1677. [Google Scholar] [CrossRef] [PubMed]
- Barreto, T.M.; Bento, M.N.; Barreto, T.M.; Jagersbacher, J.G.; Jones, N.S.; Lucena, R.; Bandeira, I.D. Prevalence of depression, anxiety, and substance-related disorders in parents of children with cerebral palsy: A systematic review. Dev. Med. Child Neurol. 2020, 62, 163–168. [Google Scholar] [CrossRef] [PubMed]
- Obeidat, H.M.; Bond, E.A.; Callister, L.C. The parental experience of having an infant in the newborn intensive care unit. J. Perinat. Educ. 2009, 18, 23–29. [Google Scholar] [CrossRef]
- Cousino, M.K.; Hazen, R.A. Parenting Stress Among Caregivers of Children With Chronic Illness: A Systematic Review. J. Pediatr. Psychol. 2013, 38, 809–828. [Google Scholar] [CrossRef] [Green Version]
- Rentinck, I.C.M.; Ketelaar, M.; Jongmans, M.J.; Gorter, J.W. Parents of children with cerebral palsy: A review of factors related to the process of adaptation. Child Care Health Dev. 2007, 33, 161–169. [Google Scholar] [CrossRef]
- Holmstrom, L.; Eliasson, A.C.; Almeida, R.; Furmark, C.; Weiland, A.L.; Tedroff, K.; Lowing, K. Efficacy of the Small Step Program in a Randomized Controlled Trial for Infants under 12 Months Old at Risk of Cerebral Palsy (CP) and Other Neurological Disorders. J. Clin. Med. 2019, 8, 1016. [Google Scholar] [CrossRef] [Green Version]
- Bradley, R.; Slade, P.; Leviston, A. Low rates of PTSD in men attending childbirth: A preliminary study. Br. J. Clin. Psychol. 2008, 47, 295–302. [Google Scholar] [CrossRef]
- Woody, C.A.; Ferrari, A.J.; Siskind, D.J.; Whiteford, H.A.; Harris, M.G. A systematic review and meta-regression of the prevalence and incidence of perinatal depression. J. Affect. Disord. 2017, 219, 86–92. [Google Scholar] [CrossRef] [Green Version]
- Bronte-Tinkew, J.; Moore, K.A.; Matthews, G.; Carrano, J. Symptoms of Major Depression in a Sample of Fathers of Infants: Sociodemographic Correlates and Links to Father Involvement. J. Fam. Issues 2007, 28, 61–99. [Google Scholar] [CrossRef]
- Madsen, S.A.; Juhl, T. Paternal depression in the postnatal period assessed with traditional and male depression scales. J. Men’s Health Gend. 2007, 4, 26–31. [Google Scholar] [CrossRef]
- Vreeswijk, C.; Maas, A.; van Bakel, H.J.A. Parental representations: A systematic review of the working model of the child interview. Infant Ment. Health J. 2012, 33, 314–328. [Google Scholar] [CrossRef] [PubMed]
- Korja, R.; Savonlahti, E.; Haataja, L.; Lapinleimu, H.; Manninen, H.; Piha, J.; Lehtonen, L. Attachment representations in mothers of preterm infants. Infant Behav. Dev. 2009, 32, 305–311. [Google Scholar] [CrossRef]
- Minde, K.; Tidmarsh, L.; Hughes, S. Nurses’ and physicians’ assessment of mother-infant mental health at the first postnatal visits. J. Am. Acad. Child Adolesc. Psychiatry 2001, 40, 803–810. [Google Scholar] [CrossRef] [PubMed]
- Borghini, A.; Pierrehumbert, B.; Miljkovitch, R.; Muller-Nix, C.; Forcada-Guex, M.; Ansermet, F. Mother’s attachment representations of their premature infant at 6 and 18 months after birth. Infant Ment. Health J. 2006, 27, 494–508. [Google Scholar] [CrossRef] [PubMed]
- Ahlqvist-Bjorkroth, S.; Korja, R.; Junttila, N.; Savonlahti, E.; Pajulo, M.; Raiha, H.; Aromaa, M.; Grp, S.S. Mothers’ and Fathers’ Prenatal Representations in Relation to Marital Distress and Depressive Symptoms. Infant Ment. Health J. 2016, 37, 388–400. [Google Scholar] [CrossRef]
- Benoit, D.; Parker, K.C.H.; Zeanah, C.H. Mothers’ Representations of Their Infants Assessed Prenatally: Stability and Association with Infants’ Attachment Classifications. J. Child Psychol. Psychiatry 1997, 38, 307–313. [Google Scholar] [CrossRef]
- Lindstedt, J.; Korja, R.; Vilja, S.; Ahlqvist-Bjorkroth, S. Fathers’ prenatal attachment representations and the quality of father-child interaction in infancy and toddlerhood. J. Fam. Psychol. 2021, 35, 478–488. [Google Scholar] [CrossRef]
- Zeanah, C.H.; Benoit, D.; Barton, M.; Hirshberg, L. Working model of the child interview coding manual. 1996; unpublished manuscript. [Google Scholar]
- Forcada-Guex, M.; Borghini, A.; Pierrehumbert, B.; Ansermet, F.; Muller-Nix, C. Prematurity, maternal posttraumatic stress and consequences on the mother–infant relationship. Early Hum. Dev. 2011, 87, 21–26. [Google Scholar] [CrossRef]
- Meijssen, D.; Wolf, M.-J.; van Bakel, H.; Koldewijn, K.; Kok, J.; van Baar, A. Maternal attachment representations after very preterm birth and the effect of early intervention. Infant Behav. Dev. 2011, 34, 72–80. [Google Scholar] [CrossRef]
- Barfoot, J.; Meredith, P.; Ziviani, J.; Whittingham, K. Parent-child interactions and children with cerebral palsy: An exploratory study investigating emotional availability, functional ability, and parent distress. Child Care Health Dev. 2017, 43, 812–822. [Google Scholar] [CrossRef] [PubMed]
- Hall, R.A.; De Waard, I.E.; Tooten, A.; Hoffenkamp, H.N.; Vingerhoets, A.J.; van Bakel, H.J. From the father’s point of view: How father’s representations of the infant impact on father-infant interaction and infant development. Early Hum. Dev. 2014, 90, 877–883. [Google Scholar] [CrossRef] [PubMed]
- Sokolowski, M.S.; Hans, S.L.; Bernstein, V.J.; Cox, S.M. Mothers’ representations of their infants and parenting behavior: Associations with personal and social-contextual variables in a high-risk sample. Infant Ment. Health J. 2007, 28, 344–365. [Google Scholar] [CrossRef] [PubMed]
- Korja, R.; Ahlqvist-Björkroth, S.; Savonlahti, E.; Stolt, S.; Haataja, L.; Lapinleimu, H.; Piha, J.; Lehtonen, L. Relations between maternal attachment representations and the quality of mother-infant interaction in preterm and full-term infants. Infant Behav. Dev. 2010, 33, 330–336. [Google Scholar] [CrossRef]
- Magill-Evans, J.; Harrison, M.J.; Burke, S.O. Parent-Child Interactions and Development of Toddlers Born Preterm. West. J. Nurs. Res. 1999, 21, 292–312. [Google Scholar] [CrossRef]
- Feldman, R. Parent–infant synchrony and the construction of shared timing; physiological precursors, developmental outcomes, and risk conditions. J. Child Psychol. Psychiatry 2007, 48, 329–354. [Google Scholar] [CrossRef]
- Festante, F.; Antonelli, C.; Chorna, O.; Corsi, G.; Guzzetta, A. Parent–infant Interaction during the First Year of Life in Infants at High Risk for Cerebral Palsy: A Systematic Review of the Literature. Neural Plast. 2019, 2019, 5759694. [Google Scholar] [CrossRef]
- Minde, K.; Perrotta, M.; Marton, P. Maternal Caretaking and Play with Full-Term and Premature-Infants. J. Child Psychol. Psychiatry 1985, 26, 231–244. [Google Scholar] [CrossRef]
- Korja, R.; Maunu, J.; Kirjavainen, J.; Savonlahti, E.; Haataja, L.; Lapinleimu, H.; Manninen, H.; Piha, J.; Lehtonen, L.; Grp, P.S. Mother-infant interaction is influenced by the amount of holding in preterm infants. Early Hum. Dev. 2008, 84, 257–267. [Google Scholar] [CrossRef]
- Misund, A.R.; Braten, S.; Nerdrum, P.; Pripp, A.H.; Diseth, T.H. A Norwegian prospective study of preterm mother-infant interactions at 6 and 18months and the impact of maternal mental health problems, pregnancy and birth complications. BMJ Open 2016, 6, e009699. [Google Scholar] [CrossRef]
- Steiner, A.M.; Gengoux, G.W.; Smith, A.; Chawarska, K. Parent–Child Interaction Synchrony for Infants At-Risk for Autism Spectrum Disorder. J. Autism Dev. Disord. 2018, 48, 3562–3572. [Google Scholar] [CrossRef] [PubMed]
- Pijl, M.K.J.; Bontinck, C.; Rommelse, N.N.J.; Begum Ali, J.; Cauvet, E.; Niedzwiecka, A.; Falck-Ytter, T.; Jones, E.J.H.; Van den Boomen, C.; Bölte, S.; et al. Parent-child interaction during the first year of life in infants at elevated likelihood of autism spectrum disorder. Infant Behav. Dev. 2021, 62, 101521. [Google Scholar] [CrossRef] [PubMed]
- Anke, T.M.S.; Slinning, K.; Moe, V.; Brunborg, C.; Siqveland, T.S.; Skjelstad, D.V. Mothers with and without bipolar disorder and their infants: Group differences in mother-infant interaction patterns at three months postpartum. BMC Psychiatry 2019, 19, 292. [Google Scholar] [CrossRef] [Green Version]
- Riordan, D.; Appleby, L.; Faragher, B. Mother-infant interaction in post-partum women with schizophrenia and affective disorders. Psychol. Med. 1999, 29, 991–995. [Google Scholar] [CrossRef] [PubMed]
- Hipwell, A.E.; Kumar, R. Maternal psychopathology and prediction of outcome based on mother-infant interaction ratings (BMIS). Br. J. Psychiatry 1996, 169, 655–661. [Google Scholar] [CrossRef]
- Parfitt, Y.; Pike, A.; Ayers, S. The impact of parents’ mental health on parent-baby interaction: A prospective study. Infant Behav. Dev. 2013, 36, 599–608. [Google Scholar] [CrossRef] [Green Version]
- Feldman, R. Maternal versus child risk and the development of parent-child and family relationships in five high-risk populations. Dev. Psychopathol. 2007, 19, 293–312. [Google Scholar] [CrossRef] [Green Version]
- Eliasson, A.C.; Holmstrom, L.; Aarne, P.; Nakeva von Mentzer, C.; Weiland, A.L.; Sjostrand, L.; Forssberg, H.; Tedroff, K.; Lowing, K. Efficacy of the small step program in a randomised controlled trial for infants below age 12 months with clinical signs of CP; a study protocol. BMC Pediatr. 2016, 16, 175. [Google Scholar] [CrossRef] [Green Version]
- Romeiser-Logan, L.; Slaughter, R.; Hickman, R. Single-subject research designs in pediatric rehabilitation: A valuable step towards knowledge translation. Dev. Med. Child Neurol. 2017, 59, 574–580. [Google Scholar] [CrossRef] [Green Version]
- Piper, M.C.; Pinnell, L.E.; Darrah, J.; Maguire, T.; Byrne, P.J. Construction and Validation of the Alberta Infant Motor Scale (Aims). Can. J. Public Health-Rev. Can. Sante Publique 1992, 83, S46–S50. [Google Scholar]
- Abidin, R.R. Parenting Stress Index, 3rd ed.; Psychological Assessment Resource: Odessa, FL, USA, 1995. [Google Scholar]
- Barroso, N.E.; Hungerford, G.M.; Garcia, D.; Graziano, P.A.; Bagner, D.M. Psychometric Properties of the Parenting Stress Index-Short Form (PSI-SF) in a High-Risk Sample of Mothers and Their Infants. Psychol. Assess. 2016, 28, 1331–1335. [Google Scholar] [CrossRef] [PubMed]
- Whiteside-Mansell, L.; Ayoub, C.; McKelvey, L.; Faldowski, R.A.; Hart, A.; Shears, J. Parenting Stress of Low-Income Parents of Toddlers and Preschoolers: Psychometric Properties of a Short Form of the Parenting Stress Index. Parenting 2007, 7, 26–56. [Google Scholar] [CrossRef]
- Haskett, M.E.; Ahern, L.S.; Ward, C.S.; Allaire, J.C. Factor structure and validity of the parenting stress index-short form. J. Clin. Child Adolesc. Psychol. 2006, 35, 302–312. [Google Scholar] [CrossRef] [PubMed]
- Zigmond, A.S.; Snaith, R.P. The Hospital Anxiety and Depression Scale. Acta Psychiatr. Scand. 1983, 67, 361–370. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Bjelland, I.; Dahl, A.A.; Haug, T.T.; Neckelmann, D. The validity of the Hospital Anxiety and Depression Scale-An updated literature review. J. Psychosom. Res. 2002, 52, 69–77. [Google Scholar] [CrossRef]
- Kjaergaard, M.; Wang, C.E.A.; Waterloo, K.; Jorde, R. A study of the psychometric properties of the Beck Depression Inventory-II, the Montgomery and Asberg Depression Rating Scale, and the Hospital Anxiety and Depression Scale in a sample from a healthy population. Scand. J. Psychol. 2014, 55, 83–89. [Google Scholar] [CrossRef]
- Sandnes, K.; Lydersen, S.; Karstad, S.B.; Berg-Nielsen, T.S. Measuring mothers’ representations of their infants: Psychometric properties of the clinical scales of the working model of the child interview in a low- to moderate-risk sample. Infant Ment. Health J. 2021, 42, 690–704. [Google Scholar] [CrossRef]
- Clark, R. The Parent– Child Early Relational Assessment: Instrument and Manual; University of Wisconsin: Madison, WI, USA, 1985. [Google Scholar]
- Lotzin, A.; Lu, X.; Kriston, L.; Schiborr, J.; Musal, T.; Romer, G.; Ramsauer, B. Observational tools for measuring parent–infant interaction: A systematic review. Clin. Child Fam. Psychol. Rev. 2015, 18, 99–132. [Google Scholar] [CrossRef]
- Gisev, N.; Bell, J.S.; Chen, T.F. Interrater agreement and interrater reliability: Key concepts, approaches, and applications. Res. Soc. Adm. Pharm. 2013, 9, 330–338. [Google Scholar] [CrossRef]
- George, D.; Mallery, P. SPSS for Windows Step by Step: A Simple Guide and Reference. 11.0 Update, 4th ed.; Allyn & Bacon: Boston, MA, USA, 2003. [Google Scholar]
- Corp, I. IBM SPSS Statistics for Windows, Version 27.0.; IBM Corp: Armonk, NY, USA, 2020. [Google Scholar]
- Whittingham, K.; Wee, D.; Sanders, M.R.; Boyd, R. Sorrow, coping and resiliency: Parents of children with cerebral palsy share their experiences. Disabil. Rehabil. 2013, 35, 1447–1452. [Google Scholar] [CrossRef] [Green Version]
- Austin, A.E.; Lesak, A.M.; Shanahan, M.E. Risk and protective factors for child maltreatment: A review. Curr. Epidemiol. Rep. 2020, 7, 334–342. [Google Scholar] [CrossRef] [PubMed]
- Schmücker, G.; Brisch, K.H.; Köhntop, B.; Betzler, S.; Österle, M.; Pohlandt, F.; Pokorny, D.; Laucht, M.; Kächele, H.; Buchheim, A. The influence of prematurity, maternal anxiety, and infants’ neurobiological risk on mother-infant interactions. Infant Ment. Health J. 2005, 26, 423–441. [Google Scholar] [CrossRef] [PubMed]
- Bradley, R.; Slade, P. A review of mental health problems in fathers following the birth of a child. J. Reprod. Infant Psychol. 2011, 29, 19–42. [Google Scholar] [CrossRef]
Characteristics Parents | Total n = 19 | Mothers n = 10 | Fathers n = 9 | |
---|---|---|---|---|
Language (n) | ||||
Norwegian | 10 | 7 | 7 | |
Other * | 5 | 3 | 2 | |
Mean age in years (min-max) | 34 (25–57) 2 | 32 (25–42) 1 | 36 (28–57) 1 | |
Highest degree (n) | ||||
Upper secondary school | 3 | 3 | 0 | |
Vocational training | 4 | 2 | 2 | |
Bachelor’s degree | 7 | 4 | 3 | |
Master’s or doctoral degree | 5 | 2 | 3 | |
Characteristics infants | Total n = 11 | |||
Gender: Female/Male (n) | 4/7 | |||
Gestational age | ||||
Mean gestational age: weeks (range; ± SD) | 35.6 (24.6–41.4; ± 5.3) | |||
Term/preterm (n) | 7/4 | |||
Risk factors for cerebral palsy (n) | ||||
GMs: absent/sporadic fidgety movements | 6/5 | |||
HINE scores: suboptimal < 57/normal | 10/1 | |||
MRI: abnormal | 11 | |||
AIMS: ≤ 5th percentile/5th - 10th percentile | 6/5 | |||
Additional impairments (n) | ||||
Epilepsy | 2 | |||
Cortical visual impairment | 2 | |||
Hearing impairment | 2 | |||
Hydrocephalus, shunt | 2 | |||
Nasogastric intubation | 2 | |||
Bronchopulmonary dysplasia | 1 | |||
Corrected age at baseline | ||||
Mean age baseline 1: months (range; ± SD) | 4.2 (3.5–6.7; ± 0.9) | |||
Mean age baseline 2: months (range; ± SD) | 4.8 (4.0–7.2; ± 0.8) | |||
Mean age baseline 3: months (range; ± SD) | 5.3 (4.5–7.7; ± 0.9) | |||
Family (n) | ||||
Living with both parents: Yes/No | 9/2 | |||
Number of siblings: 0/1/2/3 | 1/8/1/1 |
Variable | Percentages (n) | Mean (SD) | 95% CI |
---|---|---|---|
Parenting stress | |||
PSI-SF total 1 | 100 (15) | 77.4 (26.5) | 61.7–93.5 |
Fathers | 78.0 (27.6) | 56.9–99.1 | |
Mothers | 76.5 (27.5) | 47.5–105.5 | |
Low level 2 | 26.7 (4) | ||
Normal level 2 | 46.6 (7) | ||
High level 2 | 0 | ||
Clinically 2 | 26.7 (4) | ||
Anxiety (HADS-A) 3 | |||
Total | 100 (19) | 7.5 (4.9) | 4.0–9.7 |
Fathers | 6.2 (4.6) | 2.7–9.8 | |
Mothers | 8.6 (5.1) | 4.9–12.3 | |
Normal | 47.4 (9) | ||
Borderline | 15.8 (3) | ||
Abnormal | 36.8 (7) | ||
Depression (HADS-D) 3 | |||
Total | 100 (19) | 5.3 (4.2) | 2.4–7.5 |
Fathers | 3.8 (3.3) | 1.3–6.3 | |
Mothers | 6.7 (4.5) | 3.5–9.9 | |
Normal | 68.4 (13) | ||
Borderline | 15.8 (3) | ||
Abnormal | 15.8 (3) |
WMCI | n | Mean (SD) | 95% CI |
---|---|---|---|
Qualitative Scales | |||
Richness of Perceptions | 19 | 3.7 (1.0) | 3.2–4.1 |
Fathers | 8 | 3.9 (0.4) | 2.9–4.8 |
Mothers | 11 | 3.6 (0.3) | 2.9–4.2 |
Openness to Change | 19 | 3.7 (1.0) | 3.3–4.2 |
Fathers | 8 | 4.0 (0.3) | 3.2–4.8 |
Mothers | 11 | 3.6 (0.3) | 2.9–4.2 |
Intensity of Involvement | 19 | 3.6 (1.1) | 3.1–4.1 |
Fathers | 8 | 3.9 (0.4) | 2.9–4.8 |
Mothers | 11 | 3.5 (0.3) | 2.8–4.1 |
Coherence | 19 | 4.0 (0.9) | 3.5–4.4 |
Fathers | 8 | 4.1 (0.3) | 3.4–4.8 |
Mothers | 11 | 3.8 (0.3) | 3.2–4.4 |
Caregiving Sensitivity | 19 | 3.9 (0.9) | 3.5–4.3 |
Fathers | 8 | 4.1 (0.2) | 3.6–4.7 |
Mothers | 11 | 3.7 (0.3) | 3.1–4.4 |
Acceptance | 19 | 3.8 (1.0) | 3.4–4.3 |
Fathers | 8 | 3.9 (0.4) | 3.1–4.7 |
Mothers | 11 | 3.8 (0.3) | 3.1–4.5 |
Content Scales | |||
Infant Difficulty | 19 | 2.4 (1.1) | 1.8–2.9 |
Father | 8 | 2.5 (0.3) | 1.7–3.3 |
Mother | 11 | 2.3 (0.4) | 1.4–3.1 |
Fear for the Infant’s Safety | 19 | 2.7 (0.9) | 2.3–3.1 |
Father | 8 | 2.5 (0.3) | 1.9–3.1 |
Mother | 11 | 2.8 (0.3) | 2.2–3.5 |
Subscales | n | Mean (SD) | 95% CI |
---|---|---|---|
Parental Positive Affective Involvement, Sensitivity and Responsiveness | 19 | 3.5 (0.5) | 3.2–3.7 |
Fathers | 8 | 3.3 (0.2) | 2.9–3.8 |
Mothers | 11 | 3.6 (0.1) | 3.3–3.9 |
Parental Negative Affect and Behavior | 19 | 4.0 (0.4) | 3.7–4.1 |
Fathers | 8 | 3.8 (0.2) | 3.5–4.2 |
Mothers | 11 | 4.1 (0.1) | 3.8–4.3 |
Infant Positive Affect, Communicative and Social Skills | 19 | 3.3 (0.5) | 2.9–3.5 |
Fathers | 8 | 3.4 (0.2) | 3.0–3.8 |
Mothers | 11 | 3.2 (0.1) | 2.9–3.5 |
Infant Dysregulation and Irritability | 19 | 4.1 (0.4) | 3.8–4.2 |
Fathers | 8 | 4.1 (0.1) | 3.9–4.3 |
Mothers | 11 | 4.0 (0.1) | 3.7–4.3 |
Dyadic Mutuality and Reciprocity | 19 | 2.9 (0.6) | 2.5–3.2 |
Fathers | 8 | 3.0 (0.3) | 2.4–3.6 |
Mothers | 11 | 2.9 (0.1) | 2.5–3.2 |
Dyadic Tension | 19 | 3.5 (0.5) | 3.2–3.7 |
Fathers | 8 | 3.5 (0.2) | 3.1–4.0 |
Mothers | 11 | 3.5 (0.2) | 3.2–3.9 |
Items | n | Mean (SD) | 95% CI | |
---|---|---|---|---|
Parental items strength area | ||||
Annoyed, Angry, Hostile Tone of Voice | 19 | 4.9 (0.3) | 4.7–5.1 | |
Warm, Kind Tone of Voice | 19 | 4.2 (0.7) | 3.8–4.5 | |
Expressed Negative Affect | 19 | 4.4 (0.6) | 4.1–4.7 | |
Irritable/Frustrated/Angry Mood | 19 | 4.9 (0.2) | 4.8–5.1 | |
Depressed Mood | 19 | 4.2 (0.8) | 3.8–4.6 | |
Displeasure, Disapproval, Criticism | 19 | 4.6 (0.5) | 4.3–4.8 | |
Negative Physical Contact | 19 | 4.4 (0.7) | 4.0–4.7 | |
Amount of Visual Contact with Child | 19 | 4.4 (0.5) | 4.1–4.6 | |
Responsivity to Child’s Negative or Unresponsive behavior | 19 | 4.3 (0.6) | 4.0–4.6 | |
Infant items strength area | ||||
Apathetic, Withdrawn, Depressed Mood | 19 | 4.0 (0.7) | 3.7–4.3 | |
Irritable/Frustrated/Angry Mood | 19 | 4.2 (0.5) | 4.0–4.5 | |
Emotion Lability | 19 | 4.9 (0.2) | 4.8–5.1 | |
Robustness | 19 | 4.3 (0.6) | 4.0–4.6 | |
Consolability/Soothability | 19 | 4.6 (0.7) | 4.1–5.1 | |
Dyad items strength area | ||||
Frustrated, Angry, Hostile | 19 | 4.5 (0.5) | 4.2–4.7 | |
Tension, Anxiety | 19 | 4.0 (0.7) | 3.6–4.4 | |
Parent items concern area | ||||
Amount of Verbalization | 19 | 2.8 (0.8) | 2.4–3.6 | |
Infant items concern area | ||||
Social Behavior of Infant-Initiates | 19 | 2.9 (0.9) | 2.5–3.4 | |
Quality of Exploratory Play | 19 | 2.8 (1.0) | 2.3–3.3 | |
Communicative Competence | 19 | 2.7 (0.6) | 2.4–3.0 | |
Dyadic items concern area | ||||
Mutual Enthusiasm, Joyfulness, Enjoyment, Dyadic “Joie de Vivre” | 19 | 2.8 (0.7) | 2.5–3.1 | |
Reciprocity | 19 | 2.7 (0.7) | 2.4–3.0 |
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Kårstad, S.B.; Bjørseth, Å.; Lindstedt, J.; Brenne, A.S.; Steihaug, H.; Elvrum, A.-K.G. Parental Coping, Representations, and Interactions with Their Infants at High Risk of Cerebral Palsy. J. Clin. Med. 2023, 12, 277. https://doi.org/10.3390/jcm12010277
Kårstad SB, Bjørseth Å, Lindstedt J, Brenne AS, Steihaug H, Elvrum A-KG. Parental Coping, Representations, and Interactions with Their Infants at High Risk of Cerebral Palsy. Journal of Clinical Medicine. 2023; 12(1):277. https://doi.org/10.3390/jcm12010277
Chicago/Turabian StyleKårstad, Silja Berg, Åse Bjørseth, Johanna Lindstedt, Anne Synnøve Brenne, Helene Steihaug, and Ann-Kristin Gunnes Elvrum. 2023. "Parental Coping, Representations, and Interactions with Their Infants at High Risk of Cerebral Palsy" Journal of Clinical Medicine 12, no. 1: 277. https://doi.org/10.3390/jcm12010277
APA StyleKårstad, S. B., Bjørseth, Å., Lindstedt, J., Brenne, A. S., Steihaug, H., & Elvrum, A.-K. G. (2023). Parental Coping, Representations, and Interactions with Their Infants at High Risk of Cerebral Palsy. Journal of Clinical Medicine, 12(1), 277. https://doi.org/10.3390/jcm12010277