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Prenatal reflective functioning in primiparous women with a high-risk profile

Smaling, Hanneke J.A., Huijbregts, Stephan C.J., Suurland, Jill, Van Der Heijden, Kristiaan B., Van Goozen, Stephanie Helena Maria ORCID: and Swaab, Hanna 2015. Prenatal reflective functioning in primiparous women with a high-risk profile. Infant Mental Health Journal 36 (3) , pp. 251-261. 10.1002/imhj.21506

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The concept of maternal reflective functioning (RF) has been gaining increasing interest as a possible intermediate mechanism in associations between a wide range of psychosocial risk factors and poor child outcomes. The purpose of the present study was to determine which psychosocial risk factors are linked to prenatal RF in a high-risk (HR) group of primiparous women. Differences in prenatal RF between the HR group and a low-risk (LR) control group also were examined. The sample consisted of 162 women (M = 22.22 years, SD = 2.39; 83 classified as HR). RF was coded from the Pregnancy Interview (A. Slade, 2007a). Risk status was assessed by means of the Mini-International Neuropsychiatric Interview-plus (M.I.N.I.-plus; D.V. Sheehan et al., 1997) and several questionnaires. HR women demonstrated significantly lower RF quality than did the LR group. Regression analyses indicated that maternal education, size of social support network, and substance use during pregnancy were the strongest predictors of prenatal RF for the HR group. The results suggest that maternal RF potentially could be an important target for those prevention and intervention programs that aim to reduce adverse psychosocial development in offspring of HR mothers.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Psychology
Neuroscience and Mental Health Research Institute (NMHRI)
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RG Gynecology and obstetrics
Publisher: Wiley-Blackwell
ISSN: 0163-9641
Funders: Netherlands Organization for Scientific Research
Date of Acceptance: 29 January 2015
Last Modified: 07 Nov 2023 02:37

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