Prenatal Predictors of Maternal-infant Attachment

Background. Increasingly, occupational therapists are working with women in the perinatal period, including supporting the developing mother-child relationship. Purpose. To examine prenatal predictors of maternal-infant attachment (maternal-fetal attachment, sensory patterns, adult attachment, perinatal loss, and mental health) that may provide possible avenues for assessment and intervention by occupational therapists. Method. Women (N = 60) were assessed during pregnancy and within one year postpartum in a cohort study. Independent t-tests, correlations, and multivariate regression models were conducted. Findings. Low threshold maternal sensory patterns, more insecure adult attachment, and poorer quality of maternal-fetal attachment were each correlated with less optimal maternal-infant attachment. Quality of prenatal attachment was the best predictor of overall postnatal attachment in multivariate regression models. Implications. Occupational therapists working in a range of clinical settings (e.g., mental health, substance use, and perinatal care) may work with women during pregnancy to promote their relationship with their developing baby in utero and after birth.

Download Full-text

The mediating role of prenatal depression in adult attachment and maternal-fetal attachment in primigravida in the third trimester

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03779-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ling Zhang ◽

Lei Wang ◽

Qiuyu Yuan ◽

Cui Huang ◽

Shu Cui ◽

...

Keyword(s):

Maternal Depression ◽

Adult Attachment ◽

Depression Scale ◽

Depression Score ◽

Prenatal Depression ◽

Mediating Role ◽

Maternal Fetal Attachment ◽

Close Relationship ◽

General Data ◽

Fetal Attachment

Abstract Background Prenatal depression and adult attachment are factors that affect the establishment of an intimate relationship between a mother and fetus. The study explored differences in prenatal depression and maternal-fetal attachment (MFA) scores between different types of adult attachment and the effects of maternal depression scores and attachment dimensions on maternal intimacy with the fetus. Methods The Edinburgh Postnatal Depression Scale (EPDS), Experience of Close Relationship (ECR) scale, Maternal Antenatal Attachment Scale (MAAS) and a general data scale were used to investigate 260 primigravida. An exploratory analysis was performed to analyze the effects of the depression score and adult attachment on MFA. Results The results showed that pregnant women with insecure attachment exhibited an increased prevalence of prenatal depression, lower total MFA scores, and lower MFA quality compared with those women with secure adult attachment. The explorative analysis showed that the depression scores mediated the relationship between adult attachment avoidance and MFA quality. Conclusions Primigravida who had insecure adult attachment exhibited an increased prevalence of prenatal depression and lower MFA. Maternal depression and adult attachment may affect the emotional bond between a mother and fetus. This finding should be seriously considered, and timely intervention needs to take personality traits into consideration.

Download Full-text

Preoperative Mental Health Has a Stronger Association with Baseline Self-Assessed Knee Scores than Defect Morphology in Patients Undergoing Cartilage Repair

Cartilage ◽

10.1177/1947603518783484 ◽

2018 ◽

Vol 11 (3) ◽

pp. 309-315

Author(s):

Jakob Ackermann ◽

Takahiro Ogura ◽

Robert A. Duerr ◽

Alexandre Barbieri Mestriner ◽

Andreas H. Gomoll

Keyword(s):

Mental Health ◽

Multivariate Regression ◽

Regression Models ◽

Health Management ◽

Short Form ◽

Strong Association ◽

Patient Characteristics ◽

International Knee Documentation Committee ◽

Cartilage Defects ◽

Bivariate Correlation

ObjectiveThe purpose of this study was to assess potential correlations between the mental component summary of the Short Form–12 (SF-12 MCS), patient characteristics or lesion morphology, and preoperative self-assessed pain and function scores in patients undergoing autologous chondrocyte implantation (ACI).DesignA total of 290 patients underwent ACI for symptomatic cartilage lesions in the knee. One hundred and seventy-eight patients were included in this study as they completed preoperative SF-12, Knee injury and Osteoarthritis Outcome Score (KOOS), Tegner, Lysholm, and International Knee Documentation Committee (IKDC) scores. Age, sex, smoker status, body mass index, Worker’s Compensation, previous surgeries, concomitant surgeries, number of defects, lesion location in the patella, and total defect size were recorded for each patient. Pearson’s correlation and multivariate regression models were used to distinguish associations between these factors and preoperative knee scores.ResultsThe SF-12 MCS showed the strongest bivariate correlation with all KOOS subgroups ( P < 0.001) (except KOOS Symptom; P = 0.557), Tegner ( P = 0.005), Lysholm ( P < 0.001), and IKDC scores ( P < 0.001). In the multivariate regression models, the SF-12 MCS showed the strongest association with all KOOS subgroups ( P < 0.001) (except KOOS Symptom; P = 0.91), Lysholm ( P = 0.001), Tegner ( P = 0.017), and IKDC ( P < 0.001).ConclusionIn patients with symptomatic cartilage defects of the knee, preoperative patient mental health has a strong association with self-assessed pain and functional knee scores. Further studies are needed to determine if preoperative mental health management can improve preoperative symptoms and postoperative outcomes.

Download Full-text

The effect of maternal-fetal attachment education on pregnant women’s mental health

Journal of Health Technology Assessment in Midwifery ◽

10.31101/jhtam.1043 ◽

2019 ◽

Vol 2 (1) ◽

pp. 50-58

Author(s):

Perwitasari Perwitasari ◽

Mohammad Hakimi ◽

Anjarwati Anjarwati

Keyword(s):

Mental Health ◽

Pregnant Women ◽

Community Health Centers ◽

Mental Health Problems ◽

Sampling Technique ◽

Control Group ◽

Women’S Mental Health ◽

Women's Mental Health ◽

Maternal Fetal Attachment ◽

Fetal Attachment

Physiological and psychological changes in pregnancy have a considerable effect on mother’s wellbeing. Hence, in this period pregnant women are vulnerable to develop mental health difficulties due to hormonal alterations and other external factors. Mental health problems during pregnancy may impact to child’s growth and psychological development. The aim of this study was to determine the effect of maternal-fetal attachment (MFA) education on the scores of mental health disorders among pregnant women. This study was quasy-experimental. The sample were 55 pregnant women (28=control group, 27=experimental group) who registered in Community Health Centers. Participants were selected by consecutive sampling technique. Data collection tools were EPDS, SRQ, SSQ-6, and demographic questionnaire. These questionnaires were filled out by both groups as pre-test and two weeks later. The data were analyzed by paired and independent t-test in SPSS/20 with significant levels p0,05). This study indicated that maternal-fetal attachment education might contribute in improving pregnant women’s mental health. The future study should be tested in larger sample sizes with more than two weeks follow up to confirm these results.

Download Full-text

Sense of Coherence, Social Support, Maternal-Fetal Attachment, and Antenatal Mental Health: A Survey of Expecting Mothers in Urban India

Frontiers in Global Women's Health ◽

10.3389/fgwh.2021.714182 ◽

2021 ◽

Vol 2 ◽

Author(s):

Moksha Pasricha ◽

Suhaavi Kochhar ◽

Ashumi Shah ◽

Avantika Bhatia

Keyword(s):

Mental Health ◽

Social Support ◽

Psychosocial Factors ◽

Sense Of Coherence ◽

Perceived Social Support ◽

Well Being ◽

Antenatal Depression ◽

Maternal Fetal Attachment ◽

Urban India ◽

Fetal Attachment

Introduction: Pregnancy is associated with psychological, physiological and social shifts, and can be a vulnerable time in a woman's life. Despite a growing understanding of the importance of antenatal mental health, there is a paucity of research on psychosocial factors relevant to this phase, especially in developing countries. The aim of the present study was to investigate the associations of expecting mothers' sense of coherence, perceived social support, and maternal-fetal attachment with mental health outcomes.Method: Participants (N = 122) were nulliparous expectant mothers residing in urban India. Cross-sectional data was collected using an online questionnaire.Results: Participant reports of perceived social support and sense of coherence were negatively correlated with symptoms of antenatal depression, while reports of maternal-fetal attachment, sense of coherence, and social support were positively associated with antenatal well-being. In a multilinear regression model, perceived social support and sense of coherence uniquely contributed to symptoms of antenatal depression, while maternal-fetal attachment and sense of coherence uniquely contributed to antenatal well-being.Discussion: The findings of this study highlight the role of perceived social support, sense of coherence and maternal-fetal attachment in contributing to expecting mothers' mental health and well-being in urban India. These findings have implications for clinical practice and research, intending to the subjective experiences of pregnant women to improve antenatal mental health. Future research investigating these psychosocial factors using longitudinal designs is warranted and would help clinicians and practitioners identify women at risk for perinatal mental health concerns.

Download Full-text

Logistic regression models for predicting physical and mental health-related quality of life in rheumatoid arthritis patients

Modern Rheumatology ◽

10.3109/s10165-008-0092-6 ◽

2008 ◽

Vol 18 (6) ◽

pp. 601-608 ◽

Cited By ~ 19

Author(s):

Gholam Hossein Alishiri ◽

Noushin Bayat ◽

Ali Fathi Ashtiani ◽

Seyed Abbas Tavallaii ◽

Shervin Assari ◽

...

Keyword(s):

Quality Of Life ◽

Rheumatoid Arthritis ◽

Mental Health ◽

Regression Models ◽

Health Related Quality ◽

Physical And Mental Health ◽

Logistic Regression Models ◽

Related Quality ◽

Health Related

Download Full-text

Variables associated with interprofessional collaboration: a comparison between primary healthcare and specialized mental health teams

BMC Family Practice ◽

10.1186/s12875-019-1076-7 ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Nicolas Ndibu Muntu Keba Kebe ◽

François Chiocchio ◽

Jean-Marie Bamvita ◽

Marie-Josée Fleury

Keyword(s):

Mental Health ◽

Organizational Support ◽

Multivariate Regression ◽

Regression Models ◽

Knowledge Integration ◽

Interprofessional Collaboration ◽

Primary Care Teams ◽

Specialized Service ◽

Specialized Mental Health ◽

Associated Variables

Abstract Background This study has two aims: first, to identify variables associated with interprofessional collaboration (IPC) among a total of 315 Quebec mental health (MH) professionals working in MH primary care teams (PCTs, N = 101) or in specialized service teams (SSTs, N = 214); and second, to compare IPC associated variables in MH-PCTs vs MH-SSTs. Methods A large number of variables acknowledged as strongly related to IPC in the literature were tested. Multivariate regression models were performed on MH-PCTs and MH-SSTs respectively. Results Results showed that knowledge integration, team climate and multifocal identification were independently and positively associated with IPC in both MH-PCTs and MH-SSTs. By contrast, knowledge sharing was positively associated with IPC in MH-PCTs only, and organizational support positively associated with IPC in MH-SSTs. Finally, one variable (age) was significantly and negatively associated with IPC in SSTs. Conclusions Improving IPC and making MH teams more successful require the development and implementation of differentiated professional skills in MH-PCTs and MH-SSTs by care managers depending upon the level of care required (primary or specialized). Training is also needed for the promotion of interdisciplinary values and improvement of interprofessional knowledge regarding IPC.

Download Full-text

The effect of maternal–fetal attachment education on maternal mental health

TURKISH JOURNAL OF MEDICAL SCIENCES ◽

10.3906/sag-1204-97 ◽

2013 ◽

Vol 43 ◽

pp. 815-820 ◽

Cited By ~ 7

Author(s):

Elieh ABASI ◽

Mahin TAFAZZOLI ◽

Habibolah ESMAILY ◽

Hossain HASANABADI

Keyword(s):

Mental Health ◽

Maternal Mental Health ◽

Maternal Fetal Attachment ◽

Fetal Attachment

Download Full-text

The Recovery Paradigm: Should Occupational Therapists be Interested?

Canadian Journal of Occupational Therapy ◽

10.1177/000841740507200204 ◽

2005 ◽

Vol 72 (2) ◽

pp. 96-102 ◽

Cited By ~ 30

Author(s):

Karen L. Rebeiro Gruhl

Keyword(s):

Mental Health ◽

Occupational Therapy ◽

Paradigm Shift ◽

Occupational Therapists ◽

Leadership Role ◽

Research And Practice ◽

Professional Beliefs ◽

Mental Health Literature ◽

Practice Method

Background. The mental health literature attests to a paradigm shift from an emphasis on treatment towards a focus on fostering recovery. This paradigm emphasizes many constructs familiar to occupational therapists, including quality of life, empowerment, hope, meaningful activities and work. Occupational therapists are not only familiar with these terms, but have addressed recovery-related constructs in both research and practice. Method and Purpose. Literature on the recovery paradigm, mental health and occupational therapy was reviewed to gain an understanding of this paradigm and its relationship to occupational therapy in mental health. Result. Core occupational therapy beliefs and assumptions are strikingly similar to those purported to be important to fostering recovery. Implications. Occupational therapists should consider taking a keen interest in the construct of recovery. By virtue of professional beliefs and assumptions, occupational therapists are uniquely positioned to assume a leadership role in the area of recovery—related research and practice.

Download Full-text

Rapid quality assessment of bread using developed multivariate models: A simple predictive modeling approach

Progress in Agricultural Engineering Sciences ◽

10.1556/446.2020.00001 ◽

2020 ◽

Author(s):

Aidin Pahlavan ◽

Mohammad Hassan Kamani ◽

Amir Hossein Elhamirad ◽

Zahra Sheikholeslami ◽

Mohammad Armin ◽

...

Keyword(s):

Regression Analysis ◽

Linear Regression ◽

Predictive Modeling ◽

Multivariate Regression ◽

Regression Models ◽

Multivariate Regression Analysis ◽

Multivariate Models ◽

Barbari Bread ◽

Non Destructive

AbstractThis study was focused on the assessment of relationships among the properties of wheat and their resultant flour, dough and final bread. For this purpose, multivariate linear regression in the form of the step-wise algorithm was applied to evaluate the relation among the flour characteristics of wheat with quality of dough and the final breads (Barbari and Lavash). The results showed that variety of wheat (Orum, Pishgam, and Zareh) could not affect the moisture content and quantity of the flour residue; however, considerable variation was observed on protein content and Zeleny number. The multivariate regression analysis built appropriate models to predict the hardness of the Barbari bread (R2 = 0.98) and specific volume of the Lavash bread (R2 = 0.98). Overall, the results indicated that the regression models in the form of step-wise might be useful as a non-destructive technique for assessing quality of bread.

Download Full-text

Training occupational therapists in how to use cognitive behavioral therapy in their practice

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1366 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S741-S741

Author(s):

M. Slepecky ◽

M. Huri ◽

S. Sahin ◽

H. Kayihan ◽

J. Prasko ◽

...

Keyword(s):

Mental Health ◽

Mental Health Professionals ◽

Health Professionals ◽

Technical Assistance ◽

Behavioral Therapy ◽

Good Practice ◽

Occupational Therapists ◽

Psychological Problem ◽

Rehabilitation Care

IntroductionCognitive behavior therapy (CBT), which is used by mental health professionals including occupational therapists (OT) is a time-sensitive, structured, present-oriented therapy directed toward solving current problems and teaching clients skills to modify dysfunctional thinking and behavior.ObjectivesSupporting the development of CBT theory and efficient use by mental health professionals are vital.AimTo present the results of CBT training for OTs, which was funded by “European Union technical assistance for increasing the employability of people with disabilities” project (Europe Aid/136449/IH/SER/TR).MethodsUsing a basic CBT theoretical framework the participants attended 96 hour face to face training modules with written materials including fundamental features, preconditions and methods used in CBT. A Turkish CBT book was published for course. Participants trained their skills under supervision and send the results to educators. Pre-post of training CBT knowledge and quality of training (plan-contents, educators, and environment) were evaluated by 5-Likert scale.ResultsThirty OTs (f = 23, m = 7) mostly 43.3% PhD; 20–25 (30%) and 45–50 (26.7%) years age period were included. Total mean score for quality of education was 109.4 ± 29.4 with 23.63 ± 4.34, 47.36 ± 6.41, 38.40 ± 21.61 for plan-contents, educators, and environment subscores, respectively. CBT knowledge was increased from 15.70 ± 6.08 to 45.06 ± 4.59 (P < 0.001).ConclusionTraining increased CBT awareness and practice skills of OTs. Teaching OTs CBT may increase their understanding of person-environment-occupation approach, psychological problem solving, occupational engagement and participation of individuals. Our result supports that mental health professionals should collaborate to share ideas, develop guidelines and promote good practice examples in client-centered and holistic rehabilitation care.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Download Full-text