Disorganized infant attachment classification and
maternal psychosocial problems as predictors of hostile — aggressive behavior in the preschool classroom
Disorganized infant attachment classification and
maternal psychosocial problems as predictors of hostile - aggressive behavior in the preschool classroom.
Not exact matches
Paternal depression is associated negative child outcomes, including emotional and behavioral
problems.14 Although paternal depression does not expose fetuses and infants to the same intrauterine / physiological risks as
maternal depression, paternal genetic and
psychosocial factors may act directly on the child and indirectly through their effect on
maternal well - being.5, 15
Mothers were eligible to participate if they did not require the use of an interpreter, and reported one or more of the following risk factors for poor
maternal or child outcomes in their responses to routine standardised
psychosocial and domestic violence screening conducted by midwives for every mother booking in to the local hospital for confinement:
maternal age under 19 years; current probable distress (assessed as an Edinburgh Depression Scale (EDS) 17 score of 10 or more)(as a lower cut - off score was used than the antenatal validated cut - off score for depression, the term «distress» is used rather than «depression»; use of this cut - off to indicate those distressed approximated the subgroups labelled in other trials as «psychologically vulnerable» or as having «low psychological resources» 14); lack of emotional and practical support; late antenatal care (after 20 weeks gestation); major stressors in the past 12 months; current substance misuse; current or history of mental health
problem or disorder; history of abuse in mother's own childhood; and history of domestic violence.
As with other screening (developmental and behavioral,
psychosocial) initiatives in practice, there have been perceived barriers to implementation, including lack of time, incomplete training to diagnose / counsel, lack of adequate mental health referral sources, fear that screening means ownership of the
problem, and lack of reimbursement.36 However, since 2000, there have been many successful models of screening in primary care practices, including developmental and behavioral screening,
maternal depression screening, and
psychosocial screening.
Only a limited number of well - validated screens suitable for use in primary care for broad screening of family
psychosocial risk and family support and functioning are available, although a few show promise.54 — 56 There are screening measures for specific
psychosocial stressors, such as
maternal depression, and these have been shown to be feasible in pediatric settings.57, 58 Family screening for
psychosocial risk within pediatric settings, however, raises a number of dilemmas, including concerns about liability and payment and who is responsible for an adult's well - being after a
problem is detected.59
Several of the most commonly identified risk factors in previous research were identified in this study, including being male, membership in a single - parent or stepfamily, 5 high levels of parent - reported childhood activity, 23,24
maternal mental health
problems, 25 and a history of teenage parenthood.26 What is relatively novel about this report is the consideration of the joint effects of
psychosocial risk factors, while controlling for multiple indicators of social class and the assessment of both accidents and illnesses in a large community sample followed prospectively since pregnancy.
Better
psychosocial assessment tools and procedures could facilitate the pediatric provider's ability to monitor and refer common and debilitating
psychosocial problems, from
maternal depression to family violence.
Physicians underestimated substantially the prevalence of intrafamilial violence,
maternal psychosocial distress, and associated behavior
problems in children compared with use of a questionnaire for this purpose.23 The use of a clinic questionnaire identified significantly more mothers with potential risk factors for poor parenting compared with review of medical records.24 Shorter versions of this questionnaire for evaluating parental depressive disorders, 25 substance abuse, 26 and parental history of physical abuse as a child27 compared favorably to the original measures in terms of accuracy.
Among the various biological and
psychosocial risk factors,
maternal mental health
problems,
maternal educational status, and a small number of close social relationships correlated significantly with child outcome variables.
For example, Arroyo, Segrin, and Curran (2016) found that
maternal care mediated the relationship between mother - child
psychosocial problems.
Maternal care and control as mediators in the relationship between mothers» and adult children's
psychosocial problems.
We further hypothesized that
maternal distress would also be related to child
psychosocial problems.
Existing research points to many valuable outcomes of parenting programmes including improved
maternal psychosocial health (Barlow and Coren, 2000), improved relationships (Grimshaw and McGuire, 1998; Smith, 1997) and reduced child behaviour
problems (Barlow, 1999; Patterson et al., 1993; 2002b).
The purpose of the present study was to evaluate the potential utility of using the information that PCPs are likely to have about negative events in their patients» lives as well as their perception of
maternal distress, to help them identify child
psychosocial problems.
Physicians may be able to use information about
maternal distress and / or negative life events (NLEs), which is often gathered during routine assessment, as an indication that further assessment for
psychosocial problems is warranted.
Use of information about
maternal distress and negative life events to facilitate identification of
psychosocial problems in children.
Postnatal depression, particularly in disadvantaged communities, has been shown to be associated with impairments in the child's growth, 36 and his / her social, emotional, and cognitive development.37 By school age, children of women who suffer postnatal depression are at risk for showing externalising and internalising behavioural
problems, and they have lower social skills and academic achievement.38 A key way in which
maternal depression affects children's development is by disrupting the mother - infant relationship as well as routine parenting functions, 37 and two studies have shown that HIV infection is associated with similar disturbances in mother - child interactions.13, 39 Currently, no studies in the HIV literature have examined
maternal psychosocial functioning in relation to mother - child interactions or child development.