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Maternal and paternal infant representations: a comparison between parents of term and preterm infants
Anneke Tooten1, Ruby A S Hall2, Hannah N Hoffenkamp1
1International Victimology Institute Tilburg, Tilburg University, The Netherlands.
Insights
Preterm birth did not affect parental attachment styles. However, mothers showed more distorted representations, while fathers displayed more disengaged ones, highlighting the need for tailored interventions.
Area of Science:
- Developmental Psychology
- Perinatal Mental Health
- Attachment Theory
Background:
- Parental attachment representations are crucial for child development.
- Limited research exists on parental attachment after preterm birth.
- This study is the first to compare maternal and paternal attachment representations across term, moderate, and very preterm births.
Purpose of the Study:
- To compare maternal and paternal attachment representations in parents of term, moderately preterm, and very preterm infants.
- To investigate disrupted attachment representations in parents of preterm infants.
- To identify gender-specific patterns in non-balanced and disrupted attachment representations.
Main Methods:
- Mothers and fathers of 71 term, 62 moderately preterm, and 56 very preterm infants participated.
- Attachment representations (balanced, disengaged, distorted) were assessed using the Working Model of the Child Interview (WMCI).
- The WMCI was extended with a disrupted scale (WMCI-D) to evaluate disrupted representations.
Main Results:
- Preterm birth did not significantly affect the main classifications of attachment representations.
- No gender differences were observed in balanced representations.
- Maternal representations were more often distorted, paternal representations more often disengaged.
- Maternal disrupted representations involved role/boundary confusion; paternal disrupted representations involved withdrawal.
Conclusions:
- Gender differences in attachment representations necessitate tailored interventions.
- Interventions should address non-balanced and disrupted attachment representations.
- Understanding specific parental attachment patterns is key for effective support.
Objective:
Research on parental attachment representations after preterm birth is limited and inconclusive. The present study is the first in which maternal and paternal attachment representations after term, moderately and very preterm birth are compared. In addition, special attention was directed toward disrupted attachment representations.
Method:
Mothers and fathers of term infants (≥ 37 weeks of gestational age, n=71), moderately preterm infants (≥ 32-37 weeks of gestational age, n=62) and very preterm infants (<32 weeks of gestational age, n=56) participated in the present study. Attachment representations (balanced, disengaged, distorted) about their infants were evaluated with the Working Model of the Child Interview (WMCI). To asses disrupted representations the coding of the WMCI was extended with the disrupted scale (WMCI-D).
Results:
The three main classifications of attachment representations were not affected by preterm birth. In addition, there were no gender differences in the rate of balanced representations. In case of non-balanced representations however, maternal representations were more often distorted, whereas fathers showed more often disengaged representations. Results further revealed that maternal disrupted attachment representations were marked by role/boundary confusion or disorientation, whereas paternal disrupted attachment representations were characterized by withdrawal.
Conclusion:
Given the gender differences it is essential to tailor interventions according to the attachment representations of the parent, in order to be able to alter their non-balanced and/or disrupted attachment representations.
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