TY  - JOUR
PY  - 2020//
TI  - Caregiving representations in war conditions: associations with maternal trauma, mental health, and mother-infant interaction
JO  - Infant mental health journal
A1  - Isosävi, Sanna
A1  - Diab, Safwat Y.
A1  - Qouta, Samir
A1  - Kangaslampi, Samuli
A1  - Sleed, Michelle
A1  - Kankaanpää, Saija
A1  - Puura, Kaija
A1  - Punamäki, Raija-Leena
SP  - 246
EP  - 263
VL  - 41
IS  - 2
N2  - Risk features in mothers' caregiving representations remain understudied in dangerous environments where infants most urgently need protective parenting. This pilot study examines the feasibility of a novel coding system for the Parent Development Interview (PDI) interview (ARR, Assessment of Representational Risk) in assessing 50 war-exposed Palestinian mothers' caregiving representations. First, we explored the content and structure of risks in the representations. Second, we examined associations between the high-risk representations, mothers' pre- and postnatal exposure to traumatic war events (TWE), depressive and post-traumatic stress disorder (PTSD) symptoms, and self-rated emotional availability (EA) with their 1-year-old infants. Following three dimensions of high-risk caregiving representations were identified: self/dyadic dysregulation, unavailable, and fearful. Mothers' prenatal depressive symptoms were associated with dysregulating and fearful representations, and their postnatal PTSD with fearful representations. TWE were not associated with the high-risk representations. Moreover, mothers of boys reported more fearful representations, and mothers with financial difficulties reported more unavailable representations. TWE and high-risk representations were not associated with EA. However, qualitative analysis of the representations indicated risks in the mother-infant relationship. Further, older mothers and mothers with postnatal PTSD reported lower EA. Cultural variance in caregiving representations and the use of self-report measures among traumatized mothers are discussed.<p />  <p>Language: en</p>
LA  - en
SN  - 0163-9641
UR  - http://dx.doi.org/10.1002/imhj.21841
ID  - ref1
ER  -