The Role of Mental Health on Maternal‐Fetal Attachment in Low‐Income Women

To examine and describe the influence of maternal depressive symptoms on maternal‐fetal attachment (MFA) in predominantly low‐income women. Mixed method. Three urban obstetric/gynecologic (OB/GYN) clinics serving predominantly low‐income women. A convenience sample of 166 women participated in the q...

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Veröffentlicht in:Journal of obstetric, gynecologic, and neonatal nursing gynecologic, and neonatal nursing, 2012-11, Vol.41 (6), p.E71-E81
Hauptverfasser: Alhusen, Jeanne L., Gross, Deborah, Hayat, Matthew J., Rose, Linda, Sharps, Phyllis
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container_end_page E81
container_issue 6
container_start_page E71
container_title Journal of obstetric, gynecologic, and neonatal nursing
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creator Alhusen, Jeanne L.
Gross, Deborah
Hayat, Matthew J.
Rose, Linda
Sharps, Phyllis
description To examine and describe the influence of maternal depressive symptoms on maternal‐fetal attachment (MFA) in predominantly low‐income women. Mixed method. Three urban obstetric/gynecologic (OB/GYN) clinics serving predominantly low‐income women. A convenience sample of 166 women participated in the quantitative component and a purposeful subsample of 12 women participated in the qualitative component; all women were between 24 and 28 weeks gestation at the time of data collection. Linear regression models were used to examine the influence of depressive symptoms and social support on MFA. Individual in‐depth interviews were conducted among a subsample of women to explore the influence of maternal depressive symptoms on MFA. Fifty‐nine percent (n = 98) of participants had scores that were clinically significant for depressive symptoms. In the final model of social support and depressive symptoms regressed on MFA, social support (b = .23, 95% CI [0.09, .37], p = .002) and depressive symptoms (b = −1.02, 95% CI [−1.32, −.73], p 
doi_str_mv 10.1111/j.1552-6909.2012.01385.x
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This multivariate linear regression model with two variables accounted for 65.2% of the total variance in overall MFA. Qualitative participants discussed the importance of social support in contributing to their mood state and MFA. Findings from this study highlight the importance of assessing for depressive symptoms during pregnancy given its influence on MFA. By understanding how important it was for these women to have a supportive person to experience their pregnancies with, nurses can improve the pregnancy experience for vulnerable populations.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22788921</pmid><doi>10.1111/j.1552-6909.2012.01385.x</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Journals; Alma/SFX Local Collection
subjects Adolescent
Adult
Depression - diagnosis
Depression - epidemiology
Evaluation Studies as Topic
Female
Fetal Development - physiology
Gestational Age
health disparities
Humans
Infant, Newborn
Interviews as Topic
Linear Models
Maternal Welfare
maternal-fetal attachment
Maternal-Fetal Relations - psychology
Mental Health
mixed method
Multivariate Analysis
Nursing
Poverty - psychology
Poverty - statistics & numerical data
Predictive Value of Tests
Pregnancy
Pregnancy Outcome
Premature Birth - prevention & control
Prenatal Care - methods
Risk Assessment
Role
Sampling Studies
United States
Urban Population
Young Adult
title The Role of Mental Health on Maternal‐Fetal Attachment in Low‐Income Women
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