Parental Coping, Representations, and Interactions with Their Infants at High Risk of Cerebral Palsy
The aim of this study is to describe parental coping, representations, and interactions during the time of inclusion in the Small Step early intervention program for infants at high risk of cerebral palsy (CP) in Norway (ClinicalTrials.gov: NCT03264339). Altogether, 11 infants (mean age 4.8 months,...
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MDPI AG
2022-12-01
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author | Silja Berg Kårstad Åse Bjørseth Johanna Lindstedt Anne Synnøve Brenne Helene Steihaug Ann-Kristin Gunnes Elvrum |
author_facet | Silja Berg Kårstad Åse Bjørseth Johanna Lindstedt Anne Synnøve Brenne Helene Steihaug Ann-Kristin Gunnes Elvrum |
author_sort | Silja Berg Kårstad |
collection | DOAJ |
description | The aim of this study is to describe parental coping, representations, and interactions during the time of inclusion in the Small Step early intervention program for infants at high risk of cerebral palsy (CP) in Norway (ClinicalTrials.gov: NCT03264339). Altogether, 11 infants (mean age 4.8 months, <i>SD</i>: 1.5) and their parents (mothers: <i>n =</i> 10, fathers:<i> n =</i> 9) were included. Parental coping was assessed using the Parenting Stress Index-Short Form (PSI-SF) and the Hospital Anxiety and Depression Scale (HADS). Parental representations and parent–infant interactions were assessed using the Working Model of the Child Interview (WMCI) and the Parent–Child Early Relational Assessment (PCERA). Parents’ PSI-SF and HADS scores were within normal range; however, 26.7% showed symptoms of stress, 52.6% showed symptoms of anxiety, and 31.6% showed symptoms of depression above the cut-off. WMCI results indicate that 73.7% of the parents had balanced representations. For PCERA, the subscale Dyadic Mutuality and Reciprocity was of concern, while two other subscales were in areas of strength and three subscales in some concern areas. There were no differences between mothers and fathers. Most of the parents had balanced representations, some had mental or stress symptoms and many were struggling with aspects of the parent–infant interaction. This knowledge could be useful when developing more family-centered interventions. |
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language | English |
last_indexed | 2024-03-11T09:56:49Z |
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spelling | doaj.art-5c6fd6bb10bf4418a1d09bf70f9e9bad2023-11-16T15:43:54ZengMDPI AGJournal of Clinical Medicine2077-03832022-12-0112127710.3390/jcm12010277Parental Coping, Representations, and Interactions with Their Infants at High Risk of Cerebral PalsySilja Berg Kårstad0Åse Bjørseth1Johanna Lindstedt2Anne Synnøve Brenne3Helene Steihaug4Ann-Kristin Gunnes Elvrum5Regional Centre for Child and Youth Mental Health and Child Welfare (RKBU Central Norway), Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, 7130 Trondheim, NorwayRegional Centre for Child and Youth Mental Health and Child Welfare (RKBU Central Norway), Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, 7130 Trondheim, NorwayDepartment of Psychology and Speech-Language Pathology, University of Turku, 20500 Turku, FinlandRegional Centre for Child and Youth Mental Health and Child Welfare (RKBU Central Norway), Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, 7130 Trondheim, NorwayChild and Adolescent Mental Health Services, St. Olav’s Hospital, Trondheim University Hospital, 7130 Trondheim, NorwayDepartment of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, 7130 Trondheim, NorwayThe aim of this study is to describe parental coping, representations, and interactions during the time of inclusion in the Small Step early intervention program for infants at high risk of cerebral palsy (CP) in Norway (ClinicalTrials.gov: NCT03264339). Altogether, 11 infants (mean age 4.8 months, <i>SD</i>: 1.5) and their parents (mothers: <i>n =</i> 10, fathers:<i> n =</i> 9) were included. Parental coping was assessed using the Parenting Stress Index-Short Form (PSI-SF) and the Hospital Anxiety and Depression Scale (HADS). Parental representations and parent–infant interactions were assessed using the Working Model of the Child Interview (WMCI) and the Parent–Child Early Relational Assessment (PCERA). Parents’ PSI-SF and HADS scores were within normal range; however, 26.7% showed symptoms of stress, 52.6% showed symptoms of anxiety, and 31.6% showed symptoms of depression above the cut-off. WMCI results indicate that 73.7% of the parents had balanced representations. For PCERA, the subscale Dyadic Mutuality and Reciprocity was of concern, while two other subscales were in areas of strength and three subscales in some concern areas. There were no differences between mothers and fathers. Most of the parents had balanced representations, some had mental or stress symptoms and many were struggling with aspects of the parent–infant interaction. This knowledge could be useful when developing more family-centered interventions.https://www.mdpi.com/2077-0383/12/1/277CPinfantstressanxietydepressionparents |
spellingShingle | Silja Berg Kårstad Åse Bjørseth Johanna Lindstedt Anne Synnøve Brenne Helene Steihaug Ann-Kristin Gunnes Elvrum Parental Coping, Representations, and Interactions with Their Infants at High Risk of Cerebral Palsy Journal of Clinical Medicine CP infant stress anxiety depression parents |
title | Parental Coping, Representations, and Interactions with Their Infants at High Risk of Cerebral Palsy |
title_full | Parental Coping, Representations, and Interactions with Their Infants at High Risk of Cerebral Palsy |
title_fullStr | Parental Coping, Representations, and Interactions with Their Infants at High Risk of Cerebral Palsy |
title_full_unstemmed | Parental Coping, Representations, and Interactions with Their Infants at High Risk of Cerebral Palsy |
title_short | Parental Coping, Representations, and Interactions with Their Infants at High Risk of Cerebral Palsy |
title_sort | parental coping representations and interactions with their infants at high risk of cerebral palsy |
topic | CP infant stress anxiety depression parents |
url | https://www.mdpi.com/2077-0383/12/1/277 |
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