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Cited by 70Infant Development and Preterm CareMaternal Mental Health During Pregnancy and PostpartumPsychoanalysis and Psychopathology Research

Clinical Interview for high‐risk Parents of premature infants (CLIP) as a predictor of early disruptions in the mother–infant relationship at the nursery

Keren, Miri, Feldman, Ruth, Eidelman, Arthur I., Sirota, Leah, Lester, Barry·2003·Infant Mental Health Journal
DOI 10.1002/imhj.10049
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Abstract

Abstract The relations between mothers' narrative regarding the infant and the premature birth and the quality of mother–infant interaction were examined in mothers of 47 very low birth weight (<1650 g) premature singletons prior to discharge. Maternal representations were assessed with the Clinical Interview for high‐risk Parents of premature babies (CLIP), a semistructured interview that explores mothers' experiences of the pregnancy, delivery, hospitalization period, thoughts and feelings about the infant, and impending discharge. Ten minutes of mother–infant interaction were videotaped, and global and microanalytic codes were used to define three interactive variables: maternal adaptation, maternal touch, and infant withdrawal. Factor analysis of the CLIP items identified two factors with eigen values of 2.00 and above, termed Readiness for Motherhood and Maternal Rejection. Regression analyses were used to predict the three interactive variables by the infant's medical condition, maternal anxiety and depression, and the CLIP factors. Maternal adaptation to the infant's signal and maternal positive touch were each uniquely predicted by the mother's readiness for the maternal role, and were each negatively related to maternal depression. The infant's interactive withdrawal was independently predicted by maternal rejection. The clinical implications of the findings and the potential use of the CLIP for routine detection of early disruptions in the mother–infant relationship are discussed. ©2003 Michigan Association for Infant Mental Health.

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Crossref · 10.1002/imhj.10049

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  • A mother's positive feelings towards her unborn fetus and her perception of her fetus are associated with greater maternal sensitivity to the infant's signals and more affectionate vocalizations and touch.

    “Such reward pathways may be relevant very early in the postpartum period, as a mother’s positive feelings towards her unborn fetus, as well as her perception of her fetus, have been associated with greater maternal sensitivity to the infant’s signals and more affectionate vocalizations and touch (Keller et al., 2003; Keren et al., 2003).”

    From The maternal brain and its plasticity in humans (2016) · cites this paper as Keren et al., 2003

  • Mother's positive feelings towards her unborn fetus as well as her perception of her fetus have been associated with greater maternal sensitivity to the infant's signals and more affectionate vocalizations and touch.

    “Such reward pathways maybe relevant very early in the postpartum, as mother’s positive feelings towards her unborn fetus as well as her perception of her fetus have been associated with greater maternal sensitivity to the infant’s signals and more affectionate vocalizations and touch (Keller et al., 2003; Keren et al., 2003).”

    From Approaching the biology of human parental attachment: Brain imaging, oxytocin and coordinated assessments of mothers and fathers (2014) · cites this paper as Keren et al., 2003

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Authors
Keren, M., Feldman, R., Eidelman, A. I., Sirota, L., & Lester, B.
Affiliations
  • Tel Aviv University (IL)
  • Bar-Ilan University (IL)
  • Hebrew University of Jerusalem (IL)
  • Brown University (US)
Corresponding author
Keren, Miri
ORCID
Venue
Infant Mental Health Journal
Publisher
Wiley
Published
2003-03
Volume
24
Issue
2
Pages
93-110
ISSN
  • 0163-9641 (ISSN-L)
  • 1097-0355
DOI
10.1002/imhj.10049
OpenAlex
W1970322611
Cited by
70
References
66
Citations by year
2026: 1 · 2025: 1 · 2024: 1 · 2023: 7 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 5 · 2016: 5 · 2015: 5 · 2014: 4 · 2013: 6 · 2012: 2
FWCI
1.48
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 11 d)
Locations
Infant Mental Health Journal (publishedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
mother-infant relationship, preterm infants, very low birth weight infants, maternal representations, maternal rejection, maternal depression, maternal anxiety, maternal touch, infant withdrawal, maternal adaptation, neonatal intensive care

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