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Cited by 17Maternal Mental Health During Pregnancy and PostpartumChild Welfare and AdoptionAttachment and Relationship Dynamics

Hostile/helpless maternal representations in pregnancy and later child removal: a pilot study

Terry, Madeleine, Finger, Brent, Lyons‐Ruth, Karlen, Sadler, Lois S., Slade, Arietta·2021·Infant Mental Health Journal
DOI 10.1002/imhj.21887
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Abstract

This article presents the results of a small pilot study examining links between Hostile/Helpless (HH) representations of caregiving in pregnancy and later child removal by child protective services. The sample was drawn from a replication study of the Minding the Baby® attachment‐based home‐visiting intervention conducted in the United Kingdom, serving young first‐time mothers in under resourced communities. The HH classification system (Lyons‐Ruth et al.) was adapted for use with the Pregnancy Interview (PI) (Slade); 26 PIs were assessed (coders blinded) in a sample that included 13 mothers whose infants were removed from custody due to anticipated or documented maltreatment within 2 years of childbirth, and 13 mothers who did not have their infants removed. Mothers whose infants were removed from their custody had significantly higher HH scores than mothers of infants who were not removed from their care (F(1, 24) = 14.500, p < .001), and the relation between overall HH classification and infant removal status was also significant (χ2(1, N = 26) = 12.462, p < .001). Results suggest that prenatal maternal caregiving representations may predict postnatal relationship disruptions, and indicate the need for larger studies further testing this prenatal approach to maltreatment risk assessment in at‐risk populations.

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  • Even before the baby is born, elicited statements about caregiving reflect 'internal working models of attachment' and predict qualities of future caregiving.

    “Even before the baby is born, elicited statements about caregiving reflect “internal working models of attachment” and predict qualities of future caregiving.104,105”

    From The transition to parenthood in obstetrics: enhancing prenatal care for 2-generation impact (2022) · cites this paper as [105]

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Authors
Terry, M., Finger, B., Lyons‐Ruth, K., Sadler, L. S., & Slade, A.
Affiliations
  • Columbia University Irving Medical Center (US)
  • Montana State University Billings (US)
  • Harvard University (US)
  • Yale University (US)
Corresponding author
Terry, Madeleine
ORCID
Venue
Infant Mental Health Journal
Publisher
Wiley
Published
2020-08-20
Volume
42
Issue
1
Pages
60-73
ISSN
  • 0163-9641 (ISSN-L)
  • 1097-0355
DOI
10.1002/imhj.21887
OpenAlex
W3081053386
Cited by
17
References
71
Citations by year
2026: 1 · 2025: 1 · 2023: 4 · 2022: 4 · 2021: 6
FWCI
2.62
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Infant Mental Health Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Safety Research › Child Welfare and Adoption
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Keywords
child removal, child protection services, child maltreatment risk, prenatal attachment, primiparous women, relationship disruption
MeSH terms
Child, Emotions, Female, House Calls, Humans, Infant, Mother-Child Relations, Mothers, Pilot Projects, Pregnancy

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