Bat-El Terehovsky Hagai, Tzlil Einziger, Tahl I. Frenkel
{"title":"Infant negative affect, maternal intrusiveness, and child outcomes: The moderating role of maternal mind-mindedness in shaping psychopathology risk or resilience","authors":"Bat-El Terehovsky Hagai, Tzlil Einziger, Tahl I. Frenkel","doi":"10.1002/imhj.70092","DOIUrl":"10.1002/imhj.70092","url":null,"abstract":"<p>Infant temperamental negative affect (NA) poses transdiagnostic risk for psychopathology. Risk often operates indirectly through caregiving, as high NA infants tend to elicit intrusive parental responses. The present study examined whether maternal mind-mindedness (MM), moderates the longitudinal indirect pathway from infant NA, through concurrent maternal intrusive behavior, to child internalizing/externalizing symptoms at 5.5 years. Eighty-eight mother–infant dyads participated (55.7% male, all White, 70.2% middle-high socioeconomic status). Infant NA, maternal intrusiveness, and representational and interactional measures of MM were observed at 4 months. Mothers reported child symptoms at 5.5 years. Representational MM moderated the indirect pathway from infant NA to child symptoms through maternal intrusiveness. At low MM, infant-NA was significantly associated with increased maternal intrusiveness and subsequent risk for externalizing symptoms. At high MM, infant-NA was significantly associated with lower maternal intrusiveness and subsequent reduced externalizing symptoms, thereby creating a developmental advantage for high-NA infants relative to their low-NA counterparts. Findings underscore maternal representational MM as a protective buffer against NA-related risk. Methodological considerations are discussed regarding the employment of interactional versus representational measures of MM. Clinical implications of MM are discussed as a promising target for early interventions, particularly in the context of high-NA infants.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"47 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13176896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tamera A. Clancy, Frank Muscara, Carolina de Weerth, Brigid Jordan
{"title":"Connection after correction: Parent-child relationships following early cardiac surgery","authors":"Tamera A. Clancy, Frank Muscara, Carolina de Weerth, Brigid Jordan","doi":"10.1002/imhj.70097","DOIUrl":"10.1002/imhj.70097","url":null,"abstract":"<p>Early cardiac surgery for congenital heart disease (CHD) may have enduring effects on the parent-child emotional connection and a child's capacity for regulation. This study explored emotional availability in parent-child interaction following early cardiac surgery in relation to emotional and behavioral regulation in children and identified early predictors. Participants were 23 preschool-aged children with CHD and their parents from a longitudinal cohort assessed at infancy (post-surgery) and preschool age in Australia. Dyadic interaction was assessed using the Emotional Availability Scales (EA), and parents reported on child's emotional and behavioral regulation. Predictors included infant social-emotional functioning, parental attachment feelings and traumatic stress, hospitalization length, timing of diagnosis and duration of contact at birth. Over 50% of dyads demonstrated emotional availability, however 30% were classified as complicated and 12% detached. Greater parental sensitivity was associated with less externalizing behavior. Longer hospitalization was associated with lower child involvement and greater parental intrusiveness. Contact at birth was associated with greater emotional availability and more optimal parental structuring at preschool. Findings highlight the enduring impact of early medical adversity on emotional availability in CHD and illuminate effects on both child and parent. Future research should explore targeted interventions that buffer relational disruptions in medically vulnerable dyads.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"47 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13178718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria J. Leirbakk, Stina Dolvik, Johan Torper, Jeanette H. Magnus
{"title":"Beyond the clinic: Understanding parents' views on extended home visits by public health nurses","authors":"Maria J. Leirbakk, Stina Dolvik, Johan Torper, Jeanette H. Magnus","doi":"10.1002/imhj.70100","DOIUrl":"10.1002/imhj.70100","url":null,"abstract":"<p>This qualitative study investigated parental views on an extended home visit program by public health nurses (PHNs) using focus groups and individual interviews with first-time parents in Oslo, Norway. Participant responses to semi-structured questions were analysed using the recursive process for thematic analysis. Findings revealed a significant demand for enhanced support mechanisms. Through trust-building experiences during home visits, parents overcame initial scepticism rooted in vulnerability and fear of judgement. Participants emphasized the need for increased support during pregnancy and postnatal periods, addressing emotional concerns and the need of encouragement. Home visits were perceived as praxis-oriented, focusing on strengths and resources, and more informal than Child Health Clinic consultations. The accessibility of nurses and direct contact via mobile phones enhanced service quality and trust. Home visits targeting all new families mitigated stigmatization and ensured high utilization when delivered with proportionate universalism. Participating families endorsed integrating a universal home visit program into the Norwegian Child Health Clinic services. Key elements and principles were delineated, leading to a blueprint for future integration, emphasizing relational continuity and tailored support.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"47 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bianca Basso Rustiguelli da Silva, Cláudia Maria Gaspardo
{"title":"Indicators of maternal anxiety, stress, and depression and developmental outcomes in preterm children: A systematic review","authors":"Bianca Basso Rustiguelli da Silva, Cláudia Maria Gaspardo","doi":"10.1002/imhj.70099","DOIUrl":"10.1002/imhj.70099","url":null,"abstract":"<p>The study was conducted in Brazil and aimed to systematically review empirical research examining the association between maternal indicators of anxiety, stress, and depression and the developmental outcomes of preterm children. A literature search was conducted across PubMed, Web of Science, PsycINFO, EMBASE, Scopus, LILACS, and SciELO. Sixteen studies were analyzed. The systematic review revealed a significant association between maternal anxiety, depression, and stress indicators and poorer developmental outcomes for children born prematurely. This association was observed whether it was considered a single indicator of maternal mental health or a combination of two or more indicators. The systematic review affirms the impact of maternal mental health on the development of preterm children in early childhood.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"47 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13173401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Louise Blower, Gareth Palliser, Kate Morton, Elizabeth Milne, Jane Dickens, Sarah Compton, Zoë Darwin
{"title":"Parent and practitioner perspectives on the acceptability, impact and logic model for ‘ready to relate’: An intervention to promote parent-infant relationships","authors":"Sarah Louise Blower, Gareth Palliser, Kate Morton, Elizabeth Milne, Jane Dickens, Sarah Compton, Zoë Darwin","doi":"10.1002/imhj.70098","DOIUrl":"10.1002/imhj.70098","url":null,"abstract":"<p>Parent-infant relationships are the foundation of child development. Ready to Relate (R2R) is a novel flexible intervention to enhance parent knowledge and awareness related to healthy parent-infant relationships including brain development, infant cues, and sensitive, responsive and attuned parenting. It is highly visual and designed to be accessible across cultures and language levels. This study explored parent and practitioner perspectives on the acceptability and impacts of R2R and used workshops to coproduce a logic model. Thematic analysis of semi-structured interviews with practitioners (<i>N</i> = 14) and parents (<i>N</i> = 18) in Bradford, UK, found that R2R was perceived to have positive outcomes for infants, parents, practitioners, and on others in the wider system. Potential mechanisms through which R2R promotes conversations about parent-infant relationships and facilitates positive change were identified and documented in the logic model. The relational parent-practitioner context was highlighted as critical for ensuring positive impacts and preventing unintended negative consequences. This study suggests that R2R may offer application in multiple delivery contexts and may generate positive impacts for parents and infants from diverse backgrounds. The logic model will guide further research to systematically evaluate outcomes from this promising intervention and support clinical application.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"47 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charlotte E. M. Barry, Alison Hassall, Dave S. Pasalich
{"title":"Mothers’ understanding of and attitudes towards providing support for paternal post-partum depression","authors":"Charlotte E. M. Barry, Alison Hassall, Dave S. Pasalich","doi":"10.1002/imhj.70093","DOIUrl":"10.1002/imhj.70093","url":null,"abstract":"<p>Although paternal post-partum depression (PPD) significantly impacts the mental wellbeing of fathers and their families, there are many barriers to fathers being assessed and supported for PPD. Given mothers are positioned both close to fathers and healthcare services, we employed mixed-methods to investigate mothers’ potential role in facilitating fathers’ recognition of and help-seeking for PPD. In Study 1, 189 mothers in Australia (<i>M</i> age = 35.0, 78.9% Australian-European) completed an online survey assessing mothers’ levels of mental health literacy regarding paternal PPD. Results showed that 86.8% of mothers correctly recognized paternal PPD, 84.7% recommended professional help options, and almost all mothers were either likely or very likely to recommend professional help-seeking. In Study 2, 15 Australian mothers (<i>M</i> age = 37.4, 93.3% Australian-European) participated in qualitative interviews to explore mothers’ willingness and capacity to facilitate fathers’ recognition of and support for paternal PPD. Findings suggested that mothers’ capacity and willingness to adopt this facilitative role may be undermined by poor-quality partner relationships, the all-encompassing experience of early motherhood, and stigma regarding men's mental health; however, certain health care practices could target such barriers. Together, these findings have important implications for policy and practice regarding paternal PPD and family support.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"47 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13160462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147874957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natalie Duffy, Leah Hickey, Karli Treyvaud, Clare Delany
{"title":"Exploring the infant's experience of the infant-clinician relationship in the neonatal intensive care unit: A phenomenological study","authors":"Natalie Duffy, Leah Hickey, Karli Treyvaud, Clare Delany","doi":"10.1002/imhj.70094","DOIUrl":"10.1002/imhj.70094","url":null,"abstract":"<p>Infants engage with their world through a complex system of relationships, a reality that becomes especially salient in the neonatal intensive care unit (NICU), where infants encounter numerous healthcare professionals. Secure connections between infants and caregivers are critical to psychological, emotional, and physical development, yet little research has examined how infants experience their relationships with healthcare professionals in NICU.</p><p>This qualitative phenomenological study, conducted in an Australian NICU, explored the infant's experience of connection and relationship-building with their healthcare professionals. Term-born infants, their parents, and members of their healthcare teams were purposively sampled. Data were generated through participant observation and semi-structured interviews, providing rich insight into the infant's relational world. Thematic analysis identified three themes: (1) the complexity of infant–clinician relational dynamics; (2) the infant within the relational space; and (3) barriers and challenges within the infant-clinician relationship. Findings highlight the complexity and fragility of infant–clinician relationships, which were frequently centred on physical survival, sometimes limiting attention to the infant's emotional safety and early relational health. These results highlight the importance of recognising infants as relational beings and calls for neonatal practice to prioritise developmentally supportive and emotionally attuned caregiving.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"47 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joann J. Chen, Katherine Magnuson, Veronica Bordes Edgar, Sunita M. Stewart
{"title":"Perinatal interventions for parents with exposure to adverse childhood experiences: A narrative review of suitability for implementation in primary care","authors":"Joann J. Chen, Katherine Magnuson, Veronica Bordes Edgar, Sunita M. Stewart","doi":"10.1002/imhj.70095","DOIUrl":"10.1002/imhj.70095","url":null,"abstract":"<p>Children of parents exposed to adverse childhood experiences (ACEs) face elevated risk of experiencing biopsychosocial challenges. Primary care screening for parental ACEs is increasing, and routine primary care touchpoints may reach parents with exposure to ACEs during the critical perinatal period. This review seeks to 1) evaluate existing perinatal interventions—including those not designed for primary care—for suitability for primary care implementation and 2) identify implementation factors missing from existing interventions that may enhance their implementation in primary care. The PubMed database was searched for articles in English reporting on randomized controlled trials of perinatal interventions among parents with exposure to ACEs. Fourteen articles detailing 14 unique interventions were included in the qualitative synthesis. Data were extracted on intervention characteristics identified by implementation research as relevant to primary care: evidence of benefit, applicability and relevance, complexity, clarity, practicality and utility, costs, and adaptability. Ten interventions were found to be effective for parents with greater exposure to ACEs; however, the variability within the interventions and relevant settings suggests nuanced decision-making is required to match interventions to settings. The current review offers primary care providers a framework for matching and adapting such interventions.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"47 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13155650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Measuring the consultative stance among infant and early childhood mental health consultants","authors":"Elly Miles, Kristin Klopfenstein, Allie Kallmann Wegner, Neda Senehi, Lisa Schlueter","doi":"10.1002/imhj.70084","DOIUrl":"10.1002/imhj.70084","url":null,"abstract":"<p>Infant and Early Childhood Mental Health Consultation (IECMHC) is a preventative intervention that is theorized to mediate its impacts through the consultative stance, described as a consultant's “way of being” in relationship. However, limited tools are available to measure the elements of the consultative stance or the degree to which consultants and supervisors assess its implementation. This study describes the conceptualization, development, and piloting of a set of tools in the United States measuring the consultative stance for use by consultants and supervisors, the Consultative Stance Learning and Measurement tools (CSLM). The CSLM includes the Consultant Self Reflection (CSR) and the Supervisor Survey (SS). Seventy-six consultants and 28 supervisors completed the tools at least once, with 48 consultants completing the tool at three timepoints. A confirmatory factor analysis (CFA) tested the theorized latent structure of the tool, providing good support for the CSR and moderate support for the SS. Over time, consultants and supervisors increasingly aligned in their perceptions of consultant implementation of the consultative stance, though consultants rated their implementation lower than supervisors. The tools advance the field's capacity to measure the impact of IECMHC and provide targeted information for ongoing reflective supervision and training, as consultants develop their practice.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"47 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and application of the Parental Mental Health Literacy Scale for children aged 0–6","authors":"Kang Wu, Lian Tong","doi":"10.1002/imhj.70090","DOIUrl":"10.1002/imhj.70090","url":null,"abstract":"<p>This study aimed to develop and validate the Parental Mental Health Literacy (PMHL) Scale for caregivers of children aged 0–6 years. Initial items were developed based on established mental health literacy and health literacy frameworks and were piloted among 1074 caregivers of children aged 0–6 years in Shanghai, China. Exploratory factor analysis using principal axis factoring with oblique rotation identified a four-factor structure. Confirmatory factor analysis was subsequently conducted to examine the dimensionality of the scale and to compare alternative models, including one-factor, higher-order, and bifactor models. The bifactor model demonstrated the best fit to the data (RMSEA = .088, CFI = .931, TLI = .917). The final version consisted of 28 items across four dimensions: recognition, help-seeking, awareness of parenting and parent–child interaction. Criterion validity was examined using the Strengths and Difficulties Questionnaire (SDQ) and the Early Warning Signs Checklist (WSC). PMHL scores showed modest negative correlations with children's emotional and behavioral difficulties. Internal consistency was high (Cronbach's <i>α</i> = .98; <i>ω</i>h = .89). These findings suggest that the PMHL may serve as a useful instrument for assessing parental mental health literacy in early childhood, although further validation in more diverse samples is warranted.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"47 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}