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Evaluating the effects of prenatal intervention on parenting in women exposed to intimate partner violence.
Journal of Family Psychology ( IF 3.302 ) Pub Date : 2023-11-27 , DOI: 10.1037/fam0001175
Kathryn H Howell 1 , Taylor R Napier 1 , Caroline R Scheid 2 , Julie Braungart-Rieker 3 , Laura E Miller-Graff 2
Affiliation  

The Pregnant Moms' Empowerment Program (PMEP) is a brief, group intervention for pregnant women who have experienced intimate partner violence (IPV). This study was a quasirandomized trial of the effects of PMEP on parenting. Participants were 137 pregnant women exposed to IPV in the past year; 82 received PMEP and 55 were in a no-treatment control condition. Participants completed four assessments (pretest [T1], posttest [T2], 3-month postpartum[T3], and 12-month postpartum [T4]). At T1-T4, women self-reported on their parenting attitudes (i.e., expectations of children, parental empathy, corporal punishment, parent-child family roles) and parenting confidence. At the postpartum assessments, mother-infant dyads participated in a videorecorded free play session that was coded for warm-sensitive parenting. Results showed that women who received PMEP had more appropriate expectations of children (β = 0.51, 95% CI [0.03, 0.99], dr = 0.53, 95% CI [0.31, 1.02]) and higher empathy toward children (β = 0.64, 95% CI [0.05, 1.23], dr = 0.53, 95% CI [0.04, 1.02]) at T2, as compared to women in the control group. Women who received PMEP also showed more warm-sensitive parenting at T4 (Wald χ² = 4.01, p = .045; R² = 5.58%, d = 0.41, 95% CI [0.07, 0.88]) as compared to women in the control group. No differences emerged on corporal punishment, parent-child family roles, postpartum empathy and expectations of children, parenting confidence, or 3-month postpartum parenting behaviors. Thus, results were mixed, with some short-term positive effects and other benefits emerging only at 1-year postpartum. Findings highlight the potential clinical utility of brief interventions for pregnant, IPV-exposed women. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译:

评估产前干预对遭受亲密伴侣暴力的妇女养育子女的影响。

怀孕妈妈赋权计划 (PMEP) 是一项针对经历过亲密伴侣暴力 (IPV) 的孕妇的简短集体干预措施。本研究是一项关于 PMEP 对育儿影响的半随机试验。参与者为过去一年接触过 IPV 的 137 名孕妇;82 人接受了 PMEP,55 人处于未治疗对照状态。参与者完成了四项评估(产前测试 [T1]、产后测试 [T2]、产后 3 个月 [T3] 和产后 12 个月 [T4])。在T1-T4,女性自我报告了她们的养育态度(即对孩子的期望、父母的同理心、体罚、亲子家庭角色)和养育信心。在产后评估中,母婴二人参加了一段录制的免费游戏课程,该课程是针对温暖敏感的育儿方式而设计的。结果显示,接受 PMEP 的女性对孩子有更合适的期望(β = 0.51,95% CI [0.03, 0.99],dr = 0.53,95% CI [0.31, 1.02]),对孩子有更高的同理心(β = 0.64,与对照组女性相比,T2 时 95% CI [0.05, 1.23],dr = 0.53,95% CI [0.04, 1.02])。与对照组女性相比,接受 PMEP 的女性在 T4 时也表现出更温暖敏感的养育方式 (Wald χ2 = 4.01,p = .045;R2 = 5.58%,d = 0.41,95% CI [0.07,0.88]) 。体罚、亲子家庭角色、产后同理心和对孩子的期望、养育信心或产后三个月养育行为没有出现差异。因此,结果好坏参半,一些短期积极影响和其他益处仅在产后一年才出现。研究结果强调了对 IPV 暴露孕妇进行简短干预的潜在临床效用。(PsycInfo 数据库记录 (c) 2023 APA,保留所有权利)。
更新日期:2023-11-27
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