C.H.A.M. Rijk

“Expectant Parents”: Study protocol of a longitudinal study concerning prenatal (risk) factors and postnatal infant development, parenting, and parent-infant relationships

BackgroundWhile the importance of the infant-parent relationship from the child’s perspective is acknowledged worldwide, there is still a lack of knowledge about predictors and long-term benefits or consequences of the quality of parent-infant relationships from the parent’s perspective. The purpose of this prospective study is to investigate the quality of parent-infant relationships from parents’ perspectives, both in the prenatal and postpartum period. This study therefore focuses on prenatal (risk) factors that may influence the quality of pre- and postnatal bonding, the transition to parenthood, and bonding as a process within families with young children. In contrast to most research concerning pregnancy and infant development, not only the roles and experiences of mothers during pregnancy and the first two years of infants’ lives are studied, but also those of fathers.Methods/designThe present study is a prospective longitudinal cohort study, in which pregnant women (N = 466) and their partners (N = 319) are followed from 15 weeks gestation until their child is 24 months old. During pregnancy, midwives register the presence of prenatal risk factors and provide obstetric information after the child’s birth. Parental characteristics are investigated using self-report questionnaires at 15, 26, and 36 weeks gestational age and at 4, 6, 12, and 24 months postpartum. At 26 weeks of pregnancy and at 6 months postpartum, parents are interviewed concerning their representations of the (unborn) child. At 6 months postpartum, the mother-child interaction is observed in several situations within the home setting. When children are 4, 6, 12, and 24 months old, parents also completed questionnaires concerning the child’s (social-emotional) development and the parent-child relationship. Additionally, at 12 months information about the child’s physical development and well-being during the first year of life is retrieved from National Health Care Centres.DiscussionThe results of this study may contribute to early identification of families at risk for adverse parent-infant relationships, infant development, or parenting. Thereby this study will be relevant for the development of policy, practice, and theory concerning infant mental health.

Stability of fathers’ representations of their infants during the transition to parenthood

Studies investigating fathers’ roles in child development have focused on a range of different aspects. However, few studies have focused on the early father–infant relationship, which already emerges before the child is born. The aim of this study is to examine the concordance of fathers’ representations of their children during the transition to parenthood. The influences of demographic variables, psychological wellbeing, and personality on the stability of these representations are investigated. At 26 weeks gestational age and when infants were six months old, fathers (N = 243) completed questionnaires and the Working Model of the Child Interview during a home visit. A strong association was found between fathers’ prenatal and postnatal representations. First-time fathers more often had balanced representations than fathers who already had children. Furthermore, agreeable fathers were more likely to evolve from a non-balanced prenatal representation to a balanced postnatal representation.

Children without parental care in Poland: Foster care, institutionalization and adoption

This article describes the historical background and current situation of the child welfare system for children without parental care in Poland. Nowadays in Poland, most children without parental care still have both parents, but are placed in out-of-home care as a protective measure. Multiple scenarios are possible for these children. Financial resources, however, are often not sufficient to provide the most desirable care. Despite reforms aimed at deinstitutionalization and a growing number of foster care placements in Poland, almost 20,000 children remain in institutional care. For some children without parental care domestic or international adoption is decided.

Children adopted from Poland display a high risk of foetal alcohol spectrum disorders and some may go undiagnosed.

Children adopted from Central and Eastern Europe have often had negative early experiences, including prenatal exposure to alcohol. We examined a group of Polish children, adopted by Dutch parents, to see how many were diagnosed with foetal alcohol spectrum disorders (FASD) and to what extent features of FASD were present.

Baby please stop crying: an experimental approach to infant crying, affect, and expected parenting self-efficacy

Objective: The present study examines the effect of infant crying on parental affect, state anxiety and parenting self-efficacy in an experimental setting. Background: Infant crying causes distress and feelings of incompetence in many parents. These frustrating parental feelings can lead to suboptimal caregiving behaviour or even child abuse. Studies focusing on the effects of infant crying experience causality issues, as parental behaviour can also increase infant crying. Methods: One hundred and sixteen students of Tilburg University were asked to babysit a life-like crying doll for 10 minutes. Participants were exposed to either no crying, 5 minutes of crying, or 10 minutes of crying. Results: Participants in the crying conditions experienced more negative affect, state anxiety, and felt less confident about their ability to parent in the future. Conclusion: These findings have implications for the parents of newborn babies who experience distress and feelings of incompetence caused by infant crying.

Pre-adoptive risk factors and behavioural problems in children adopted from Poland

Behavioural problems in adoptees have been related to adverse circumstances prior to adoption. We examined pre-adoptive risk factors and post-adoptive behavioural problems in children adopted from Poland. Dutch adoptive parents of 133 Polish adoptees (Mage = 8.7 years, range 2.8–15.2; Mageadoption = 3.0 years, range .4–6.9) answered the Child Behaviour Checklist and questions regarding pre-adoptive risk factors, such as institutionalization, neglect and abuse. Polish adoptees in our sample were four times more likely to have clinical behavioural problems than non-adopted children. Compared with a group of children adopted from various countries, predominantly from Asia, Polish adoptees had higher levels of behavioural problems as well. Multiple pre-adoptive risk factors were present. Only a history of abuse was found to be associated with behavioural problems after adoption. Special attention and support after adoption are needed for these children and their adoptive parents, especially when a pre-adoptive history of abuse is known.