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A mini-review of contributing and impeding factors of secure parental attachment and an investigation if current preventive interventions use these factors to ensure secure parental attachment in the first 1001 critical days after conception in Western countries after 2010

Pepers, Marlies Anouk (2019) A mini-review of contributing and impeding factors of secure parental attachment and an investigation if current preventive interventions use these factors to ensure secure parental attachment in the first 1001 critical days after conception in Western countries after 2010.

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Abstract:INTRODUCTION: The formation of an attachment bond between parents and an (unborn) infant is an important developmental outcome of an infant’s life. Child healthcare professionals focus on the first 1001 critical days after conception, because the attachment bond starts during the prenatal phase and increases during the postnatal phase. For optimal attachment behaviour between parents and an (unborn) infant, preventive evidence-based interventions are developed, in order to assist child healthcare professionals to strive for optimal parental attachment behaviour. OBJECTIVES: the aims of this study are (1) to identify contributing and impeding factors of secure parental attachment in the first 1001 critical days after conception in Western countries after 2010 and (2) to determine if current preventive evidence-based interventions use these factors to ensure secure parental attachment in Western countries after 2010. METHODS: Two mini-reviews were conducted in which subjective limits were applied to the scope of the searches. Twenty studies identified a factor of parental attachment and 13 intervention studies met the inclusion criteria and were included in the narrative analysis. The categorization of included studies was based on the ecological model of determinants of parenting with three general sources (individual characteristics of the mother and father, characteristics of the infant and contextual sources of stress and support for the parents). RESULTS: A total of 16 identified factors were found in 20 included studies of parental attachment. These identified factors were: mental health, childhood history, representation of an (unborn) infant, planning of pregnancy, number of pregnancies, breastfeeding, bedsharing, age, SES/education, hormone composition, infant temperament, preterm birth, marital relationship, parenting stress, household size and job situation. Of these 16 factors, 11 factors were addressed in current preventive evidence-based interventions. Only one factor ‘infant temperament’ was addressed in all the 13 intervention studies. DISCUSSION/CONCLUSION: Based on the determinants of parenting, the findings reveal that improved, adjusted or newly developed preventive evidencebased interventions with the aim to strive for optimal attachment behaviour between parents and an (unborn) infant must address at least five factors; mental health, own childhood history, representation of an (unborn) infant, infant temperament and the marital relationship. Regarding the Netherlands, the first essential step is to conduct follow-up research to guarantee the transition of the identified factors of parental attachment within current Dutch preventive interventions to ensure secure parental attachment in the first 1001 critical days after conception
Item Type:Essay (Master)
Faculty:TNW: Science and Technology
Subject:44 medicine, 70 social sciences in general, 88 social and public administration
Programme:Health Sciences MSc (66851)
Keywords:Parental attachment, 1001 critical days, Mini-review
Link to this item:http://purl.utwente.nl/essays/78828
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