TY - JOUR
T1 - Clinical interview for high-risk parents of premature infants (CLIP) as a predictor of early disruptions in the mother-infant relationship at the nursery
AU - Keren, Miri
AU - Feldman, Ruth
AU - Eidelman, Arthur I.
AU - Sirota, Leah
AU - Lester, Barry
PY - 2003
Y1 - 2003
N2 - The relations between mothers' narrative regarding the infant and the premature birth and the quality of mother-infant interaction were examined in mothers of 47 very low birth weight (< 1650 g) premature singletons prior to discharge. Maternal representations were assessed with the Clinical Interview for high-risk Parents of premature babies (CLIP), a semistructured interview that explores mothers' experiences of the pregnancy, delivery, hospitalization period, thoughts and feelings about the infant, and impending discharge. Ten minutes of mother-infant interaction were videotaped, and global and microanalytic codes were used to define three interactive variables: maternal adaptation, maternal touch, and infant withdrawal. Factor analysis of the CLIP items identified two factors with eigen values of 2.00 and above, termed Readiness for Motherhood and Maternal Rejection. Regression analyses were used to predict the three interactive variables by the infant's medical condition, maternal anxiety and depression, and the CLIP factors. Maternal adaptation to the infant's signal and maternal positive touch were each uniquely predicted by the mother's readiness for the maternal role, and were each negatively related to maternal depression. The infant's interactive withdrawal was independently predicted by maternal rejection. The clinical implications of the findings and the potential use of the CLIP for routine detection of early disruptions in the mother-infant relationship are discussed.
AB - The relations between mothers' narrative regarding the infant and the premature birth and the quality of mother-infant interaction were examined in mothers of 47 very low birth weight (< 1650 g) premature singletons prior to discharge. Maternal representations were assessed with the Clinical Interview for high-risk Parents of premature babies (CLIP), a semistructured interview that explores mothers' experiences of the pregnancy, delivery, hospitalization period, thoughts and feelings about the infant, and impending discharge. Ten minutes of mother-infant interaction were videotaped, and global and microanalytic codes were used to define three interactive variables: maternal adaptation, maternal touch, and infant withdrawal. Factor analysis of the CLIP items identified two factors with eigen values of 2.00 and above, termed Readiness for Motherhood and Maternal Rejection. Regression analyses were used to predict the three interactive variables by the infant's medical condition, maternal anxiety and depression, and the CLIP factors. Maternal adaptation to the infant's signal and maternal positive touch were each uniquely predicted by the mother's readiness for the maternal role, and were each negatively related to maternal depression. The infant's interactive withdrawal was independently predicted by maternal rejection. The clinical implications of the findings and the potential use of the CLIP for routine detection of early disruptions in the mother-infant relationship are discussed.
UR - http://www.scopus.com/inward/record.url?scp=0041945786&partnerID=8YFLogxK
U2 - 10.1002/imhj.10049
DO - 10.1002/imhj.10049
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AN - SCOPUS:0041945786
SN - 0163-9641
VL - 24
SP - 93
EP - 110
JO - Infant Mental Health Journal
JF - Infant Mental Health Journal
IS - 2
ER -