het onderzoek richt zich niet op bepaalde aandoeningen maar meer op een verzameling van factoren die maken dat een (aanstaande) moeder verminderd in staat is om zich goed aan te passen aan het moederschap, dat kunnen problemen zijn in de psychische gezondheid, financiele situatie, huisvesting, sociale steun, levensstijl, werkloosheid, uitval in het onderwijs en dergelijke -
Conditions
Interventions
Half of the high risk subjects will receive an intervention. The intervention
consists of home visits, starting by the 28th week of pregnancy with weekly
visits and continuing through the infant*s f
Sponsors
Universiteit Leiden
Eligibility
Age
12 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Aged between 17 and 25 (at recruitment/consent) - Having a first child - Recruited no later than 27th week of the pregnancy - Competence in Dutch language Regarding the assignment to the high risk group, the following list of criteria is used. A subject is assigned to the high risk group in case more than one risk factor is present: - Unemployed - Housing problems - Poverty / financial problems - Single or varying partners - No or little social support - Psychiatric disorder or psychosocial problems - Substance use/abuse (alcohol, smoking, drugs)
Exclusion criteria
Exclusion criteria: - Heavy drug addiction or severe psychiatric or psychotic disorder, which requires more heavy psychiatric help - IQ
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The assessments will focus on (1) maternal self-efficacy in the nurturing role, life style and psychopathology, (2) the neurobiological (HPA axis and ANS functioning), neurocognitive (e.g. executive functioning) and socio-emotional development (e.g precursors to Theory of Mind, emotional reactivity and regulation) of the child, and (3) the quality of parenting and the parent-child relation. | — |
Secondary
| Measure | Time frame |
|---|---|
| A secondary aim of this study is to evaluate the (behavioral, personality-, socio-demographic) profile of mother*s who benefit most from the intervention versus mothers who do not benefit or benefit less from the intervention. These secondary study parameters are maternal parameters such as Psychopathology/ mental health, Life style (alcohol, drugs and smoking), Personality, Intelligence, Demographics (e.g. work status, education, relationship status). | — |
Countries
Netherlands
Outcome results
None listed