The purpose of this study was to examine the relationship between maternal grieving for perinatal loss (PL) and the perception of and attachment to children born subsequent to a recent PL among mothers in Jordan. A cross-sectional, descriptive correlational design was used. A convenience sample of 190 mothers of full-term, healthy newborns born subsequent to a recent PL was recruited from seven Maternal and Child Health Care Centers in Jordan. These mothers were assessed using the Perinatal Grief Scale (L.J. Toedter, J.N. Lasker, & J.M. Alhadeff), 1988, the Maternal Postnatal Attachment Scale (J.T. Condon & C.J. Corkindale, 1998), and the Neonatal Perception Inventory II (E. Broussard, 1979). Results showed a significant negative relationship between grief intensity and the attachment level, r = -.37, p = .000, and a significant positive relationship between the attachment level and neonatal perception, r = .28, p = .000. Mothers' grief intensity was significantly affected by their demographic characteristics; however, there was no significant relationship between grief intensity and neonatal perception, r = .23, p = .23. Perinatal grief was negatively related to maternal attachment to the subsequent child. Nurses should address bereaved mothers and their children who might be at risk for developing attachment disturbances to facilitate positive adaptation to the subsequent pregnancy and parenthood.

Little is known about whether a widely used mindfulness measure in adults—the Five Facet Mindfulness Questionnaire (FFMQ)—is also reliable and valid in adolescents. The current study evaluated the psychometric properties of a 20-item short-form FFMQ in a sample of 599 high school students ( M age = 16.3 years; 49% female) living in the U.S. Students completed the FFMQ and a battery of self-report questionnaires assessing aspects of psychological well-being and social skills 3 times over the course of one academic year. Confirmatory factor analysis indicated that a modified four-factor hierarchical model (excluding the Observe subscale and 1 item from the Describe subscale) best fit the data. This four-factor, hierarchical FFMQ demonstrated evidence of measurement invariance across time, gender, and grade level. Reliabilities for the FFMQ total score and its subscales ranged from .61 to .88. The FFMQ total score, and its subscales (excluding Observe), demonstrated evidence of convergent (e.g., with self-compassion) and discriminant (e.g., with social perspective taking skills) validity. Finally, the FFMQ total score and Act with Awareness, Nonjudgment, and Nonreactivity subscales demonstrated evidence of incremental predictive validity for cross-time changes in psychological well-being outcomes (e.g., perceived stress). Overall, results provide preliminary support for the reliability and validity of a short-form FFMQ for use in high-school-age adolescents.

MBI studies conducted in clinical settings mainly engaged adolescents with psychiatric or pain disorders. The effectiveness of MBIs on improving psychological outcomes were inconsistent. Large randomized trials are needed to examine the effectiveness of MBIs and should expand to include adolescents with chronic physical diseases.

Background:Latinas are at a higher risk than Caucasians for both type 1 and type 2 diabetes (DM), as well as DM-associated reproductive health (RH) complications. Healthcare providers (HCPs) should deliver culturally-sensitive care to enhance the care relationship between Latinos and HCPs and to improve patient outcomes. This study explored an expert panel’s cultural understanding, experiences, barriers, and facilitators regarding RH and preconception counseling (PC) for adolescent Latinas with DM and their families.Methods:This study used open-ended questions with a focus group of 8 HCPs from the mid-Atlantic, Southwest, and Northwest regions of the United States in a teleconference format. Two researchers transcribed and reviewed the transcript for accuracy. Using content analysis, four members of the team identified themes. All researchers discussed themes and a 100% consensus was reached. For confirmation, a coding protocol was created based on the emerging themes.Results:Five themes related to cultural understanding and experiences were identified: 1) issues of identity; 2) acculturation; 3) stigma; 4) ambivalence toward birth control, RH education, and PC; and 5) cultural sensitivity vs. best practice. Four barriers were identified: 1) language; 2) religion; 3) access to healthcare, and 4) discomfort with discussion. Ten facilitators were identified: 1) the importance of support and support networks; 2) promoting trust among HCPs, daughters, and families; 3) assessing emotional development; 4) empowerment; 5) emphasizing safety; 6) communicating in patients’ preferred language; 7) discussing RH-related topics and PC using cultural sensitivity; 8) importance of being ready/temporality/planning for the future; 9) the importance of family-centered care; and 10) variation in educational tailoring and dissemination/ care delivery.Conclusions:Findings support the need for culturally sensitive and developmentally appropriate PC programs to empower adolescent Latinas with DM.

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