In this article, we discuss findings of a hermeneutic phenomenological study that sought to describe the experiences of parents who have a child with autism. Qualitative interviews were conducted with parents from 16 families of children with autism residing in a western Canadian province. "Living in a world of our own" emerged as the essence of the parents' experiences. In "living in a world of our own," parents described a world of isolation. Three themes representing the essential challenging elements of the parents' experiences included vigilant parenting, sustaining the self and family, and fighting all the way. Although much is known about the fundamental importance of support to parents of children with chronic conditions and/or disabilities, findings from this study indicate that knowledge has not been adequately transferred to the care of children with autism.
Few instruments are available to assess perceptions of competence in the specific maternal role function of infant care provider. This article reports on a methodological study of the development and evaluation of the Infant Care Questionnaire (ICQ), a self-report scale designed to measure the mother's perceptions of her abilities and competence as an infant care provider. The sample consisted of healthy low-risk primiparous and multiparous mothers (N = 164) of term infants. Principal components factor analysis with a Varimax rotation produced a three factor solution that explained 42% of the total variance. The three factors were Mom&Baby, Emotionality, and Responsiveness with Cronbach alpha coefficients of .86, .79, and .58, respectively. Validity evidence included higher Mom&Baby scores for multiparous mothers, F (1, 139) = 10.78, p = .001; those with greater time in the mothering role, F (2, 138) = 21.78, p = .000; and a significant correlation with the similar Maternal Confidence Scale, r (155) = .48, p = .000. Acquisition of competence was shown in a greater proportion of mothers rated "competent" at five weeks compared with one week postnatal, chi 2 (1, N = 156) = 22.77, p = .000. While the ICQ demonstrated adequate reliability and validity, establishment of clinical relevance and appropriateness with other groups is required.
Findings offer promise that telephone-based peer support is effective for both early postpartum depression and maternal depression up to two years after delivery.
In order to offer optimal supports and services for mothers affected by intimate partner violence (IPV), an understanding of these mothers' perceptions of support needs, resources, barriers to support, and preferences for support intervention is warranted. Moreover, the growing recognition of the effects of IPV on maternal-infant relationships and of the importance of these early relationships to long-term child health outcomes suggests interventions are needed to support optimal maternal-infant relationships in these families. Thus, 64 mothers exposed to IPV when their infants were below 12 months of age participated in a retrospective qualitative study to identify mothers' support needs, resources, barriers to support, and preferences for specific support interventions to promote optimal mother-infant relationships. Participants identified both personal needs (including needs for leaving or staying with the violent partner), along with intertwined needs to care for, and help, their infants cope with the experience of violence. Mothers reported that integrated services that include information and practical support from professionals with emotional and affirmation support from peers would promote positive, nurturing mother-infant relationships and healthy child development.
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