Italian Mothers Research Articles

Maternal Competence, Maternal Burnout and Personality Traits in Italian Mothers after the First COVID-19 Lockdown.

This study aimed to investigate the maternal sense of competence and maternal burnout in Italian mothers during the COVID-19 pandemic. The sample was composed of 278 mothers of children/adolescents aged 4 to 17 years old. Participants were recruited after the end of the first spring total Italian lockdown (June–October 2020) through online advertisements on websites and social media. We hypothesized a model in which a specific personality trait, such as neuroticism, affected maternal competence by the mediating role of maternal burnout. Results showed that neuroticism was directly and negatively predictive of perception of maternal competence, and it was negatively associated with maternal burnout, specifically specific antecedents that were strictly related to parental burnout. ANOVA results highlighted that the maternal level of education affected maternal competence in terms of satisfaction. In contrast, the working regimen during the first lockdown for COVID-19 affected maternal competence in terms of efficacy. Maternal burnout was affected by atypical child development in terms of both common (job burnout, stress management abilities) and specific (parental burnout) antecedents. COVID-19 strongly increased the risk of maternal burnout, resulting in mothers having a poor perception of their own competency. This is particularly the case in the presence of a neurotic personality.

Psychological Well-Being, Prenatal Attachment, and Quality of Early Mother-Infant Interaction: A Pilot Study With a Sample of Mothers With or Without Cancer History.

Given the positive impact of high-quality mother–infant interaction on child development, and that such relationship might be hindered by maternal stresses such past cancer, research is needed to understand protective and risk factors in this clinical population. As almost no data is available on the impact of history of cancer on the quality of mother–infant interaction, a multicentric and longitudinal pilot study was conducted. Differences in women’s prenatal psychological well-being and attachment (T1, third trimester), and postnatal quality of mother–infant interaction (T2, 2–5 months) were assessed in a sample of Italian mothers with (N = 11) or without cancer history (N = 13). Results showed that women did not differ significantly in their prenatal well-being (assessed with the Profile of Mood States questionnaire) and levels of attachment (assessed with the Prenatal Attachment Inventory). Looking at mother–infant interactions (assessed using the Global Rating Scale at T2), while maternal sensitivity, warmth and intrusiveness, and infant distress and attentiveness did not differ between the two groups, in the clinical group, mothers were more remote and less absorbed in the infant, and infants showed fewer positive communications. These findings might shed light on potential protective and risk factors for early parenting and later child outcomes in this clinical population.

Influences on Employment Transitions around the Birth of the First Child: The Experience of Italian Mothers

This article studies mothers’ employment transitions around childbirth. It argues that leaving employment around childbirth and returning after an interruption might depend on multiple influences: the micro-context of individual and household characteristics, the meso-context of women’s jobs and the macro-context of broader cultural and institutional factors. This conceptual model is tested using data from the Italian Institute of Statistics (ISTAT) ‘Family and Social Subjects (2009)’ survey. The findings confirm that mothers’ transitions out of employment are shaped by micro-characteristics such as education, meso-characteristics such as status and security of prior jobs, and macro geographical and temporal factors. Subsequent returns to employment also reflect micro and macro influences, as mothers born before 1950, with low education, and large families are less likely to return; but they seem less dependent upon prior job characteristics. The research highlights the importance of considering multiple levels of influence to understand the enabling factors of maternal employment.

Gender Differences in Migration

There are about 200 million people on the move in the world, and approximately 50% of them are women. There are no clear migration plans for women leaving as a result of persecution, war, famine, climatic disasters or moving away from contexts of external abuse and even intrafamily violence. Gender-related violence, to which women are exposed in cultural contexts characterized by a patriarchal social organization, is manifested through different ways including, but not limited to, early marriages and genital mutilation, with reproductive health already being seriously impaired at an early age. To this must be added the consideration that low-income countries are not able to deal with chronic degenerative diseases with a multidisciplinary approach such as diabetes. Fragile or non-existent health systems are not prepared for this need, which now affects a third of all deaths from this cause. Compared to Italian mothers, women from high-migration pressure countries had a higher risk of gestational diabetes; in addition, young women of Ethiopian ethnicity are more exposed to increased diabetes risk, in an age- and BMI-dependent way. Gender inequalities are also more evident in migrants for other non-communicable diseases besides diabetes. A major effort is needed in terms of training practitioners and reorganization of basic health services, making them competent in an intercultural sense. Health education of the population as a whole and of women specifically is also needed to contain risk behavior and prevent the early onset of metabolic syndromes in general and of type 2 diabetes in particular.

Sefarad, Türk ve İtalyan Atasözleri ve Deyimlerinde Anne: Çevrimiçi Bloglar Örneği

In this study, references to mothers in certain positive and negative circumstances in some Sephardic, Turkish, and Italian proverbs and idioms that depict the concept of mother will be analyzed. Fear and unhappiness as negative emotions, and joy and love as positive emotions in the Sephardic, Turkish, and Italian cultures will be observed within the framework of the Cognitive Metaphor Theory of Lakoff and Johnson. Thus, this study will reveal that the mother is the person who reconciles the members of a family, alienates all the fears, loves unconditionally, builds up, directs, and protects a family in the Judeo-Spanish, Turkish, and Italian proverbs and idioms. The proverbs and idioms were formulated in the past. However, the contemporary concept of motherhood will also be analyzed in blogs for and by Sephardic, Turkish, and Italian mothers and compared to that depicted in proverbs and idioms, products of ancestors of nations for proving proverbs’ and idioms’ contemporary uses in modern blogs for revitalizing traditional beliefs. According to the Conceptual Metaphor Theory, some cognitive conceptualizations are formulated in the brains of people in accordance with the cultures to which they have been exposed. Briefly, in this study, the sacredness of the mothers in three different languages (Judeo-Spanish, Turkish, and Italian) and cultures will be emphasized, and this will be done with proverbs, idioms and online blogs belonging to three cultural groups.

The role of perceived social support on pregnant women’s mental health during the COVID-19 pandemic

ABSTRACT Purpose The present study aimed at investigating which sources of social support best account for pregnant women’s levels of psychological distress and mental well-being during the COVID-19 pandemic. Methods 274 Italian and Canadian expectant mothers completed an online-based survey including measures of perceived social support (from family, significant other and friends), state anxiety, depressive symptoms, and satisfaction with life. Correlation analyses and amultivariate analysis of covariance were performed to explore how social support from different sources was related to depressive symptoms, state anxiety and satisfaction with life. Results Different sources of social support contributed to explaining women’s psychological distress and mental well-being. Social support both from family and friends was significantly related to women’s state anxiety and depressive symptoms. Social support from friends was specifically related to women’s satisfaction with life. Conclusion Our findings endorse the crucial role of perceived social support as a protective factor for pregnant women’s mental health. In the context of the COVID-19 pandemic, our results suggest that support from family seems important in preventing psychological distress, whereas support from friends is also associated with mental well-being. These results may help designing future interventions aimed at improving women’s perinatal mental health in life-threatening conditions.

Mothers and Workers in the Time of COVID-19: Negotiating Motherhood within Smart Working

The article is an autoethnographic account written by three Italian academic researchers and mothers with children of different ages. The authors engage in a reflection starting with their experience as working women committed to the work–family negotiation process while facing the COVID-19 health emergency that has affected the whole world. This article focuses on how we, as middle-class, heterosexual, white mothers working in a privileged employment context during the period of the pandemic lockdown, negotiated the complex mother and worker roles, balancing work and family time while smart working (teleworking from home). We start with a reflection on the use of autoethnography as a research tool and then propose an analysis of work–family balance strategies in an anomalous situation, such as that of the lockdown, highlighting the tensions in gender roles within dual-career families.

Parenting Stress and Social Style in Mothers and Fathers of Children with Autism Spectrum Disorder: A Cross-Cultural Investigation in Italy and Japan.

Parents of children with autism spectrum disorder (ASD) face unique challenges, which may affect parenting functioning. However, little is known about gender and cultural variations in parenting stress and styles in these families. The aims of this study were to investigate: (1a) the differences in parenting stress and (1b) social style between Italian and Japanese mothers and fathers of children with ASD; (2) the predictive role of culture, sociodemographic, and child’s characteristics on parenting stress; (3) the predictors of the social parenting style, including parenting stress dimensions. The study involved 92 Italians and 89 Japanese parents of school-age children (5–12 years) with ASD who completed the Parenting Stress Index and the Parenting Style Questionnaire. Results revealed that Japanese parents showed higher parenting stress and less engagement in social style than Italians. Across cultures, mothers used more social style than fathers. Being Japanese and having a child with greater ASD severity predicted higher levels of parenting stress. We also found that country, parent’s gender, and stress related to the dysfunctional interaction were significant predictors of parenting social style. Our findings highlight the importance of a cross-cultural approach to better understand the experiences and needs of mothers and fathers of children with ASD.

Maternal Psychological Distress and Children's Internalizing/Externalizing Problems during the COVID-19 Pandemic: The Moderating Role Played by Hypermentalization.

In order to explore the psychological impact of the COVID-19 outbreak on the caregiver–child relationship, we investigated the interplay among COVID-19 exposure and children’s internalizing/externalizing problems during the Italian lockdown, hypothesizing a mediation effect played by maternal distress. Additionally, we included maternal reflective functioning (i.e., hypermentalization) as a moderator factor among this interplay. A total of 305 Italian mothers of children aged 6–13 years (M = 10.3; SD = 2.4) filled in an online survey. Findings revealed an indirect effect of maternal COVID-19 exposure on children’s anxious/depressed (k2 = 0.46) and attention problems (k2 = 0.32) via maternal distress. Hypermentalization moderated the impact of maternal COVID-19 exposure on children’s anxious/depressed problems (β = −1.08, p = 0.04). Hypermentalization moderated both the relation between maternal distress and children’s aggressive behaviors (β = 12.226; p < 0.001) and between maternal distress and children’s attention problems (β = 5.617, p < 0.001). We found pivotal significant effects of maternal hypermentalization on children’s anxious/depressed and attention problems, indicating that the higher the mother’s hypermentalization was, the higher the children’s problems were. Our results broaden what we knew on the role of maternal reflective and emotional functioning on children’s emotional/behavioral adjustment during stressful situations.

Disentangling Italian mothers' and fathers' psychological control over time: A random-intercept cross-lagged panel model.

Psychological Control (PC) refers to the control parents exert over their offspring through strategies that limit the psychological and emotional experience of children and adolescents. Although the topic of PC has been largely investigated in the literature, very little is known on the potential differences/similarities in the use of specific psychologically controlling strategies by mothers and fathers. Hence, in the present study, we considered the contribution of both parents to analyze the direct and mutual relations in the use of PC over time by disentangling the role of mothers and fathers at the between- and within-person level. Participants were 147 parents of Italian adolescents (mean age = 13.54 at Time 1) who reported on their use of two different PC dimensions: Relationship-Oriented PC (R-OPC) and Verbal Constraint (VC). Results from a Random-Intercept Cross-Lagged Panel Model showed that at the between-person level, mothers' and fathers' use of R-OPC (and VC) was positively correlated over time. At the within-person level, significant cross-lagged effects showed that one parent's higher than usual levels of R-OPC and VC positively predicted the other parent's higher than usual use of PC at the next time point, showing how parental variations in PC are related to their partner's variations over time. For VC, significant cross-lagged effects were found only for fathers. Furthermore, differences were found when comparing the classical cross-lagged panel models to the Random-Intercept Cross-Lagged Panel Models. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Risk and Protective Factors regarding Child Neglect: Differences among Immigrant and Italian Parents

ABSTRACT Risk and protective factors regarding child neglect and maltreatment among immigrant families as well as families who live in their native country are widely studied. However, differences in risk and protective factors for child neglect among immigrant parents and Italian ones living in Italy have been less studied. The aim of this study is to investigate eventual differences, in cases of child neglect, between risk and protective factors in Italian and immigrant parents. This study uses retrospective data and included 141 mothers (70 immigrants and 71 Italians) and 130 fathers (61 immigrants and 69 Italians). The data for this study was attained through the submission of the Risk and Protective Factors Protocol. Italian and immigrant fathers and mothers had different combinations of these factors for child neglect. In particular immigrant mothers are more represented by risk factors such as chronic poverty, lack of social integration, distrust of social rules and institutions, approval of corporal punishments as educational practice and social deviance were the most common risk factors, whereas among Italian mothers, risk factors such as separation anxiety, and child physical disease, and disorder at birth were more common. Furthermore, immigrant fathers were more likely to approve of corporal punishment as educational practice, whereas Italian fathers were more likely to exhibit the proximal risk factor compensation syndrome.

Mothers’ and Children’s Mental Health During the COVID-19 Pandemic Lockdown: The Mediating Role of Parenting Stress

The present study, carried out during the first peak of the COVID-19 outbreak in Italy, aimed at investigating the mental health of mothers and children during the nationwide lockdown. More specifically, the study investigated children’s depression and mothers’ individual distress and parenting stress, in comparison with normative samples. The mediating effect of mothers’ parenting stress on the relationship between mothers’ individual distress and children’s depression was also explored. Finally, the study analyzed whether children’s biological sex and age moderated the structural paths of the proposed model. A sample of 206 Italian mothers and their children completed an online survey. Mothers were administered self-report questionnaires investigating individual distress and parenting stress; children completed a standardized measure of depression. Mothers’ individual distress and parenting stress and children’s depression were higher than those recorded for the normative samples. Mothers’ parenting stress was found to mediate the association between mothers’ individual distress and children’s depression. With respect to children, neither biological sex nor age emerged as significant moderators of this association, highlighting that the proposed model was robust and invariant. During the current and future pandemics, public health services should support parents—and particularly mothers—in reducing individual distress and parenting stress, as these are associated with children’s depression.

Fear of hypoglycemia in Italian mothers of children with type 1 diabetes: the mediating role of resilience.

Fear of hypoglycemia for children with diabetes influences parental life and could increase parental stress. The present study aimed to explore the association between resilience, the self-perception of the parental role, and fear of hypoglycemia in mothers of children with type I diabetes (T1DM). Ninety mothers (mean age: 44.20 years) of children with a T1DM diagnosis (mean age: 11.48 years) were recruited from an association for parents and completed an online self-report questionnaire packet that includes: Fear of Hypoglycemia Survey, Self-Perception of the Parental Role and Resilience Scale for Adults. Participants were recruited in 2017. Data collection lasted 10 months. Data analysis was performed using the SPSS statistical package, version 22, and the PROCESS macro program by Hayes. The analysis of the mediation model shows that resilience assumes a mediational role in the relationships between the parental role and preoccupation with hypoglycemia. In particular, the mother's perceived competence and role balance can influence the development and increase of the mother's resilience, which in turn can allow a decrease in the mother's worry about the possible hypoglycemic episode of her child. The findings suggest that resilience is a significant topic to focus on in interventions designed to increase the self-perception of the parental role and reduce fear of hypoglycemia in mothers.

Dietary Patterns of Breastfeeding Mothers and Human Milk Composition: Data from the Italian MEDIDIET Study.

(1) Background: Several studies have reported associations between maternal diet in terms of single foods or nutrients and human milk compounds, while the overall role of maternal diet and related dietary patterns has rarely been investigated. (2) Methods: Between 2012 and 2014, we enrolled 300 healthy Italian mothers, who exclusively breastfed their infant. During a hospital visit at 6 weeks postpartum, a sample of freshly expressed foremilk was collected and information on maternal dietary habits in the postpartum period was obtained through an interviewer-administered food frequency questionnaire. We applied principal component factor analysis to selected nutrients in order to identify maternal dietary patterns, and assessed correlations in human milk macronutrients and fatty acids across levels of dietary patterns. (3) Results: Five dietary patterns were identified, named “Vitamins, minerals and fibre”, “Proteins and fatty acids with legs”, “Fatty acids with fins”, “Fatty acids with leaves”, “Starch and vegetable proteins”. These dietary patterns were correlated with some milk components, namely fatty acids, and in particular ω-3 and its subcomponents. (4) Conclusions: This study showed that overall maternal dietary habits during breastfeeding may influence human milk composition, suggesting the importance of adequate maternal nutrition during lactation not only for the mother herself but also to provide the infant with milk containing adequate amount and quality of nutrients for a balanced nutrition.

HAPPY MAMA Project (PART 1). Assessing the Reliability of the Italian Karitane Parenting Confidence Scale (KPCS-IT) and Parental Stress Scale (PSS-IT): A Cross-Sectional Study among Mothers Who Gave Birth in the Last 12 Months.

The purposes of this study were: (1) to adapt two validated questionnaires used to evaluate maternal confidence (KPCS-IT) and maternal stress (PSS-IT) to the Italian context, in order to (2) measure the stress level and the self-efficacy in an Italian sample of mothers. The validation process has provided the construction of an online questionnaire. It was administered on a convenience mothers sample with at least a child aged 0–12 months, twice (T0 and T1) with a two day interval. Assessment of instrument stability over time was estimated by applying test–retest reliability between T0 and T1, and the Cronbach’s alpha coefficient. A cross-sectional study was carried out to assess the second aim. Italian mothers with at least one child living at home aged between 0–12 months were recruited. Statistical reliability methods were applied to assess the internal validity of the two questionnaires. PSS-IT was analyzed using univariate and multivariate statistical analyses in order to study the association between KPCS-IT, demographic and maternal characteristics. Statistical significance was established as p < 0.05. The Cronbach’s alpha reported a good level of internal consistency of the questionnaires: PSS-IT alpha = 0.862; KPCS-IT alpha = 0.801. 32% of the mothers declared low maternal confidence and the mean value of PSS-IT was 35.4 (SD = 8). The significant inverse correlation was found between the PSS-IT and the KPCS-IT (coeff = −0.353; p < 0.001): this means that a high level of perceived self-efficacy reduces the maternal stress level. The study identifies that interventions on maternal confidence can be useful to support mothers in the first months after delivery in order to prevent stress risk: the perceived self-efficacy is as a modifiable factor and the results of the study indicate that it significantly reduces the PSS-IT and EPDS scores. In future, more field trials are necessary in order to assess the realistic and feasible interventions on maternal confidence and competence to prevent maternal distress.

Protect, promote and support: a warm chain of breastfeeding for oncological women—results from a survey of young Italian cancer mothers

The topic of lactation following cancer diagnosis will become increasingly more current. Although oncological research confirms that breastfeeding after cancer might be possible, there is a lack of guidelines and a good recommendation for oncological women. In the absence of specific recommendations, women with past cancer may be at higher risk for psychological distress related to breastfeeding.The objective of this article was to analyse the experience of breastfeeding in new mothers with a history of cancer compared to women without a cancer diagnosis. First, we explored the impact of the cancer diagnosis on the breastfeeding choice. Second, we evaluated the relationship between different feeding methods and the mother’s mood states in women with and without a history of cancer.The sample was composed of 74 mothers divided into two groups: 34 with a cancer history (clinical sample) and 40 without a cancer diagnosis (control group). Participants were requested to complete a questionnaire three months after childbirth which assessed: socio-demographic and clinical data, feeding modes (breastfeeding, formula and mixed feeding) and the profile of mood states (POMS).Results showed that women in the clinical group breastfeed significantly less and use formula more than those in the control group. Moreover, in the clinical group, women who breastfeed feel reported higher levels of confusion (according to POMS) than mothers who bottle-feed or use a mixed feeding method. On the contrary, in the control sample, women who breastfeed feel significantly more vigorous than puerperae who bottle-feed or use mixed methods according to POMS.Our findings suggest the need for a specific warm chain of support and the development of guidelines with clear and specific information for women with a cancer diagnosis in order to reduce their confusion around breastfeeding.

Effects of COVID-19 Epidemic Lockdown on Postpartum Depressive Symptoms in a Sample of Italian Mothers.

The extraordinary health emergency of the COVID-19 pandemic represents a new challenge for mental health researchers and clinical practitioners. The related containment measures may be a risk factor for psychological distress and mood disorders, especially in at-risk populations. This study aims to explore the impact of COVID-19 on postpartum depressive symptoms in mothers with children below 1 year of age. An online questionnaire survey was therefore conducted in Italy between May and June 2020. The survey consisted of several self-administered questionnaires: besides some ad-hoc questionnaires, the Edinburgh Postnatal Depression Scale (EPDS), the Scale of Perceived Social Support (SPSS) and the Maternity Social Support Scale (MSSS) were used. Two hundred forty-three Italian women were included in the study. The prevalence of postpartum depression symptomatology among mothers was 44%, as measured through the EPDS (cut-off >12). Women who spent the isolation in northern Italy adopted maladaptive coping strategies significantly more than women living in areas at lower risk. The analysis highlighted a significant difference between the group that was not directly affected by the virus and women who have had a direct or indirect contact with it. Besides situational factors specific to the pandemic, the results show that there are some risk factors tied to the personal history of the mother (e.g., having had a previous abortion). These data should inform and enlighten future protocols of intervention.

Parental feeding practices across child's weight status: Evidence of the Italian validation of the Child Feeding Questionnaire.

The main aim of this study was to assess the psychometric proprieties of the Child Feeding Questionnaire (CFQ) in Italian mothers. Mothers completed the Italian version of the CFQ, and children's anthropometric data were collected. Construct validity of the CFQ was assessed by comparing three different models: (a) a seven correlated factors model in which all items were analysed; (b) a seven correlated factors model with composite items based on the Restriction factor and (c) an eight correlated factors model with a separate Reward factor. Measurement invariance using BMI categories and gender was evaluated. Furthermore, discriminant validity with group comparison was performed between BMI categories and gender. Italy. A total of 1253 6-year-old Italian children (53·9 % male) attending elementary school (1st grade) and their mothers (mean age = 38·22 years; sd = 4·89) participated in this study. The eight-factor model with a separate reward factor provided the best fit for the data. The strict invariance of the CFQ across child BMI categories and gender was confirmed. The CFQ internal consistency was acceptable for most subscales. However, two subscales showed no adequate values. As expected, the CFQ scales showed significant differences between BMI categories, while no gender-related differences were found. The study indicated the Italian version of the CFQ to be factorially valid for assessing parental feeding practices of 6-year-old children across BMI categories. Future research should address low internal consistency in some of the CFQ subscales.

An exploratory and confirmatory factor analysis study of the EPDS in postnatal Italian-speaking women

ABSTRACT Background Depression and anxiety are the most prevalent emotional difficulties in the perinatal period and there is agreement that early intervention is an important strategy to prevent long-lasting effects on mother and child. Literature has recently shown that the Edinburgh Postnatal Depression Scale (EPDS) is able to measure not only depression but also anxiety. Objective To investigate the factorial structure of the EPDS in Italian-speaking new mothers. Method 416 women attending vaccination services between 2 and 4 months postpartum filled in the EPDS. Exploratory (EFA) and Confirmatory (CFA) analyses were carried out. Results The EFA on the first part of the sample (n = 208) showed a two-factor structure. The CFAs on the second sample of mothers (n = 208) provided support for the ‘EPDS-4A’, with items 3,4,5,6 belonging to the Anxiety factor and items 1,2,7,8,9,10 to the Depression factor. The fit for the model was good: χ2/df = 1.41, p <.001; GFI =.99; CFI =.99; TLI =.88; RMSEA =.04. Conclusion A two-factor structure of the EPDS was confirmed suggesting that the EPDS can be used to screen for both depression and anxiety for Italian mothers in the postnatal period.

Mothers’ considerations in snack choice for their children: Differences between the North and the South of Italy

This study describes differences in considerations and value conflicts between mothers living in the North and the South of Italy during snack provision to their 2–7 years old children. Semi-structured interviews with 20 mothers living in the North and 20 mothers living in the South of Italy were conducted. Participants matched on educational level and weight status. Mothers’ considerations in snack provision were grouped into four key themes: health-related, child-related, time-related, and product-related. North Italian mothers showed more health-related considerations while providing a snack compared to mothers living in the South. In case mothers from the South mentioned healthiness as a consideration, it was often related to giving energy. The child-related key theme revealed that a snack needs to be liked by the child, otherwise Italian mothers do not provide it. For the time-related key theme, differences were small between North and South Italian mothers. The product-related key theme showed the brand to be more important for South Italian mothers. Mothers from the North of Italy experienced more value conflicts, all related to health. The current studied showed that even within the same country, geographical differences in mothers’ considerations and value conflicts for providing snacks exist. This implies that snack choice, considerations and values seem to be influenced by tradition and family culture.