Maternal Reflective Functioning During the Transition to Motherhood

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorUniversity of Haifa

About this trial

The goal of this clinical trial is to learn about Maternal Reflective Function (MRF) during the transition to motherhood. The main questions it aims to answer are:

Does MRF mediates the connection between risk factors for mental health difficulties during first pregnancy and motherhood (the transition to motherhood) and outcomes related to the mother, the infant, and their relationship.

Participants will:

Answer questionnaires and clinical interviews during pregnancy and after birth of the first child (twice at third trimester, 1 and 3 months after birth).

intervention group will participate in an online short intervention to enhance MRF.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

pregnant women in 27-30 weeks pregnant in enrollment

speak read and understand Hebrew

Has a connection to internet and ZOOM platform.

Ready to participate in a group workshop

Disqualifiers

Women who can't participate in a online workshop due to physical or mental health difficulties.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Maternal Reflective Function Workshop

    Other intervention

    4 session group online intervention focused on psycho-educational knowledge regarding emotional regulation and specifically MRF. group size- up to 15 participants. 2 sessions will be during pregnancy and 2 sessions will taken place 1 and 3 months after birth.

Treatment groups

200 Participants
are divided into 2 treatment groups
Group A: Maternal Reflective Functioning intervention groupExperimental treatment 1 intervention
Group B: Wiat-list control groupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Maternal Reflective Functioning questionnaires

Will be measured using Parental Reflective Function questionnaires for pregnancy P-PRFQ (Pajulo et al., 2015) and after birth (Parental Reflective Functioning Questionnaire PRFQ, Luyten et al., 2017). Likert Scale from 1 (Greatly disagree) to 7 (Greatly agree).

Time frame
Twice in third trimester of pregnancy (Before and after intervention), 1 and 3 months after birth.
2

Maternal Reflective Functioning interviews

Will be measured using Pregnancy Interview (PI, Slade et al., 1987; Slade, 2003) before labor, and Parental Developmental Interview (PDI-R2 short form, Slade et al., 2003) after labor. Reflective Function Coding Scale- from -1 (No Reflective Function) to 9 (Very high Reflective Function)

Time frame
Once in third trimester of pregnancy ,1 months after birth.

Secondary outcomes

1

Depression.

depression level before, during and after pregnancy and birth, using Edinburgh Postnatal Depression Scale (EPDS, Cox, Holden, \& Sagovsky, 1987). Likert Scale from 1 (Most of the time) to 4 (Almost never).

Time frame
Third trimester of pregnancy, 1 and 3 months after birth.
2

Anxiety

Anxiety level before, during and after pregnancy and birth using Depression Anxiety Stress Scale (DASS-21 short form, Lovibond \& Lovibond, 1995 ). Likert Scale from 0- Does not describe my situation at all, to 3- Describes my situation very much.

Time frame
Third trimester of pregnancy, 1 and 3 months after birth.
3

Exposure to traumatic life events

exposure to ongoing war and political violence in the region using Political Life Events (PLE; Based on Slone et al., 1997, elaborated and adjusted by Yael Meir \& Yael Enav, 2024, not published). Yes/No question and if Yes answered- Likert Scale from 1- Not at all to 5- Very much.

Time frame
At enrollment.
4

Social Support

Social support before and during pregnancy using Multidimensional Scale of Perceived Social Support (MSPSS, Zimet et al., 1988). Likert Scale from 1- Very agree, to 7- Very disagree.

Time frame
Third trimester of pregnancy, 1 and 3 months after birth.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

This trial is not recruiting at the moment. You can still explore other options: