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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Maternal Reflective Function Workshop
Other intervention4 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
Trial outcomes
Primary outcomes
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).
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)
Secondary outcomes
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).
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.
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.
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.
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: