This article presents the results of a small pilot study examining links between Hostile/Helpless (HH) representations of caregiving in pregnancy and later child removal by child protective services. The sample was drawn from a replication study of the Minding the Baby^® attachment‐based home‐visiting intervention conducted in the United Kingdom, serving young first‐time mothers in under resourced communities. The HH classification system (Lyons‐Ruth et al.) was adapted for use with the Pregnancy Interview (PI) (Slade); 26 PIs were assessed (coders blinded) in a sample that included 13 mothers whose infants were removed from custody due to anticipated or documented maltreatment within 2 years of childbirth, and 13 mothers who did not have their infants removed. Mothers whose infants were removed from their custody had significantly higher HH scores than mothers of infants who were not removed from their care (F(1, 24) = 14.500, p < .001), and the relation between overall HH classification and infant removal status was also significant (χ²(1, N = 26) = 12.462, p < .001). Results suggest that prenatal maternal caregiving representations may predict postnatal relationship disruptions, and indicate the need for larger studies further testing this prenatal approach to maltreatment risk assessment in at‐risk populations.

中文翻译：

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怀孕和后来的孩子被带走的敌意/无助的母亲表现：一项试点研究

本文介绍了一项小型试点研究的结果，该研究检查了怀有敌意/无助 (HH) 的孕期照料与后来儿童保护服务机构将儿童带走之间的联系。样本来自Minding the Baby ^®的重复研究在英国进行的基于依恋的家访干预，为资源匮乏社区的年轻初产妈妈提供服务。HH 分类系统（Lyons-Ruth 等人）适用于妊娠访谈（PI）（Slade）；在一个样本中对 26 名 PI 进行了评估（编码人员不知情），该样本包括 13 名因预期或记录在案的在分娩后 2 年内婴儿被剥夺监护权的母亲，以及 13 名未将婴儿移走的母亲。婴儿脱离监护权的母亲的 HH 评分显着高于未脱离监护的婴儿的母亲（F (1, 24) = 14.500, p  < .001），以及整体 HH 分类与婴儿移出之间的关系状态也显着（χ² (1, N  = 26) = 12.462, p  < .001)。结果表明，产前母亲的照顾代表可以预测产后关系的中断，并表明需要进行更大规模的研究，进一步测试这种产前方法在高危人群中进行虐待风险评估。