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The influence of maternal attributions and personality on recommendations of, and outcome expectancies, for infant sleep interventions

Wall, Ann-Marie (2011) The influence of maternal attributions and personality on recommendations of, and outcome expectancies, for infant sleep interventions. D Clin Psy thesis, University of Glasgow.

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Abstract

Background: Settling and waking difficulties are common among infants and children. Although there is robust evidence for behavioural approaches to sleep management, a significant number of parents find these difficult to adhere to. Furthermore, other parents will actively choose co-sleeping approaches. A number of psychological factors may be associated with recommendations of, and outcome expectancies for, such interventions. Methods: First-time mothers of infants aged six to 36 months were recruited from support groups. A correlational design explored whether mothers’ sleep attributions and personality (coping style and trait anxiety) related to, and predicted, recommendations of, and outcome expectancies for, differing sleep management methods. The Modified Illness Perception Questionnaire (IPQ) and fictional vignettes depicting infants with sleep difficulties were used to access these attributions. Trait anxiety and coping style were also measured. Results: The Modified IPQ proved to be an adequate means to access maternal attributions about the infant sleep difficulties depicted in the fictional vignettes. Maternal attributions of controllability, external cause, negative consequences and stability were associated with participants recommending behavioural sleep management approaches. There was also some evidence that ‘problem focused’ coping and higher levels of trait-anxiety had some influence on participants’ expectancies of positive outcome for ‘behavioural’ approaches. Conclusion: Future research should examine the actual choices that mothers make in relation to their own infant’s sleep. The influence of psychological factors in fathers, or other care-givers, should also be considered. Gaining further understanding about what factors affect whether a parent would choose to use a ‘behavioural’ approach, with an expectation of success, may help healthcare professionals understand why some parents may find adherence particularly difficult. This may allow them to support parents to use these approaches in clinical treatment.

Item Type: Thesis (D Clin Psy)
Qualification Level: Doctoral
Keywords: Maternal attributions, infant sleep, coping, anxiety, behavioural interventions
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Colleges/Schools: College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing
Supervisor's Name: MacMahon, Dr. K.
Date of Award: 2011
Depositing User: Miss Ann-Marie Wall
Unique ID: glathesis:2011-2899
Copyright: Copyright of this thesis is held by the author.
Date Deposited: 03 Nov 2011
Last Modified: 10 Dec 2012 14:01
URI: http://theses.gla.ac.uk/id/eprint/2899

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