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Prepartum and Postpartum Mothers’ and Fathers’ Unwanted, Intrusive Thoughts in Response to Infant Crying

Published online by Cambridge University Press:  29 August 2018

Nichole Fairbrother ,
Ronald G. Barr ,
Mandy Chen ,
Shivraj Riar ,
Erica Miller ,
Rollin Brant  and
Annie Ma
Nichole Fairbrother*
Affiliation:
Department of Psychiatry, University of British Columbia, Room 002, Pearkes Building, 2400 Arbutus Road, Queen Alexandra Centre for Children's Health, Victoria, BC, V8N 1V7, Canada
Ronald G. Barr
Affiliation:
Evidence to Innovation, BC Children's Hospital, Suite F508, 4480 Oak Street, Vancouver, BC, V6H 3V4, Canada
Mandy Chen
Affiliation:
Evidence to Innovation, BC Children's Hospital, Suite F508, 4480 Oak Street, Vancouver, BC, V6H 3V4, Canada
Shivraj Riar
Affiliation:
Department of Internal Medicine, University of Saskatchewan, 1803–2131 Broad Street, Regina, SK, S4P 3W4, Canada
Erica Miller
Affiliation:
Evidence to Innovation, BC Children's Hospital, Suite F508, 4480 Oak Street, Vancouver, BC, V6H 3V4, Canada
Rollin Brant
Affiliation:
Department of Statistics, University of British Columbia, 3182 Earth Sciences Building, 2207 Main Mall, Vancouver, BC, V6T 1Z4, Canada
Annie Ma
Affiliation:
Department of Psychiatry, University of British Columbia, Room 002, Pearkes Building, 2400 Arbutus Road, Queen Alexandra Centre for Children's Health, Victoria, BC, V8N 1V7, Canada
*
Correspondence concerning this manuscript should be addressed to Nichole Fairbrother, Room 002, 2400 Arbutus Road, Queen Alexandra Centre for Children's Health, Victoria, BC, V8N 1V7. E-mail: [email protected]
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Abstract

Background: Unwanted intrusive thoughts of intentionally harming one's infant (intrusive harm thoughts) are common distressing experiences among postpartum mothers and fathers. Aim: To understand infant crying as a stimulus for intrusive harm thoughts and associated emotional responses in prepartum and postpartum mothers and fathers in response to infant cry. Method: Following completion of self-report measures of negative mood and anger, prepartum (n = 48) and postpartum (n = 44) samples of mother and father pairs completed 10 minutes of listening to audio-recorded infant crying. Post-test questionnaires assessed harm thoughts, negative emotions, urges to comfort and flee, and thoughts of shaking as a soothing or coping strategy. Results: One quarter of prepartum and 44% of postpartum parents reported intrusive infant-related harm thoughts following crying. Mothers and fathers did not differ in the likelihood of reporting harm thoughts, nor in the number of thoughts reported. Women reported more internalizing emotions compared with men. Hostile emotions were stronger among postpartum parents, and parents reporting harm thoughts. All parents reported strong urges to comfort the infant. Urges to flee were stronger among parents who reported harm thoughts. The likelihood of using infant shaking as a soothing or coping strategy was minimally endorsed, albeit more strongly by fathers and parents who also reported harm thoughts. Conclusions: In response to crying, harm thoughts are common and are associated with hostile emotions, urges to flee, and increased thoughts of using infant shaking. Reassuringly, the number of participants considering infant shaking as a strategy for soothing or for coping with a crying infant was low.

Keywords

intrusive thoughtsparentsharm thoughts
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 47 , Issue 2 , March 2019 , pp. 129 - 147
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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