The Dutch infant caregiving assessment scales: Psychometric properties in mothers with and without a severe psychiatric disorder

Vandhana Choenni, Rianne Kok, Frank Verhulst, Monique van Lier, Mijke van den Berg*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)

Abstract

Objectives: This study examines the psychometric properties of the Dutch adaptation of the Infant Caregiving Assessment Scales (INCAS). This standardized observation procedure is the first to assess both emotional and instrumental caregiving skills of mothers with a severe psychiatric disorder, during the postpartum period. Methods: Mothers with and without a severe psychiatric disorder (N = 123) were observed at home at the infant age of 6 weeks during daily caregiving; changing a diaper, bathing, dressing, and feeding. Recordings of observations were coded independently by trained coders, blind for group membership. Subsequently, the component structure, internal consistency, interrater reliability, and concurrent validity of the INCAS were examined. Results: Principal component analysis largely confirmed the two a priori defined caregiving domains. The internal consistencies of the emotional and instrumental domains were deemed excellent and good, respectively. The interrater reliability was substantial for the emotional domain and moderate for the instrumental domain. Furthermore, evidence for good concurrent validity of the emotional domain was found. Lastly, significant correlations were found between specific instrumental caregiving skills and maternal neuropsychological functioning. Conclusion: Psychometric findings support the INCAS as a comprehensive and reliable instrument for standardized assessment of caregiving by mothers with a severe psychiatric disorder.

Original languageEnglish
Article numbere1902
JournalInternational Journal of Methods in Psychiatric Research
Volume31
Issue number2
Early online date7 Dec 2021
DOIs
Publication statusPublished - 28 Jan 2022

Bibliographical note

Funding Information:
We thank all mothers who participated in the INCAS study with their infants for their essential contribution to the adaptation and validation of the Dutch version of the INCAS. Also, we gratefully acknowledge the contribution of the specialized Psychiatry-Obstetrics-Pediatry (POP) secondary and tertiary outpatient clinics, mental health care clinics, and midwifery practices to the recruitment of participants. This study was supported by the Sophia Foundation for Scientific Research (SSWO; grant number 570, 2012).

Funding Information:
We thank all mothers who participated in the INCAS study with their infants for their essential contribution to the adaptation and validation of the Dutch version of the INCAS. Also, we gratefully acknowledge the contribution of the specialized Psychiatry‐Obstetrics‐Pediatry (POP) secondary and tertiary outpatient clinics, mental health care clinics, and midwifery practices to the recruitment of participants. This study was supported by the Sophia Foundation for Scientific Research (SSWO; grant number 570, 2012).

Publisher Copyright:
© 2021 The Authors. International Journal of Methods in Psychiatric Research published by John Wiley & Sons Ltd.

Research programs

  • ESSB PED

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