Tackling the challenges of transitioning to parenthood in forced migrant women: A longitudinal study adopting a salutogenic approach

这项研究将探索英国强迫移民妇女(FMw)转变为父母的经验和未得到满足的需求，并将为跨学科支持服务的发展提供信息。围绕这些女性的心理健康不平等和她们孩子的发展需求，存在着巨大的挑战。这些发现将导致量身定做的服务，以满足FMW的过渡需求，改善获得服务的机会，并减少精神健康不平等。这项创新的研究将结合社会建构主义的视角和纵向有益健康的方法，以及光声数据收集方法。该项目的想法来自于咨询FMW，他们认为选择有力的照片和故事来表现情感将赋予人们力量，并为服务提供信息(1；2)。成为母亲是一种复杂的个人经历，是一件重大的人生大事(3)，受到社会和政治的影响(4)。过渡到为人父母的困难可能会导致产后抑郁、依恋和养育问题(5)，损害母子关系和孩子后来的发展(6)。研究支持西方女性向为人父母的转变，但与FMw关系不大。过渡到为人父母的心理影响在FMw(7；8；9)中加剧。逃离战争或迫害(10)导致健康不平等(例如，产后抑郁和产妇死亡率增加)(11；12)。创伤、贫困和英国对移民的敌意的最终影响导致潜在的心理健康状况不佳(13)。FMW在过渡到为人父母的过程中的具体需求是未知的，也没有得到满足(10；14)，他们的孩子面临着来自无组织依恋(15)和父母创伤后应激障碍(16)的终身精神病理。怀孕的FMW可能很难获得和体验英国的卫生服务(例如，对服务和敌对员工收费)(14；17)。服务往往侧重于西方育儿实践和社会文化规范(18；19)，而不是FMW关于过渡到为人父母的文化信仰(19)，因此服务往往被认为是不适当的/无关紧要的。需要进行研究以了解FMW的需求并确保支持服务满足这些需求。

This research will explore the experiences and unmet needs of Forced Migrant Women's (FMW) transition to parenthood in the UK and will inform the development of interdisciplinary support services. There are grand challenges around these women's mental health inequalities and their baby's developmental needs. The findings will lead to tailored services to meet FMW's transition needs, improving access to services, and reducing mental health inequalities. This innovative research will combine a social constructionism perspective with a longitudinal salutogenic approach, with photovoice data collection methods. The project idea originated from consulting FMW who believed that selecting powerful photographs and stories to represent feelings would be empowering as well as informing services (1; 2). Becoming a mother is a complex individual experience and a major life event (3), shaped by society and politics (4). Difficulties transitioning to parenthood can lead to postnatal depression, and attachment and parenting problems (5) that damage the mother/child relationship and the child's later development (6). Research supports Western women's transition to parenthood, but little relates to FMW. The psychological impact of transitioning to parenthood is exacerbated in FMW (7; 8; 9). Fleeing war or persecution (10) leads to health inequalities (e.g., post-natal depression and increased maternal mortality) (11; 12). The culminative effect of trauma, poverty, and UK hostility towards migration leads to poor underlying mental health (13). FMW's specific needs during the transition to parenthood are unknown and unmet (10; 14) and their children face life-long psychopathology from disorganised attachment (15) and parental post-traumatic stress disorder (16). Pregnant FMW can have poor access to and experiences of UK health services (e.g., charging for services and hostile staff) (14; 17). Services tend to focus on Western parenting practices and sociocultural norms (18; 19) and not FMW's cultural beliefs about transitioning to parenthood (19), so services are often perceived as inappropriate/irrelevant. Research is needed to understand FMW's needs and ensure that support services meet them.