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

本研究将探讨英国被迫移民妇女（FMW）向父母过渡的经验和未满足的需求，并将为跨学科支持服务的发展提供信息。在这些妇女的心理健康不平等和她们的婴儿的发展需求方面存在着巨大的挑战。研究结果将导致量身定制的服务，以满足FMW的过渡需求，改善获得服务的机会，并减少精神卫生不平等。这项创新的研究将社会建构主义的观点与纵向健康学的方法结合起来，并采用光声数据收集方法。该项目的想法源于咨询FMW，他们认为选择强有力的照片和故事来表达情感将赋予权力并告知服务（1;2）。成为母亲是一个复杂的个人经历，也是一个重大的人生事件，受到社会和政治的影响。过渡到为人父母的困难可能会导致产后抑郁，以及依恋和养育问题(5)，这些问题会损害母子关系和孩子的后期发展(6)。研究支持西方女性向为人父母的转变，但很少与FMW有关。在FMW中，过渡到为人父母的心理影响加剧（7;8;9）。逃离战争或迫害（10）导致保健不平等（例如，产后抑郁症和孕产妇死亡率上升）（11;12）。创伤、贫穷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）。在过渡到为人父母的过程中，FMW的特殊需求是未知和未满足的（10;14），他们的孩子面临着终身的精神病理，从无组织的依恋（15）和父母创伤后应激障碍（16）。怀孕的FMW获得联合王国保健服务的机会和经历可能很差（例如，服务收费和敌对的工作人员）（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关于转变为父母的文化信仰（19），因此服务通常被认为是不合适的/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.