Evaluating the efficacy of Circle of Security-Parenting as an addition to care-as-usual in families affected by maternal postpartum depression and/or infant social withdrawal: A randomized controlled trial.

IF 3.1 2区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL
Anne Christine Stuart, Johanne Smith-Nielsen, Ida Egmose, Sophie Reijman, Theis Lange, Katrine Isabella Wendelboe, Maria Stougård, Mette Skovgaard Væver
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Abstract

The Circle of Security - Parenting (COSP™) is a psychoeducational intervention aiming at fostering secure child-parent attachment relationships. In a randomized controlled trial, we investigate the effect of COSP™ as an adjunct to care-as-usual compared to only care-as-usual for at-risk families. Mothers and their 2-12-month-old infants were randomized into COSP™ +care-as-usual (n = 197) for at-risk families in Copenhagen or only care-as-usual (n = 100). At-risk status was either mothers diagnosed with postpartum depression and/or infants showed social withdrawal. The primary outcome was maternal sensitivity which was coded with the Coding Interactive Behavior. Our secondary outcomes were maternal reflective functioning, assessed with the Parental Reflective Functioning Questionnaire - Infant Version, and child-mother attachment, assessed with the Strange Situation Procedure. Results showed no significant differences between the RCT groups on either the primary or secondary outcomes (all ps ≥ .146). We discuss these findings in relation to the applicability and targeted population who can benefit from COSP™, and whether alternative programs would be more effective for at-risk families with infants.

评估“安全圈”育儿法在受母亲产后抑郁症和/或婴儿社交退缩影响的家庭中作为照护补充的功效:一项随机对照试验。
安全圈-养育(COSP™)是一种心理教育干预,旨在培养安全的亲子依恋关系。在一项随机对照试验中,我们研究了COSP™作为常规护理的辅助措施与仅对高危家庭进行常规护理的效果。母亲及其2-12个月大的婴儿被随机分为哥本哈根高危家庭的COSP +照护组(n = 197)和仅照护组(n = 100)。处于危险状态的要么是被诊断为产后抑郁症的母亲,要么是表现出社交退缩的婴儿。主要结果是母亲的敏感性,用编码交互行为进行编码。我们的次要结果是母亲的反思功能,用父母反思功能问卷-婴儿版评估,以及母子依恋,用奇怪情况程序评估。结果显示,RCT组之间的主要或次要结局均无显著差异(所有ps均≥0.146)。我们讨论了这些发现与COSP™的适用性和目标人群的关系,以及替代方案是否对有婴儿的高危家庭更有效。
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来源期刊
Development and Psychopathology
Development and Psychopathology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
7.20
自引率
9.10%
发文量
319
期刊介绍: This multidisciplinary journal is devoted to the publication of original, empirical, theoretical and review papers which address the interrelationship of normal and pathological development in adults and children. It is intended to serve and integrate the field of developmental psychopathology which strives to understand patterns of adaptation and maladaptation throughout the lifespan. This journal is of interest to psychologists, psychiatrists, social scientists, neuroscientists, paediatricians, and researchers.
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