Infant Mental Health Journal最新文献

{"title":"Enhancing early parenting in the community: Preliminary results from a learning collaborative approach to scale up Attachment and Biobehavioral Catch-up","authors":"Karen Appleyard Carmody,&nbsp;Kathryn J. Murray,&nbsp;Breanna Williams,&nbsp;Allison Frost,&nbsp;Cheri Coleman,&nbsp;Kelly Sullivan","doi":"10.1002/imhj.22081","DOIUrl":"10.1002/imhj.22081","url":null,"abstract":"<p>Attachment and Biobehavioral Catch-up (ABC) is a promising home-visiting intervention promoting sensitive caregiving and secure parent–child attachment in families with young children. The goal of this study was to examine a learning collaborative approach to disseminating ABC in a community setting. Training outcomes (e.g., trainee completion, satisfaction, effectiveness of training methods) and intervention outcomes (e.g., parent behavior, parent beliefs, child socioemotional development) were examined. Eighteen practitioners participated in the ABC learning collaborative; 13 completed training. Quantitative and qualitative measures indicated that trainees were satisfied with their experience and valued the unique collaboration opportunities offered by the learning collaborative. In addition, trainees served 67 families in the community, 37 of whom completed all sessions of ABC. The study was conducted in the United States. Racial demographics of the children in the sample included: 56.7% White, 22.4% Black/African–American, 17.9% Bi- or Multi-racial, and 3.0% unknown. Regarding ethnicity, 80.6% were Non-Hispanic/Latino, 10.4% were Hispanic/Latino, and 9.0% were unknown. Caregivers who completed ABC showed more sensitive parenting behavior and reported positive changes in their perceived self-efficacy and their beliefs around infant crying. Children who received ABC showed increased socioemotional functioning. Results demonstrate successful dissemination of ABC in the community using a learning collaborative approach.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"44 6","pages":"752-766"},"PeriodicalIF":2.4,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9951078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflective supervision and consultation and its impact within early childhood-serving programs: A systematic review","authors":"Lindsay Huffhines,&nbsp;Rachel Herman,&nbsp;Rebecca B. Silver,&nbsp;Christine M. Low,&nbsp;Rebecca Newland,&nbsp;Stephanie H. Parade","doi":"10.1002/imhj.22079","DOIUrl":"10.1002/imhj.22079","url":null,"abstract":"<p>Reflective supervision and consultation (RS/C) is regarded as best practice within the infant/early childhood mental health field. Benefits of RS/C on the early childhood workforce and children and families have been demonstrated through case studies, conceptual pieces, and individual research studies. However, findings across studies have not been summarized using gold-standard methodology, thus the state of existing empirical support for RS/C is unclear. This systematic review examined the collective evidence for RS/C across diverse early childhood-serving programs. Electronic databases were searched to identify studies investigating associations between RS/C and professionals’ reflective capacity and well-being, child/family outcomes, and implementation factors. Twenty-eight papers were identified. Studies showed positive associations between RS/C and early childhood-serving professionals’ reflective capacity and well-being, with qualitative studies reporting more consistent results than studies using quantitative methods. Many methodological limitations were identified, including incomplete reporting of study designs and participant characteristics, variability in outcome measures, and lack of randomization and comparison groups. Furthermore, few studies examined child and family outcomes. Therefore, while RS/C shows great promise, it was difficult to ascertain its overall effectiveness from an empirical standpoint. Establishing RS/C as an empirically supported approach will be possible with more rigorous research.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"44 6","pages":"803-836"},"PeriodicalIF":2.4,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9934538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship focused mother–infant groups: Preliminary evaluation of improvements in maternal mental health, parenting confidence, and parental reflective functioning","authors":"Sharon Cooke,&nbsp;Dawson Campbell Cooke,&nbsp;Yvonne Hauck","doi":"10.1002/imhj.22080","DOIUrl":"10.1002/imhj.22080","url":null,"abstract":"<p>We report on two preliminary evaluations of a group intervention, targeting vulnerable infants and their mothers within the first 6-months postpartum. The Mother–Baby Nurture^® program aims to strengthen the developing infant–mother attachment relationship by increasing maternal mentalizing. These studies were undertaken with pre-post evaluations with the mothers of infants under 10-months of age. The mother–infant dyads participated in ten 2-h group sessions. Study one (<i>N</i> = 69 dyads) included self-reported maternal depression, anxiety, and parenting confidence. In study two (<i>N</i> = 27 dyads), parenting stress and reflective functioning were measured by self-report, and reflective functioning coded on the 5 min speech sample (completed by <i>N</i> = 22). Results from study one confirmed a decrease in depression (<i>p </i>&lt; .001, <i>d </i>= .79) and anxiety (<i>p </i>&lt; .001, <i>d </i>= .72) symptoms, and an increase in mothers’ scores for parenting confidence (<i>p </i>&lt; .001, <i>d </i>= −.98). Results from Study Two demonstrated a significant decrease in parenting stress (<i>p </i>&lt; .001, <i>d</i> = .94) and significant improvement in measures of self-report reflective functioning (<i>p </i>= .007, .024; <i>d </i>= .56, .61). These findings are preliminary yet promising indications that this program could be effective in alleviating parenting stress, depression, and anxiety, and improving mother's reflective functioning and parenting confidence. Further research is needed, with a control group and long-term follow-up assessments.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"44 5","pages":"705-719"},"PeriodicalIF":2.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10302472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current approaches and future directions for addressing ethics in infant and early childhood mental health","authors":"Paula D. Zeanah,&nbsp;Alison Steier,&nbsp;Izaak Lim,&nbsp;Jon Korfmacher,&nbsp;Charles H. Zeanah","doi":"10.1002/imhj.22077","DOIUrl":"10.1002/imhj.22077","url":null,"abstract":"<p>In this paper, we consider whether the field of infant and early childhood mental health (IECMH) needs its own code of ethics. We begin by describing unique features of infant and early childhood mental health (IECMH) and the diverse strategies that the field has developed to address complex clinical dilemmas, among them workforce development, clinical supports, policy statements, and statements of ethical values. Because of the field's interdisciplinary nature, we also consider how various contributing professions and organizations address ethical issues. While these are important resources that can inform ethical decision-making, we identify some of the limitations of the current approaches. We argue that it is time for the field of IECMH to take an intentional, systematic approach to directly address the complex and unique ethical dilemmas faced by infant and early childhood mental health practitioners, and we grapple with some of the challenges developing such a code might entail. We suggest several avenues for better understanding the scope of ethical issues and ethical decision-making processes in IECMH that could be used to support developing an ethics code that is responsive to the unique and challenging world of infant and early childhood mental health.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"44 5","pages":"625-637"},"PeriodicalIF":2.4,"publicationDate":"2023-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10305016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health and sleep quality of low-income mothers of one-year-olds during the COVID-19 pandemic","authors":"Elizabeth M. Premo,&nbsp;Katherine A. Magnuson,&nbsp;Nicole E. Lorenzo,&nbsp;Nathan A. Fox,&nbsp;Kimberly G. Noble","doi":"10.1002/imhj.22074","DOIUrl":"10.1002/imhj.22074","url":null,"abstract":"<p>The COVID-19 pandemic and subsequent social restrictions created an unprecedented context for families raising young children. Although studies have documented detrimental effects of the pandemic on maternal well-being, less is known about how the pandemic specifically impacted low-income mothers. We examined depression, anxiety, and sleep quality among low-income mothers of one-year-olds during the early months of the pandemic using data from the Baby's First Years study. Focusing on the control group (<i>n</i> = 547), we compared mothers interviewed before March 14th, 2020 (<i>n</i> = 342) to mothers interviewed between March 14th and June 30th, 2020 (<i>n</i> = 205) to determine whether the pandemic was associated with differences in mental health and sleep quality. Mothers were recruited from four cities in the United States, and most of the sample identified as Hispanic (42.2%) or Black, non-Hispanic (38.6%). We found that mothers interviewed during the pandemic reported better mental health and sleep quality. While we cannot speak to longer-term impacts of the pandemic, it is possible low-income mothers experienced relief from daily stressors during the initial shelter-in-place orders, which may have led to improvements in well-being. These results have implications for understanding how complex life stressors influence mental health and sleep quality among low-income mothers raising young children.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"44 4","pages":"572-586"},"PeriodicalIF":2.4,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22074","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10318433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient navigation models for mental health of parents expecting or caring for an infant or young child: A systematic review","authors":"Sophia A. Harris,&nbsp;Michelle Harrison,&nbsp;Karen Hazell-Raine,&nbsp;Catherine Wade,&nbsp;Valsamma Eapen,&nbsp;Jane Kohlhoff","doi":"10.1002/imhj.22075","DOIUrl":"10.1002/imhj.22075","url":null,"abstract":"<p>Patient navigation (PN) aims to improve timely access to healthcare by helping patients to “navigate” complex service provision landscapes. PN models have been applied in diverse healthcare settings including perinatal mental health (PMH). However, the practice models and implementation of PN programs vary widely, and their impact on engagement with PMH services has not been systematically investigated. This systematic narrative review study aimed to (1) identify and describe existing PMH PN models, (2) understand their effectiveness in improving service engagement and clinical outcomes, (3) review patient and provider perceptions, and (4) explore facilitators and barriers to program success. A systematic search of published articles/reports describing PMH PN programs/service delivery models targeting parents in the period from conception to 5 years postpartum was conducted. In total, 19 articles describing 13 programs were identified. The analysis yielded a number of commonalities and differences across program settings, target populations, and the scope of the navigator role. While there was promising evidence to support the clinical efficacy and impact on service utilization of PN programs for PMH, the current evidence base is sparse. Further research evaluating the efficacy of such services, and facilitators and barriers to their success, is warranted.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"44 4","pages":"587-608"},"PeriodicalIF":2.4,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22075","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9838692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to special section doing the “right” thing: Ethical issues in infant and early childhood mental health","authors":"Paula D. Zeanah,&nbsp;Jon Korfmacher,&nbsp;Izaak Lim,&nbsp;Alison Steier,&nbsp;Charles H. Zeanah","doi":"10.1002/imhj.22076","DOIUrl":"10.1002/imhj.22076","url":null,"abstract":"&lt;p&gt;Over the past several decades, the field of infant and early childhood mental (IECMH) has experienced rapid growth in clinical knowledge, awareness, and services. The importance of safe, nurturing, responsive care to the well-being of infants and young children is generally accepted as the most fundamental principle of infant and early childhood mental health, and the emphasis on infant-caregiver relationships is the hallmark of the field. Infant-caregiver relationships are affected by the health and well-being of the infant and the caregiver; the bi-directional relationships occur within the contexts of family, social, cultural, and historical factors that shape the dyad's interpersonal perceptions, expectations, experiences, and caregiving practices. Research demonstrating how experience—and in particular, caregiving relationship experiences—affects the rapidly developing brain and the short- and long-term development of infants and young children underscores the urgency to ensure that young children are cared for within an environment of caring, consistent, and protective relationships.&lt;/p&gt;&lt;p&gt;Clinical practice in IECMH spans promotion, prevention, early identification and intervention, and psychotherapeutic services. Identifying and addressing the individual, interpersonal, and social contexts that impact the relationships of caregivers and infants across this spectrum presents unique challenges. First, the relational focus of IECMH demands attention to the needs of both the caregiver and the infant, which can present difficulties when these needs do not align. Second, IECMH practice includes clinicians from varied professional groups, each with specific professional knowledge and skills, orientation, and priorities; these perspectives enrich our understanding of IECMH, but also may create discrepancies in how problems are identified, defined, and addressed. Third, IECMH practice occurs in myriad settings beyond “the office,” where most professionals are trained and interventions are developed, and working within these environments can lead to feelings of being untethered from the practitioner's professional signifiers and support. Fourth, infant-caregiver relationships occur within social, cultural, and historical contexts that may be unfamiliar to the provider and/or may not be accounted for in service provision models or theories. Finally, working with infants and caregivers can be motivated by and often tap into the personal experiences and values of the provider; teasing out professional and personal boundaries is an ongoing challenge. While the field has developed many approaches to help manage the complex clinical issues that arise (e.g., provider and public education, specialized training tracks, reflective supervision, IECMH consultation), there has been relatively little explicit attention given to how ethical frameworks might inform clinical practice and decision-making.&lt;/p&gt;&lt;p&gt;Although there are different definitions of ethics, t","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"44 5","pages":"611-613"},"PeriodicalIF":2.4,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10647423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Observing and interpreting clinical process: Methods and findings from ‘Layered analysis’ of parent–infant psychotherapy","authors":"Tessa Baradon,&nbsp;Evrinomy Avdi,&nbsp;Michelle Sleed,&nbsp;Björn Salomonsson,&nbsp;Keren Amiran","doi":"10.1002/imhj.22073","DOIUrl":"10.1002/imhj.22073","url":null,"abstract":"<p>This paper describes a method for investigating clinical process, Layered Analysis, which combines therapist countertransference reports and multi-faceted microanalytic research approaches. Findings from the application of Layered Analysis to video-recorded micro-events of rupture and repair in four psychoanalytic parent–infant psychotherapy sessions are presented. Layered analysis showed that countertransference and observation are complementary perspectives, which enable concomitant study of interactive events, conscious internal experiences, as well as nonconscious and unconscious elements of therapeutic interaction. Interactional rupture and repair were found to constitute co-constructed micro-events that occurred fleetingly and often implicitly, and differed in the structure, coherence and flow of interactions and in the relationship between verbal and nonverbal communication. Furthermore, interactional ruptures were found to sometimes ‘get into’ the therapist and transiently disrupt their self-organization, such that the therapist became a locus of disruption for the patient(s), actively contributing to the rupture, which thus became embedded in the therapeutic system. Interactive repair was found to be most often initiated by the therapist and to be underpinned by the therapist re-establishing self-regulation, through metabolizing embodied and verbal aspects of the rupture. Studying such processes can enhance our understanding of clinical process, inform therapist training and clinical supervision, and contribute to clinical outcomes.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"44 5","pages":"691-704"},"PeriodicalIF":2.4,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10299416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using the candidacy framework to conceptualize systems and gaps when developing infant mental health (IMH) services: A qualitative study","authors":"Fifi T. H. Phang,&nbsp;Alicia Weaver,&nbsp;David N. Blane,&nbsp;Fionnghuala Murphy,&nbsp;Andrew Dawson,&nbsp;Sophie Hall,&nbsp;Anna De Natale,&nbsp;Helen Minnis,&nbsp;Anne McFadyen","doi":"10.1002/imhj.22072","DOIUrl":"10.1002/imhj.22072","url":null,"abstract":"<p>The development of infant mental health (IMH) services globally is still in its early stages. This qualitative study aims to understand the challenges of setting up IMH services and explores the views and experiences of 14 multi-disciplinary stakeholders who are part of the IMH implementation group in a large Scottish health board. Six major themes were identified through thematic analysis. This paper examines the most prominent theme “Systems” alongside the theme “Gaps in Current Service”. The theoretical framework of “candidacy” is found to be a valuable way to conceptualize the complex systemic layers of micro, meso, and macro factors that contribute to the challenges of setting up services. At the micro level, key themes included the view that services must be accessible, individualized, and involve families. At the meso level, in line with the aims of the service, multiagency integration, aspects of early intervention, and clear operating conditions were all seen as important. Finally, at the macro level, perhaps the biggest challenge perceived by stakeholders is delivering a service that is entirely infant-focused. These findings will help inform policy makers about factors considered by professionals to be vital in the establishment of IMH services in Scotland and across the globe.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"44 4","pages":"480-494"},"PeriodicalIF":2.4,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.22072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9890062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An intensive longitudinal investigation of maternal and infant touching patterns across context and throughout the first 9-months of life","authors":"Marisa Mercuri,&nbsp;Dale M. Stack,&nbsp;Kalee De France,&nbsp;Amélie D. L. Jean,&nbsp;Alan Fogel","doi":"10.1002/imhj.22070","DOIUrl":"10.1002/imhj.22070","url":null,"abstract":"<p>Touch is a central component of mothers’ and infants’ everyday interactions and the formation of a healthy mother-infant relationship. Twelve mothers and their full-term infants from the Midwest, USA participated in the present study, which examined the quality and quantity of their touching behaviors longitudinally at 1-, 3-, 5-, 7-, and 9-months postpartum and within two normative interaction contexts (face-to-face, floor play). Findings revealed that mothers’ and infants’ individual touch patterns, varied according to context, infant age (time), and the specific type of touch examined. At 1-month postpartum, dyads coordinated their touch via behavioral matching and were especially reliant on rudimentary types of touch with soothing and regulatory properties (static/motionless touch, stroking). As infants aged to 9-months, dyads transitioned to a more complex form of tactile synchrony characterized by the parallel use of complementary types of touch (grasp, poke, pull). This evolution of tactile synchrony may reflect infants’ growing behavioral repertoire and increased capacity to use more refined forms of touch. To our knowledge, this study was the first of its kind, uniquely contributing to the scant knowledge about the development of mother-infant touch and synchrony and offering direct implications for early care practices and infant health and well-being.</p>","PeriodicalId":48026,"journal":{"name":"Infant Mental Health Journal","volume":"44 4","pages":"495-512"},"PeriodicalIF":2.4,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9825719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}