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"Mother-Child Relations"
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Mothering From the Inside Out: Results of a second randomized clinical trial testing a mentalization-based intervention for mothers in addiction treatment
Mothers with histories of alcohol and drug addiction have shown greater difficulty parenting young children than mothers with no history of substance misuse. This study was the second randomized clinical trial testing the efficacy of Mothering From the Inside Out (MIO), a 12-week mentalization-based individual therapy designed to address psychological deficits commonly associated with chronic substance use that also interfere with the capacity to parent young children. Eighty-seven mothers caring for a child between 11 and 60 months of age were randomly assigned to receive 12 sessions of MIO versus 12 sessions of parent education (PE), a psychoeducation active control comparison. Maternal reflective functioning, representations of caregiving, mother–child interaction quality, and child attachment were evaluated at baseline and posttreatment and 3-month follow-up. Mother–child interaction quality was assessed again at 12-month follow-up. In comparison with PE mothers, MIO mothers demonstrated a higher capacity for reflective functioning and representational coherence at posttreatment and 3-month follow-up. At 12-month follow-up, compared to PE cohorts, MIO mothers demonstrated greater sensitivity, their children showed greater involvement, and MIO dyads showed greater reciprocity. As addiction severity increased, MIO also appeared to serve as a protective factor for maternal reflective functioning, quality of mother–child interactions, and child attachment status. Results demonstrate the promise of mentalization-based interventions provided concomitant with addiction treatment for mothers and their young children.
Journal Article
Labor market returns to an early childhood stimulation intervention in Jamaica
A substantial literature shows that U.S. early childhood interventions have important long-term economic benefits. However, there is little evidence on this question for developing countries. We report substantial effects on the earnings of participants in a randomized intervention conducted in 1986–1987 that gave psychosocial stimulation to growth-stunted Jamaican toddlers. The intervention consisted of weekly visits from community health workers over a 2-year period that taught parenting skills and encouraged mothers and children to interact in ways that develop cognitive and socioemotional skills. The authors reinterviewed 105 out of 129 study participants 20 years later and found that the intervention increased earnings by 25%, enough for them to catch up to the earnings of a nonstunted comparison group identified at baseline (65 out of 84 participants).
Journal Article
Mothers and others : the evolutionary origins of mutual understanding
Somewhere in Africa, more than a million years ago, a line of ape began to rear their young differently than their Great Ape ancestors. From this form of care came new ways of engaging and understanding each other. How such singular human capacities evolved, and how they have kept us alive for generations, is revealed in this book.
Book
Improving emotional availability in Australian mother-toddler dyads via the Tuning in to Toddlers parenting program
This study examined whether an emotion socialisation parenting program,
Tuning in to Toddlers
(TOTS), contributed to observed improvements in mother-toddler emotional availability. Parents of toddlers aged 18–36 months were recruited through childcare centres and maternal child health centres in Melbourne, Australia and were allocated to either an intervention or a waitlist control condition in a cluster-randomised controlled design. Parents in the intervention condition participated in 6 group sessions of TOTS. Baseline and 12-month follow up observation assessments for 99 mother-toddler dyads (intervention,
n
= 50; control,
n
= 49) were coded using the Emotional Availability Scales (4th edition) and analysed for between-group differences and clinically reliable change. Compared with the control condition, mothers in the intervention condition showed significant improvements in maternal sensitivity (
p
= 0.004). Further, significantly more intervention dyads reliably improved on maternal structuring (
p
=0 .013) and child responsiveness (
p
=0 .042), whereas those who received no intervention reliably deteriorated on maternal sensitivity (
p
= 0.001) and non-intrusiveness (
p
= 0.040). Thus, the preliminary evidence from this study indicates that an emotion socialisation program delivered to parents of toddlers may influence emotional availability.
Journal Article
Proof of concept of a smartphone app to support delivery of an intervention to facilitate mothers’ mind-mindedness
The present study reports on the first evaluation of a parenting intervention utilizing a smartphone app, BabyMind. The intervention aimed to facilitate mothers' mind-mindedness-attunement to their infants' internal states. Mothers in the intervention group (n = 90) used the BabyMind app from their infants' births and were followed up at age 6 months (n = 66). Mothers in the control group (n = 151) were recruited when their infants were age 6 months and had never used the BabyMind app. Mind-mindedness when interacting with their infants was significantly higher in intervention group mothers than in control group mothers. The intervention was equally effective in facilitating mind-mindedness in young and older mothers. These findings are discussed in terms of the potential for interventions utilizing smartphone apps to improve parenting and children's developmental outcome in vulnerable and hard-to-reach groups.
Journal Article
Losing Gabriel : a love story
When baby Gabriel's health takes a turn for the worse, the lives of those involved are forever changed.
Book
Parent–child intervention decreases stress and increases maternal brain activity and connectivity during own baby-cry: An exploratory study
Parental responses to their children are crucially influenced by stress. However, brain-based mechanistic understanding of the adverse effects of parenting stress and benefits of therapeutic interventions is lacking. We studied maternal brain responses to salient child signals as a function of Mom Power (MP), an attachment-based parenting intervention established to decrease maternal distress. Twenty-nine mothers underwent two functional magnetic resonance imaging brain scans during a baby-cry task designed to solicit maternal responses to child's or self's distress signals. Between scans, mothers were pseudorandomly assigned to either MP (n = 14) or control (n = 15) with groups balanced for depression. Compared to control, MP decreased parenting stress and increased child-focused responses in social brain areas highlighted by the precuneus and its functional connectivity with subgenual anterior cingulate cortex, which are key components of reflective self-awareness and decision-making neurocircuitry. Furthermore, over 13 weeks, reduction in parenting stress was related to increasing child- versus self-focused baby-cry responses in amygdala–temporal pole functional connectivity, which may mediate maternal ability to take her child's perspective. Although replication in larger samples is needed, the results of this first parental-brain intervention study demonstrate robust stress-related brain circuits for maternal care that can be modulated by psychotherapy.
Journal Article