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NARRATIVE AND META-ANALYTIC REVIEW OF INTERVENTIONS AIMING TO IMPROVE MATERNAL-CHILD ATTACHMENT SECURITY.
Infant Ment Health J. 2015 Jul-Aug; 36(4):366-87.IM

Abstract

Early secure maternal-child attachment relationships lay the foundation for children's healthy social and mental development. Interventions targeting maternal sensitivity and maternal reflective function during the first year of infant life may be the key to promoting secure attachment. We conducted a narrative systematic review and meta-analysis to examine the effectiveness of interventions aimed at promoting maternal sensitivity and reflective function on maternal-child attachment security, as measured by the gold standard Strange Situation (M. Ainsworth, M. Blehar, B. Waters, & S. Wall, 1978) and Q-set (E. Waters & K. Deane, 1985). Studies were identified from electronic database searches and included randomized or quasi-randomized controlled parallel-group designs. Participants were mothers and their infants who were followed up to 36 months' postpartum. Ten trials, involving 1,628 mother-infant pairs, were included. Examination of the trials that provided sufficient data for combination in meta-analysis revealed that interventions of both types increased the odds of secure maternal-child attachment, as compared with no intervention or standard intervention (n = 7 trials; odds ratio: 2.77; 95% confidence interval: 1.69, 4.53, n = 965). Of the three trials not included in the meta-analyses, two improved the likelihood of secure attachment. We conclude that interventions aimed at improving maternal sensitivity alone or in combination with maternal reflection, implemented in the first year of infants' lives, are effective in promoting secure maternal-child attachments. Intervention aimed at the highest risk families produced the most beneficial effects.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Letourneau N
Alberta Children's Hospital Research Institute for Child and Maternal Health, University of Calgary.
Tryphonopoulos P
University of New Brunswick, Fredericton.
Giesbrecht G
Alberta Children's Hospital.
Dennis CL
University of Toronto.
Bhogal S
University of Calgary.
Watson B
University of New Brunswick, Fredericton.

MeSH

Child, PreschoolFemaleHumansInfantMaternal BehaviorMother-Child RelationsMothersObject AttachmentParentingRandomized Controlled Trials as Topic

Pub Type(s)

Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review
Systematic Review

Language

eng

PubMed ID

26112776

Citation

Letourneau, Nicole, et al. "NARRATIVE and META-ANALYTIC REVIEW of INTERVENTIONS AIMING to IMPROVE MATERNAL-CHILD ATTACHMENT SECURITY." Infant Mental Health Journal, vol. 36, no. 4, 2015, pp. 366-87.
Letourneau N, Tryphonopoulos P, Giesbrecht G, et al. NARRATIVE AND META-ANALYTIC REVIEW OF INTERVENTIONS AIMING TO IMPROVE MATERNAL-CHILD ATTACHMENT SECURITY. Infant Ment Health J. 2015;36(4):366-87.
Letourneau, N., Tryphonopoulos, P., Giesbrecht, G., Dennis, C. L., Bhogal, S., & Watson, B. (2015). NARRATIVE AND META-ANALYTIC REVIEW OF INTERVENTIONS AIMING TO IMPROVE MATERNAL-CHILD ATTACHMENT SECURITY. Infant Mental Health Journal, 36(4), 366-87. https://doi.org/10.1002/imhj.21525
Letourneau N, et al. NARRATIVE and META-ANALYTIC REVIEW of INTERVENTIONS AIMING to IMPROVE MATERNAL-CHILD ATTACHMENT SECURITY. Infant Ment Health J. 2015 Jul-Aug;36(4):366-87. PubMed PMID: 26112776.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - NARRATIVE AND META-ANALYTIC REVIEW OF INTERVENTIONS AIMING TO IMPROVE MATERNAL-CHILD ATTACHMENT SECURITY. AU - Letourneau,Nicole, AU - Tryphonopoulos,Panagiota, AU - Giesbrecht,Gerald, AU - Dennis,Cindy-Lee, AU - Bhogal,Sanjit, AU - Watson,Barry, Y1 - 2015/06/25/ PY - 2015/6/27/entrez PY - 2015/6/27/pubmed PY - 2016/4/14/medline KW - Afectividad Materno-Infantil KW - Attachement maternel-enfant KW - Fonction réflexive maternelle KW - Función Reflexiva Materna KW - Intervención KW - Intervention KW - Meta-Analyse KW - Meta-análisis KW - Mutter-Kind-Bindung KW - Métaanalyse KW - Passage en revue systématique KW - Representaciones Maternas KW - Représentations maternelles KW - Revisión Sistemática KW - Sensibilidad Materna KW - intervention KW - maternal reflective function KW - maternal representations KW - maternal sensitivity KW - maternal-child attachment KW - meta-analysis KW - mütterliche Mentalisierungsfähigkeit KW - mütterliche Repräsentationen KW - mütterliche Sensitivität KW - systematic review KW - systematisches Review KW - メタ解析 KW - 介入 KW - 後設分析 KW - 母嬰依附 KW - 母親のリフレクティブな機能 KW - 母親の感受性 KW - 母親の表象 KW - 母親反思功能 KW - 母親敏感性 KW - 母親表徵 KW - 母－子愛着 KW - 系統回顧 KW - 系統的レビュー SP - 366 EP - 87 JF - Infant mental health journal JO - Infant Ment Health J VL - 36 IS - 4 N2 - Early secure maternal-child attachment relationships lay the foundation for children's healthy social and mental development. Interventions targeting maternal sensitivity and maternal reflective function during the first year of infant life may be the key to promoting secure attachment. We conducted a narrative systematic review and meta-analysis to examine the effectiveness of interventions aimed at promoting maternal sensitivity and reflective function on maternal-child attachment security, as measured by the gold standard Strange Situation (M. Ainsworth, M. Blehar, B. Waters, & S. Wall, 1978) and Q-set (E. Waters & K. Deane, 1985). Studies were identified from electronic database searches and included randomized or quasi-randomized controlled parallel-group designs. Participants were mothers and their infants who were followed up to 36 months' postpartum. Ten trials, involving 1,628 mother-infant pairs, were included. Examination of the trials that provided sufficient data for combination in meta-analysis revealed that interventions of both types increased the odds of secure maternal-child attachment, as compared with no intervention or standard intervention (n = 7 trials; odds ratio: 2.77; 95% confidence interval: 1.69, 4.53, n = 965). Of the three trials not included in the meta-analyses, two improved the likelihood of secure attachment. We conclude that interventions aimed at improving maternal sensitivity alone or in combination with maternal reflection, implemented in the first year of infants' lives, are effective in promoting secure maternal-child attachments. Intervention aimed at the highest risk families produced the most beneficial effects. SN - 1097-0355 UR - https://www.unboundmedicine.com/medline/citation/26112776/NARRATIVE_AND_META_ANALYTIC_REVIEW_OF_INTERVENTIONS_AIMING_TO_IMPROVE_MATERNAL_CHILD_ATTACHMENT_SECURITY_ DB - PRIME DP - Unbound Medicine ER -