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Blended Infant Massage-Parenting Enhancement Program on Recovering Substance-Abusing Mothers' Parenting Stress, Self-Esteem, Depression, Maternal Attachment, and Mother-Infant Interaction.
Asian Nurs Res (Korean Soc Nurs Sci). 2015 Dec; 9(4):318-27.AN

Abstract

PURPOSE

This study aimed to determine whether a blended Infant Massage-Parenting Enhancement Program (IMPEP) improved maternal psychosocial health outcomes (parenting stress, depressive symptoms, self-esteem, maternal attachment) and maternal-infant interaction among substance-addicted mothers (SAMs) actively engaged in outpatient rehabilitation.

METHODS

Designed as a randomized, three-group controlled trial testing two levels of psychoeducational intervention (IMPEP vs. PEP) and a control group (standard care parenting resources), the study was conducted in two substance abuse centers in southeast Florida on a convenience sample of 138 recovering SAM-infant pairs. IMPEP or PEP classes were held weekly on Weeks 2-5, with data collected at baseline (Week 1), Week 6, and Week 12 via structured interviews, observation (Observation Checklist on Maternal-Infant Interaction), and self-administered questionnaires (Abidin Parenting Stress Index, Beck Depression Inventory, Rosenberg Self-Esteem Scale, Muller's Maternal Attachment Inventory), analyzed descriptively and inferentially using Kruskall-Wallis analysis of variance and post hoc Wilcoxon rank sum and Mann-Whitney U tests.

RESULTS

Both IMPEP and PEP groups had significantly increased Parenting Stress Index scores (decreased parenting stress) and decreased Beck Depression Inventory scores (decreased depressive symptoms) compared to controls at Week 12, whereas there were no clinically meaningful differences among study groups in Rosenberg Self-Esteem Scale, Muller's Maternal Attachment Inventory, or Observation Checklist on Maternal-Infant Interaction scores. Only the IMPEP group showed significant improvements in both psychological and physical (waist-hip ratio) measures of parenting stress over time.

CONCLUSIONS

The findings suggest that infant massage blended into a structured parenting program has value-added effects in decreasing parenting stress and maternal depressive symptoms, but not on SAM's self-esteem, attachment, or maternal-infant interaction.

Authors+Show Affiliations

College of Nursing and Health Sciences, Florida International University, Miami, FL, USA. Electronic address: luzporter@comcast.net.External IMPEP Study Co-Investigator, University of Miami, Miami, FL, USA.Department of Health Promotion and Disease Prevention, Robert Stemple School of Public Health, Florida International University, Miami, FL, USA.Memorial Regional Hospital, Hollywood, FL, USA.Memorial Regional Hospital, Hollywood, FL, USA.AIDS Healthcare Foundation, Miami Beach, FL, USA.IMPEP Study Team, Robert Stemple School of Public Health, Florida International University, Miami, FL, USA.

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

26724241

Citation

Porter, Luz S., et al. "Blended Infant Massage-Parenting Enhancement Program On Recovering Substance-Abusing Mothers' Parenting Stress, Self-Esteem, Depression, Maternal Attachment, and Mother-Infant Interaction." Asian Nursing Research, vol. 9, no. 4, 2015, pp. 318-27.
Porter LS, Porter BO, McCoy V, et al. Blended Infant Massage-Parenting Enhancement Program on Recovering Substance-Abusing Mothers' Parenting Stress, Self-Esteem, Depression, Maternal Attachment, and Mother-Infant Interaction. Asian Nurs Res (Korean Soc Nurs Sci). 2015;9(4):318-27.
Porter, L. S., Porter, B. O., McCoy, V., Bango-Sanchez, V., Kissel, B., Williams, M., & Nunnewar, S. (2015). Blended Infant Massage-Parenting Enhancement Program on Recovering Substance-Abusing Mothers' Parenting Stress, Self-Esteem, Depression, Maternal Attachment, and Mother-Infant Interaction. Asian Nursing Research, 9(4), 318-27. https://doi.org/10.1016/j.anr.2015.09.002
Porter LS, et al. Blended Infant Massage-Parenting Enhancement Program On Recovering Substance-Abusing Mothers' Parenting Stress, Self-Esteem, Depression, Maternal Attachment, and Mother-Infant Interaction. Asian Nurs Res (Korean Soc Nurs Sci). 2015;9(4):318-27. PubMed PMID: 26724241.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Blended Infant Massage-Parenting Enhancement Program on Recovering Substance-Abusing Mothers' Parenting Stress, Self-Esteem, Depression, Maternal Attachment, and Mother-Infant Interaction. AU - Porter,Luz S, AU - Porter,Brian O, AU - McCoy,Virginia, AU - Bango-Sanchez,Vivian, AU - Kissel,Bonnie, AU - Williams,Marjorie, AU - Nunnewar,Sachin, Y1 - 2015/10/23/ PY - 2014/07/25/received PY - 2015/08/07/revised PY - 2015/09/16/accepted PY - 2016/1/3/entrez PY - 2016/1/3/pubmed PY - 2016/10/7/medline KW - massage KW - mental health KW - mothers KW - parenting education KW - substance-related disorders SP - 318 EP - 27 JF - Asian nursing research JO - Asian Nurs Res (Korean Soc Nurs Sci) VL - 9 IS - 4 N2 - PURPOSE: This study aimed to determine whether a blended Infant Massage-Parenting Enhancement Program (IMPEP) improved maternal psychosocial health outcomes (parenting stress, depressive symptoms, self-esteem, maternal attachment) and maternal-infant interaction among substance-addicted mothers (SAMs) actively engaged in outpatient rehabilitation. METHODS: Designed as a randomized, three-group controlled trial testing two levels of psychoeducational intervention (IMPEP vs. PEP) and a control group (standard care parenting resources), the study was conducted in two substance abuse centers in southeast Florida on a convenience sample of 138 recovering SAM-infant pairs. IMPEP or PEP classes were held weekly on Weeks 2-5, with data collected at baseline (Week 1), Week 6, and Week 12 via structured interviews, observation (Observation Checklist on Maternal-Infant Interaction), and self-administered questionnaires (Abidin Parenting Stress Index, Beck Depression Inventory, Rosenberg Self-Esteem Scale, Muller's Maternal Attachment Inventory), analyzed descriptively and inferentially using Kruskall-Wallis analysis of variance and post hoc Wilcoxon rank sum and Mann-Whitney U tests. RESULTS: Both IMPEP and PEP groups had significantly increased Parenting Stress Index scores (decreased parenting stress) and decreased Beck Depression Inventory scores (decreased depressive symptoms) compared to controls at Week 12, whereas there were no clinically meaningful differences among study groups in Rosenberg Self-Esteem Scale, Muller's Maternal Attachment Inventory, or Observation Checklist on Maternal-Infant Interaction scores. Only the IMPEP group showed significant improvements in both psychological and physical (waist-hip ratio) measures of parenting stress over time. CONCLUSIONS: The findings suggest that infant massage blended into a structured parenting program has value-added effects in decreasing parenting stress and maternal depressive symptoms, but not on SAM's self-esteem, attachment, or maternal-infant interaction. SN - 2093-7482 UR - https://www.unboundmedicine.com/medline/citation/26724241/Blended_Infant_Massage_Parenting_Enhancement_Program_on_Recovering_Substance_Abusing_Mothers'_Parenting_Stress_Self_Esteem_Depression_Maternal_Attachment_and_Mother_Infant_Interaction_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1976-1317(15)00085-7 DB - PRIME DP - Unbound Medicine ER -