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RANDOMIZED CONTROLLED TRIAL OF PARENT-INFANT PSYCHOTHERAPY FOR PARENTS WITH MENTAL HEALTH PROBLEMS AND YOUNG INFANTS.
Infant Ment Health J. 2016 Mar-Apr; 37(2):97-114.IM

Abstract

There is a dearth of good-quality research investigating the outcomes of psychoanalytic parent-infant psychotherapy (PIP). This randomized controlled trial investigated the outcomes of PIP for parents with mental health problems who also were experiencing high levels of social adversity and their young infants (<12 months). Dyads were clinically referred and randomly allocated to PIP or a control condition of standard secondary and specialist primary care treatment (n = 38 in each group). Outcomes were assessed at baseline and at 6-month and 12-month follow-ups. The primary outcome was infant development. Secondary outcomes included parent-infant interaction, maternal psychopathology, maternal representations, maternal reflective functioning, and infant attachment. There were no differential effects over time between the groups on measures of infant development, parent-infant interaction, or maternal reflective functioning. Infant attachment classifications, measured only at the 12-month follow-up, did not differ between the groups. There were favorable outcomes over time for the PIP-treated dyads relative to the control group on several measures of maternal mental health, parenting stress, and parental representations of the baby and their relationship. The findings indicate potential benefits of parent-infant psychotherapy for improving mothers' psychological well-being and their representations of their baby and the parent-infant relationship.

Authors+Show Affiliations

University College London and Anna Freud Centre, London.University College London and Anna Freud Centre, London.Anna Freud Centre, London and University of Witwatersrand, Johannesburg.

Pub Type(s)

Journal Article
Pragmatic Clinical Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26939716

Citation

Fonagy, Peter, et al. "RANDOMIZED CONTROLLED TRIAL of PARENT-INFANT PSYCHOTHERAPY for PARENTS WITH MENTAL HEALTH PROBLEMS and YOUNG INFANTS." Infant Mental Health Journal, vol. 37, no. 2, 2016, pp. 97-114.
Fonagy P, Sleed M, Baradon T. RANDOMIZED CONTROLLED TRIAL OF PARENT-INFANT PSYCHOTHERAPY FOR PARENTS WITH MENTAL HEALTH PROBLEMS AND YOUNG INFANTS. Infant Ment Health J. 2016;37(2):97-114.
Fonagy, P., Sleed, M., & Baradon, T. (2016). RANDOMIZED CONTROLLED TRIAL OF PARENT-INFANT PSYCHOTHERAPY FOR PARENTS WITH MENTAL HEALTH PROBLEMS AND YOUNG INFANTS. Infant Mental Health Journal, 37(2), 97-114. https://doi.org/10.1002/imhj.21553
Fonagy P, Sleed M, Baradon T. RANDOMIZED CONTROLLED TRIAL of PARENT-INFANT PSYCHOTHERAPY for PARENTS WITH MENTAL HEALTH PROBLEMS and YOUNG INFANTS. Infant Ment Health J. 2016 Mar-Apr;37(2):97-114. PubMed PMID: 26939716.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - RANDOMIZED CONTROLLED TRIAL OF PARENT-INFANT PSYCHOTHERAPY FOR PARENTS WITH MENTAL HEALTH PROBLEMS AND YOUNG INFANTS. AU - Fonagy,Peter, AU - Sleed,Michelle, AU - Baradon,Tessa, Y1 - 2016/03/04/ PY - 2015/05/07/received PY - 2015/10/05/revised PY - 2015/12/14/accepted PY - 2016/3/5/entrez PY - 2016/3/5/pubmed PY - 2016/12/15/medline KW - Eltern-Säuglings-Psychotherapie KW - Frühförderung KW - Psychothérapie parent-nourrisson KW - RCT KW - Sicoterapia progenitor-infante KW - attachment-based intervention KW - bindungsbasierte Intervention KW - depresión posnatal KW - dépression postnatale KW - early intervention KW - essai aléatoire contrôlé (RCT) KW - intervención con base en la afectividad KW - intervention basée sur l'attachement KW - intervention précoce KW - parent-infant psychotherapy KW - postnatal depression KW - postnatale Depression KW - temprana intervención KW - 以依附為基礎的干預 KW - 家長幼兒心理治療 KW - 愛着に基づく介入 KW - 早期介入 KW - 早期干預 KW - 無作為対照化試験 (RCT) KW - 產​​後抑鬱。 KW - 産後抑うつ KW - 親乳幼児精神療法 SP - 97 EP - 114 JF - Infant mental health journal JO - Infant Ment Health J VL - 37 IS - 2 N2 - There is a dearth of good-quality research investigating the outcomes of psychoanalytic parent-infant psychotherapy (PIP). This randomized controlled trial investigated the outcomes of PIP for parents with mental health problems who also were experiencing high levels of social adversity and their young infants (<12 months). Dyads were clinically referred and randomly allocated to PIP or a control condition of standard secondary and specialist primary care treatment (n = 38 in each group). Outcomes were assessed at baseline and at 6-month and 12-month follow-ups. The primary outcome was infant development. Secondary outcomes included parent-infant interaction, maternal psychopathology, maternal representations, maternal reflective functioning, and infant attachment. There were no differential effects over time between the groups on measures of infant development, parent-infant interaction, or maternal reflective functioning. Infant attachment classifications, measured only at the 12-month follow-up, did not differ between the groups. There were favorable outcomes over time for the PIP-treated dyads relative to the control group on several measures of maternal mental health, parenting stress, and parental representations of the baby and their relationship. The findings indicate potential benefits of parent-infant psychotherapy for improving mothers' psychological well-being and their representations of their baby and the parent-infant relationship. SN - 1097-0355 UR - https://www.unboundmedicine.com/medline/citation/26939716/RANDOMIZED_CONTROLLED_TRIAL_OF_PARENT_INFANT_PSYCHOTHERAPY_FOR_PARENTS_WITH_MENTAL_HEALTH_PROBLEMS_AND_YOUNG_INFANTS_ L2 - https://doi.org/10.1002/imhj.21553 DB - PRIME DP - Unbound Medicine ER -