Adding "Circle of Security - Parenting" to treatment as usual in three Swedish infant mental health clinics. Effects on parents' internal representations and quality of parent-infant interaction.

https://arctichealth.org/en/permalink/ahliterature295022
Source
Scand J Psychol. 2018 Jun; 59(3):262-272
Publication Type
Journal Article
Date
Jun-2018
Author
Pia Risholm Mothander
Catarina Furmark
Kerstin Neander
Author Affiliation
Department of psychology, Stockholm University, Stockholm, Sweden.
Source
Scand J Psychol. 2018 Jun; 59(3):262-272
Date
Jun-2018
Language
English
Publication Type
Journal Article
Keywords
Adult
Caregivers - psychology
Child, Preschool
Emotions
Female
Humans
Infant
Infant, Newborn
Male
Mental health
Object Attachment
Parent-Child Relations
Parenting
Parents - psychology
Psychology, Child
Sweden
Abstract
This study presents effects of adding Circle of Security-Parenting (COS-P) to an already established comprehensive therapeutic model for early parent-child intervention in three Swedish infant mental health (IMH) clinics. Parents' internal representations and quality of parent-infant interaction were studied in a clinical sample comprised of 52 parent-infant dyads randomly allocated to two comparable groups. One group consisted of 28 dyads receiving treatment as usual (TAU) supplemented with COS-P in a small group format, and another group of 24 dyads receiving TAU only. Assessments were made at baseline (T1), 6 months after inclusion (T2) and 12 months after inclusion (T3). Changes over time were explored in 42 dyads. In the COS-P group, the proportion of balanced representations, as assessed with Working Model of the Child Interview (WMCI), significantly increased between T1 and T3. Further, the proportion of emotionally available interactions, as assessed with Emotional Availability scales (EA), significantly increased over time in the COS-P group. Improvements in the TAU-group were close to significant. Limitations of the study are mainly related to the small sample size. Strength is the real world character of the study, where COS-P was implemented in a clinical context not otherwise adapted to research. We conclude by discussing the value of supplementing TAU with COS-P in IMH treatment.
PubMed ID
29244205 View in PubMed
Less detail