Attachment & Child Health (ATTACH) pilot trials: Effect of parental reflective function intervention for families affected by toxic stress.

Infant Mental Health Journal
Nicole LetourneauMartha Hart

Abstract

Toxic stressors (e.g., parental violence, depression, low income) place children at risk for insecure attachment. Parental reflective function-parents' capacity to understand their own and their child's mental states and thus regulate their own feelings and behavior toward their child-may buffer the negative effects of toxic stress on attachment. Our objective was to test the effectiveness of the Attachment and Child Health (ATTACH) intervention, focusing on improving reflective function and children's attachment security, for at-risk mothers and children <36 months of age. Three pilot studies were conducted with women and children from an inner city agency serving vulnerable, low-income families and a family violence shelter. Randomized control trial (n = 20, n = 10 at enrollment) and quasi-experimental (n = 10 at enrollment) methods tested the effect of the ATTACH intervention on the primary outcome of reflective function scores, from transcribed Parent Development Interviews. Our secondary outcome was children's attachment patterns from Ainsworth's Strange Situation Procedure. Despite some attrition, mixed methods analysis of covariance and t tests revealed significant differences in maternal, child, and overall reflective f...Continue Reading

References

Aug 1, 1990·The British Journal of Psychiatry : the Journal of Mental Science·L Murray, A D Carothers
Jun 1, 1987·The British Journal of Psychiatry : the Journal of Mental Science·J L CoxR Sagovsky
Mar 1, 1986·Child: Care, Health and Development·T el Tahir TahaH M Wallace
Feb 4, 1998·Development and Psychopathology·P Fonagy, M Target
Apr 20, 1999·Development and Psychopathology·L A SroufeB Egeland
Dec 9, 2000·Journal of Psychosomatic Research·D D AffonsoL J Mayberry
May 24, 2003·Journal of Personality Assessment·Geetha Kumar, Robert A Steer
Apr 23, 2005·Violence and Victims·Murray A Straus, Emily M Douglas
Sep 6, 2005·Journal of Critical Care·Gordon S Doig, Fiona Simpson
Oct 8, 2005·Attachment & Human Development·Arietta Slade
Oct 8, 2005·Attachment & Human Development·Arietta SladeAlison Locker
Dec 8, 2005·Attachment & Human Development·L Alan Sroufe
Mar 2, 2006·Development and Psychopathology·M H van IjzendoornM J Bakermans-Kranenburg
May 3, 2006·The Psychoanalytic Study of the Child·Arietta SladeLinda Mayes
Dec 13, 2006·Development and Psychopathology·Dante CicchettiSheree L Toth
Oct 5, 2007·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Sheri MadiganRoy Otten
Aug 19, 2008·Women and Birth : Journal of the Australian College of Midwives·Ingegerd HildingssonChristine Rubertsson
Oct 23, 2008·Complementary Therapies in Clinical Practice·Mary Mitchell, Katherine Allen
Apr 22, 2009·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Sian CottonMichael S Yi
Nov 17, 2009·Clinical Child Psychology and Psychiatry·Susan Spieker, Patricia McKinsey Crittenden
Jul 1, 2008·Psychoanalytic Psychology : the Official Journal of the Division of Psychoanalysis, American Psychological Association, Division 39·Nancy SuchmanLinda Mayes
Jul 7, 2010·Clinical Child Psychology and Psychiatry·Prachi E ShahLane Strathearn
Jul 7, 2010·Clinical Child Psychology and Psychiatry·P O SvanbergSusan Spieker
Feb 2, 2012·The Journal of Perinatal & Neonatal Nursing·Nicole LetourneauJustin Joschko
Feb 15, 2013·The Journal of Nervous and Mental Disease·Melitta Fischer-KernKatharina Leithner
Oct 29, 2013·Psychosomatic Medicine·Gerald F GiesbrechtUNKNOWN APrON Study Team
Aug 16, 2014·Personality and Social Psychology Review : an Official Journal of the Society for Personality and Social Psychology, Inc·Brooke C Feeney, Nancy L Collins

❮ Previous
Next ❯

Citations

Jun 1, 2021·Frontiers in Public Health·Lubna AnisNicole Letourneau
Oct 20, 2021·Child: Care, Health and Development·Olha Homonchuk, Jane Barlow

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.