BACKGROUND: Whereas preventive interventions for depressed mothers and their infants have yielded positive short-term outcomes, few studies have examined their long-term effectiveness. The present follow-up of a randomised controlled trial (RCT) is one of the first to examine the longer-term effects of an intervention for mothers with postpartum depression and their infants at school-age. In early infancy, the intervention was found effective in improving mother-infant interaction and the child's attachment to its mother. METHODS:Twenty-nine mother-child pairs who completed the intervention are compared with 29 untreated mother-child dyads as to the quality of maternal interactive behaviour and the child outcomes of attachment security to the mother, self-esteem, ego-resiliency, verbal intelligence, prosocial behaviour, school adjustment, and behaviour problems at age 5 (M=68 months). RESULTS: In the total sample no lasting treatment benefits were found, but in families reporting a higher number of stressful life events, children in the intervention group had fewer externalising behaviour problems as rated by their mothers than children in the control group. CONCLUSIONS: In the context of multiple stressful life events the intervention served as a buffer by preventing the development of externalising problems in the child. The results warrant cautious interpretation because of the relatively small sample size and differential attrition revealing the mothers that completed the follow-up assessment to have improved less on maternal sensitivity following the intervention than the mothers who did not participate in the follow-up.
RCT Entities:
BACKGROUND: Whereas preventive interventions for depressed mothers and their infants have yielded positive short-term outcomes, few studies have examined their long-term effectiveness. The present follow-up of a randomised controlled trial (RCT) is one of the first to examine the longer-term effects of an intervention for mothers with postpartum depression and their infants at school-age. In early infancy, the intervention was found effective in improving mother-infant interaction and the child's attachment to its mother. METHODS: Twenty-nine mother-child pairs who completed the intervention are compared with 29 untreated mother-child dyads as to the quality of maternal interactive behaviour and the child outcomes of attachment security to the mother, self-esteem, ego-resiliency, verbal intelligence, prosocial behaviour, school adjustment, and behaviour problems at age 5 (M=68 months). RESULTS: In the total sample no lasting treatment benefits were found, but in families reporting a higher number of stressful life events, children in the intervention group had fewer externalising behaviour problems as rated by their mothers than children in the control group. CONCLUSIONS: In the context of multiple stressful life events the intervention served as a buffer by preventing the development of externalising problems in the child. The results warrant cautious interpretation because of the relatively small sample size and differential attrition revealing the mothers that completed the follow-up assessment to have improved less on maternal sensitivity following the intervention than the mothers who did not participate in the follow-up.
Authors: Barbara P Yawn; Allen J Dietrich; Peter Wollan; Susan Bertram; Debbie Graham; Jessica Huff; Margary Kurland; Suzanne Madison; Wilson D Pace Journal: Ann Fam Med Date: 2012 Jul-Aug Impact factor: 5.166
Authors: Joanna Maselko; Siham Sikander; Elizabeth L Turner; Lisa M Bates; Ikhlaq Ahmad; Najia Atif; Victoria Baranov; Sonia Bhalotra; Amina Bibi; Tayyaba Bibi; Samina Bilal; Pietro Biroli; Esther Chung; John A Gallis; Ashley Hagaman; Anam Jamil; Katherine LeMasters; Karen O'Donnell; Elissa Scherer; Maria Sharif; Ahmed Waqas; Ahmed Zaidi; Shaffaq Zulfiqar; Atif Rahman Journal: Lancet Psychiatry Date: 2020-09 Impact factor: 27.083
Authors: Laura E Kersten-Alvarez; Clemens M H Hosman; J Marianne Riksen-Walraven; Karin T M van Doesum; Sanny Smeekens; Cees Hoefnagels Journal: Child Psychiatry Hum Dev Date: 2012-04