Copenhagen infant mental health project: study protocol for a randomized controlled trial comparing circle of security –parenting and care as usual as interventions targeting infant mental health risks

Autor: Theis Lange, Johanne Smith-Nielsen, Mette Skovgaard Væver
Rok vydání: 2016
Předmět:
Male
Parents
medicine.medical_specialty
lcsh:BF1-990
Psychological intervention
Attachment
Maternal sensitivity
Education
Nonprofessional
Early intervention
Study Protocol
03 medical and health sciences
0302 clinical medicine
Attachment theory
medicine
Humans
0501 psychology and cognitive sciences
Early childhood
Parent-Child Relations
Infant social withdrawal
Indicated intervention
General Psychology
Infant mental health
Parenting
Public health
Preventive intervention
05 social sciences
Infant
Community health services
General Medicine
Object Attachment
Mental health
Mother-Child Relations
Postnatal depression
030227 psychiatry
Mental Health
lcsh:Psychology
Research Design
Parent training
Female
Parenting education
Psychology
Stress
Psychological
050104 developmental & child psychology
Clinical psychology
Zdroj: BMC Psychology, Vol 4, Iss 1, Pp 1-15 (2016)
BMC Psychology
ISSN: 2050-7283
DOI: 10.1186/s40359-016-0166-8
Popis: Background Infant mental health is a significant public health issue as early adversity and exposure to early childhood stress are significant risk factors that may have detrimental long-term developmental consequences for the affected children. Negative outcomes are seen on a range of areas such as physical and mental health, educational and labor market success, social network and establishing of family. Secure attachment is associated with optimal outcomes in all developmental domains in childhood, and both insecure and disorganized attachment are associated with a range of later problems and psychopathologies. In disadvantaged populations insecure and disorganized attachment are common, which points to the need of identifying early risk and effective methods of addressing such problems. This protocol describes an experimental evaluation of an indicated group-based parental educational program, Circle of Security–Parenting (COS-P), currently being conducted in Denmark. Methods/design In a parallel randomized controlled trial of two intervention groups this study tests the efficacy of COS-P compared to Care as Usual (CAU) in enhancing maternal sensitivity and child attachment in a community sample in the City of Copenhagen, Denmark. During the project a general population of an estimated 17.600 families with an infant aged 2–12 months are screened for two known infant mental health risks, maternal postnatal depression and infant social withdrawal. Eligible families (N = 314), who agree to participate, will be randomly allocated with a ratio of 2:1 into the COS-P intervention arm and into CAU. Data will be obtained at inclusion (baseline) and at follow-up when the child is 12–16 months. The primary outcome is maternal sensitivity. Secondary outcomes include quality of infant attachment, language, cognitive and socioemotional development, family functioning, parental stress, parental mentalizing and maternal mental wellbeing. Discussion The potential implications of the experimental evaluation of an indicated brief group-based parenting educational program to enhance parental sensitivity and attachment are discussed. Trial registration ClinicalTrials.govID: NCT02497677 . Registered July 15 2015
Databáze: OpenAIRE
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