Infant-mother attachment can be improved through group intervetiona preliminary evaluation in Spain in a non-randomized controlled trial
- Torres Gómez de Cádiz, Bárbara 1
- Alonso Arbiol, Itziar 1
- Cantero López, María José 3
- Abubakar, Amina 2
-
1
Universidad del País Vasco/Euskal Herriko Unibertsitatea
info
Universidad del País Vasco/Euskal Herriko Unibertsitatea
Lejona, España
-
2
Tilburg University
info
-
3
Universitat de València
info
ISSN: 1138-7416
Año de publicación: 2011
Volumen: 14
Número: 2
Páginas: 630-638
Tipo: Artículo
Otras publicaciones en: The Spanish Journal of Psychology
Resumen
The quality of infant-mother attachment has been linked to competence in different domains of child development. Research indicates that early intervention can enhance the quality of infant-mother attachment, though its efficacy in a group format has yet to be evaluated. The current study is aimed at examining the usefulness of a group intervention in enhancing infant-mother attachment. An intervention aimed at addressing aspects such as maternal responsivity, sensitivity and childrearing behaviour was developed by the researchers and experienced psychologists. The intervention spanned a period of 14 months starting from the third quarter of pregnancy. The intervention was evaluated among 24 mothers from the Basque region of Spain. The sample consisted of children of both genders in a similar proportion: 45.8% were boys and 54.2% were girls. The children in this sample were full-term born and did not present symptoms of any serious pre- or postnatal complications. The intervention had a statistically non-significant medium effect. Infants whose mothers had received the intervention showed higher rates of secure attachment compared to children from the control group, as assessed by the Strange Situation observation procedure. A potentially significant confounding variable, maternal attachment, was balanced across the intervention and comparison groups. We can tentatively point out that a group intervention may enhance the quality of infant-mother attachment. Nevertheless, because the study design was not randomized, the results of this study remain preliminary and need replication in a full randomized controlled trial designed study.
Información de financiación
This research was supported by two grants from Vicerrectorado de Investigación de la Universidad del País Vasco (UPV05/111; GIU08/09), by two mobility grants from the Spanish Ministerio de Eduación to the second author (JC2008-00012; JC2009-00225), and by the financial support of Ayuntamiento de San Sebastian to carry out the intervention. The intervention programme was designed by the first author, and by C. Achúcarro, C. Herce, and A. Rivero (Centro LAUKA de Estudios e Intervenciones Psicológicas, S.L., de San Sebastián). A. Iglesias and R. Izaguirre (also from the same centre) implemented the programme under C. Achúcarro’s surpervision. We would like to thank these professionals for their involvement and collaboration in this work. We would also like to thank the families who took part in this study, and the health workers who facilitated participants’ recruitment.Financiadores
-
- UPV05/111
-
- JC2008-00012
Referencias bibliográficas
- Ainsworth, M. D., Blehar, M. C, Waters, E., & Wall, S. (1978). Patterns of attachment: Assessed in the Strange Situation and at home. Hillsdale, NJ: Erlbaum.
- Bakermans-Kranenburg, M. J., van Uzendoorn, M. H., & Juffer, F. (2003). Less is more: Meta-analyses of sensitivity and attachment interventions in early childhood. Psychological Bulletin, 129, 195-215. doi:10.1037/0033-2909. 129.2.195 (Pubitemid 38389554)
- Barlow, J., & Svanberg, P. O. (2009). Keeping the baby in mind. In J. Barlow & P. O. Svanberg (Eds.), Keeping the baby in mind: Infant mental health in practice (pp. 1-14). New York, NY: Routledge/Taylor & Francis Group.
- Berlin, L. J. (2007). Interventions to enhance early attachments. In L. J. Berlin, Y. Ziv, L. Amaya-Jackson, & M. T. Greenberg (Eds.), Enhancing early attachments. Theory, research, intervention, and policy (pp. 3-33). New York, NY: The Guildford Press.
- Berlin, L. J., Zeanah, C. H., & Lieberman, A. F. (2008). Prevention and intervention programs for supporting early attachment security. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment. Theory, research, and clinical applications (2nd ed.), (pp. 745-761). New York, NY: The Guilford Press.
- Brisch, K. H., Bechinger, D., Betzler, S., & Heinemann, H. (2003). Early preventive attachment-oriented psychotherapeutic intervention program with parents of a very low birthweight premature infants. Attachment and Human Development, 5, 120-135. doi:10.1080/1461673031000108504 (Pubitemid 36817970)
- Cantero, M. J. (2003). Intervención temprana en el desarrollo afectivo [Early intervention in the affective development]. In A. Gômez-Artiga, P. Viguer, & M. J. Cantero (Eds.), Intervenciön temprana: Desarrollo Optimo de 0 a 6 años [Early intervention: Optimal development from 0 to 6 years] (pp. 175-203). Madrid, Spain: Pirámide.
- Cerezo, M. A., Cantero, M. J., & Alhambra, M. S. (1997). La mejora de la competencia parental en la prevenciôn del maltrato [The improvement of parental competence in the prevention of maltreatment]. Infancia y Aprendizaje, 80, 99-110. doi:10.1174/021037097761396199
- Cerezo, M. A., Dolz, L., Pons-Salvador, G, & Cantero, M. J. (1999). Prevenciôn de maltrato de infantes: evaluación del impacto de un programa en el desarrollo de los niños [Prevention of infant maltreatment: Evaluation of the impact of a programme in child development]. Anales de Psicologia, 15, 239-250.
- Cerezo, M. A., Pons-Salvador, G, & Trenado, R. (2008, September). Child abuse potential and quality of mother-child attachment in the context of a community based prevention program. Paper presented at the XVIIth ISPCAN International Congress on Child Abuse and Neglect. Hong Kong, China.
- Cerezo, M. A., Trenado, R., & Pons-Salvador, G (2009). Prevenciôn del maltrato infantil. EI apoyo a los padres y sus relaciones con los hijos y el fomento de las buenas prácticas [Prevention of child maltreatment. Support for parents and their relations with children and the promotion of good practice]. In B. Gömez-Bengoechea (Ed.), Violencia intrafamiliar: hacia unas relaciones familiäres sin violencia [Intra-family violence: Toward family relations without violence] (pp.61-90). Madrid, Spain: Instituto Universitario de la Familia de la Universidad Pontificia de Comillas.
- Cicchetti, D., Rogosch, F. A., & Toth, S. L. (2006). Fostering secure attachment in infants in maltreating families through preventive interventions. Development and Psychopathology, 18, 623-649. doi:10.1017/S0954579406060329 (Pubitemid 44445155)
- Cooper, G, Hoffman, K., Powell, B., & Marvin, R. S. (2007). The Circle of Security intervention: Differential diagnosis and differential treatment. In L. J. Berlin, Y. Ziv, L. Amaya-Jackson, & M. T. Greenberg (Eds.), Enhancing early attachments. Theory, research, intervention, and policy (pp. 125-151). New York, NY: The Guilford Press.
- Cunningham, C. E., Bremner, R., & Boyle, M. (1995). Large group community-based parenting programs for families of preschoolers at risk for disruptive behavior disorders: Utilization, cost effectiveness, and outcome. Journal of Child Psychology and Psychiatry, 35, 1141-1159. doi:10.1111/j.1469- 7610.1995.tb01362.x
- Cunningham, C. E., Davis, J. R., Bremner, R., Dunn, K. W, & Rzasa, T. (1993). Coping modeling problem solving versus mastery modeling: Effects on adherence, in-session process, and skill acquisition in a residential parent training program. Journal of Consulting and Clinical Psychology, 61, 871-877. doi:10.1037/0022-006X.61.5.871 (Pubitemid 23304600)
- Cyr, C, Euser, E. M., Bakermans-Kranenburg, M. J., & van Uzendoorn, M. H. (2010). Attachment security and disorganization in maltreating and high-risk families: A series of meta-analyses. Development and Psychopathology, 22, 87-108. doi:10.1017/S0954579409990289
- DeKlyen, M., & Greenberg, M. T. (2008). Attachment and psychopathology in childhood. In J. Cassidy & P.R. Shaver (Eds.), Handbook of attachment. Theory, research, and clinical applications (2nd ed.) (pp. 637-665). New York, NY: The Guilford Press.
- Dozier, M., Stovall-McClough, K. C, & Albus, K. E. (2008). Attachment and psychopathology in adulthood. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment. Theory, research, and clinical applications (2 nd ed.) (pp. 718-744). New York, NY: The Guilford Press.
- Dozier, M., Libdhiem, O., & Ackerman, J. P. (2007). Attachment and biobehavioral catch-up: An intervention targeting empirically identified needs of foster infants. In L. J. Berlin, Y. Ziv, L. Amaya-Jackson, & M. T. Greenberg (Eds.), Enhancing early attachments. Theory, research, intervention, and policy (pp. 178-194). New York, NY: The Guilford Press.
- Egeland, B., & Erickson, M. F. (2004). Lessons from STEEP: linking theory, research, and practice for the well-being of infants and parents. In A. Sameroff, S. C. McDonough, & K. L. Rosenblum (Eds.), Treating parent-infant relationship problems: Strategies for intervention (pp. 213-242). New York, NY: The Guilford Press.
- Egeland, B., Weinfield, N. S., Bosquet, M., & Cheng, V. K. (2000). Remembering, repeating, and working through: Lessons from attachment-based intervention. In J. Osofsky & H. E. Fitzgerald (Eds.), WAIMH handbook of infant mental health. (Vol. 4; pp. 35-89). New York, NY: Wiley.
- George, C, Kaplan, N, & Main, M. (1985). The Adult Attachment Interview. Unpublished manuscript. Berkeley, CA: University of California.
- Greenberg, M. T. (2007). Enhancing early attachments: Synthesis and recommendations, for research, practice, and policy. In L. J. Berlin, Y Ziv, L. Amaya-Jackson, & M. T. Greenberg (Eds.), Enhancing early attachments. Theroy, research, intervention, and policy (pp.327-343). New York, NY: The Guilford Press.
- Heinicke, C. M., Fineman, N., Ponce, V. A., & Guthrie, D. (2001). Relationship based intervention with at-risk mothers: Outcome in the second year of life. Infant Mental Health Journal, 22, 431-462. doi:10.1002/imhj.1010 (Pubitemid 33617567)
- Hesse, E. (2008). The Adult Attachment Interview. Protocol, method of analysis, and empirical studies. In J. Cassidy & PR. Shaver (Eds.), Handbook of attachment. Theory, research, and clinical applications (2nd ed.) (pp. 552-598). New York, NY: The Guilford Press.
- Juffer, F., Bakermans-Kranenburg, M. J., & van Uzendoorn, M., H. (Eds.), (2008). Promoting positive parenting: An attachment-based intervention. New York, NY: Taylor & Francis Group/Lawrence Erlbaum Associates.
- Kobak, R., Cassidy, J., Lyons-Ruth, K., & Ziv, Y. (2006). Attachment, stress, and psychopathology: A developmental pathways model. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology. Volume I, Theory and Method (2nd edition) (pp. 333-369). New York, NY: John Wiley and Sons.
- Marvin, R. S., Cooper, Q, Hoffman, K., & Powell, B. (2002). The Circle of Security project: Attachment-based intervention with caregiver-preschool child dyads. Attachment and Human Development, I, 107-124. doi:10.1080/14616730252982491 (Pubitemid 34661864)
- Niccols, A. (2008). "Right from the Start": Randomized trial comparing an attachment group intervention to supportive home visiting. Journal of Child Psychology and Psychiatry, 49, 754-764. doi:10.1111/j.1469-7610.2008. 01888.x (Pubitemid 351986236)
- Olds, D. L. (2007). The nurse-family partnership: Foundations in attachment theory and epidemiology. In L. J. Berlin, Y Ziv, L. Amaya-Jackson, & M. T. Greenberg (Eds.), Enhancing early attachment. Theory, research, intervention, and policy (pp. 217-249). New York, NY: The Guilford Press.
- Parr, M., & Joyce, C. (2009). "First steps in parenting": Developing nurturing parenting skills in mothers and fathers in pregnancy and the postnatal period. In J. Barlow & P. O. Svanberg (Eds.), Keeping the baby in mind: Infant mental health in practice (pp. 52-62). New York, NY: Routledge/Taylor & Francis Group.
- Rea, L. M., & Parker, R. A. (1992). Designing and conducting survey research. San Francisco, CA: Jossey-Bass.
- Rrtter, M. (1985). Resilience in the face of adversity: Protective factors and resistance to psychiatric disorder. British Journal of Psychiatry, 147, 598-611. doi:10.1192/bjp.147.6.598
- Sroufe, L. A. (2000). Early relationships and the development of children. Infant Mental Health Journal, 21, 67-74. doi:10.1002/(SICI)1097- 0355(20001/04)21
- Svanberg, P. O. (2009). Promoting a secure attachment through early screening and interventions: A partnership approach. In J. Barlow & P. O. Svanberg (Eds.). Keeping the baby in mind: Infant mental health in practice (pp. 100-114). New York, NY: Routledge/Taylor & Francis Group.
- Thabane, L., Ma, J., Chu, R., Cheng, J., Ismaila, A., Rios, L. P., ⋯ Goldsmith, C. H. (2020). A tutorial on pilot studies: The what, why and how. BMC Medical Research Methodology, 10, 1. doi:10.1186/1471-2288-10-1
- Trenado, R., Pons-Salvador, G, & Cerezo, M. A. (2009). Protecting the families: Support and assistance for families. Papeles del Psicólogo, 30, 24-32.
- van Uzendoorn, M.H. (1995). Adult attachment representations, parental responsiveness, and infant attachment: A meta-analysis on the predictive validity of the Adult Attachment Interview. Psychological Bulletin, 117, 387-403. doi:10.1037/0033-2909.117.3.387
- van Uzendoorn, M. H., & Bakermans-Kranenburg, M. J. (2010). Invariance of adult attachment across gender, age, culture, and socioeconomic status? Journal of Social and Personal Relationships, 27, 200-208. doi:10.1177/0265407509360908
- Yalom, I. D. (1985). The theory and practice of group psychotherapy (3rd ed.). New York, NY: Basic Books.