A psychotherapeutic baby clinic in a hostel for homeless families: Practice and evaluation

Sleed, Michelle; James, Jessica; Baradon, Tessa; Newbery, Julia; Fonagy, Peter

doi:10.1111/j.2044-8341.2011.02050.x

Cited by 57 publications

(25 citation statements)

References 63 publications

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“…Inadequate and insecure housing conditions (like mould growth, indoor air pollution, ine ciency of heating systems or lack of sanitation amenities) may trigger many health problems (40). It has already been reported that the prevalence of mental disorders, respiratory and gastrointestinal diseases are high in people living in insecure and inadequate living conditions (26)(27)(28). The prevalence of chronic diseases was the lowest in these two groups in our study compared to the roo ess and houseless groups.…”

Section: Discussionmentioning

confidence: 45%

Health status and health behaviour of the Hungarian homeless people

Nagy-Borsy

Vági

Skerlecz

et al. 2020

Preprint

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Background Homelessness has risen recently in Europe, but there is lack of comprehensive health data on this population. Our aim was to characterize the health of the Hungarian homeless population.Methods We performed a health survey with 453 homeless individuals. The results were compared to the age and sex standardized data of the general Hungarian population and its lowest income quintile from the European Health Interview Survey 2014. The differences by the ETHOS classification within the homeless population were also studied.Results Significantly fewer homeless people reported good health status than in the general population or in its lowest income quintile (p < 0.001). Of the participants 70% had at least one chronic disease, only 41% of them visited a GP and 35% took medication in the previous 12 months. While 59% of the lowest income quintile and 50% of the general population had at least one chronic disease, almost all of them visited a physician and took medication. The highest prevalence of morbidity (80%) and multimorbidity (46%) was reported in the houseless group. The majority of the homeless people were current smokers, the prevalence was much higher than in the two reference populations (p < 0.001). The prevalence of heavy drinkers was the highest among the roofless participants (40%).Conclusions Homeless people have much poorer health and they utilize health services less than the most disadvantaged quintile of the general population. There is a clear social gradient within the homeless population, as well, which calls for integrated approaches for specific interventions to improve their health.

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Section: Discussionmentioning

confidence: 45%

Health status and health behaviour of the Hungarian homeless people

Nagy-Borsy

Vági

Skerlecz

et al. 2020

Preprint

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“…The eight included studies investigated the effectiveness of PIP with a range of clinical groups, including depressed mothers (Cicchetti 1999a; Cooper 2003a); maltreating parents (Cicchetti 2006b); incarcerated mother‐infant dyads (Sleed 2013b); parents experiencing a range of infant problems (Cohen 1999b; Robert‐Tissot 1996a); mothers with concerns about their own role as mothers, well‐being of the infants, or the mother‐infant relationship (Salomonsson 2011a); and parents of infants at risk of anxious attachment because their mothers are emotionally unavailable (Lieberman 1991).…”

Section: Resultsmentioning

confidence: 99%

Parent‐infant Psychotherapy for Improving Parental and Infant Mental Health: A Systematic Review

Barlow

Bennett

Midgley

et al. 2015

Campbell Systematic Reviews

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This co‐registered Cochrane and Campbell systematic review compares the effectiveness of parent‐infant psychotherapy (PIP) in improving the mental health of parents, the parent‐infant relationship and infant emotional wellbeing with that of no treatment, treatment as usual and alternative treatments. The review summarises findings from eight randomised controlled trials (RCTs), with a total of 846 participants. Compared with no treatment or treatment‐as‐usual, PIP participants show an increase in the number of infants securely attached; fewer infants with an avoidant or disorganised attachment style; and more infants moving from insecure to secure attachment. This was maintained at follow up. PIP is neither more nor less effective than no treatment or treatment‐as‐usual in improving maternal mental health, and reflective functioning; infant stress and development; or the quality of the mother‐infant interaction. Parent‐infant psychotherapy (PIP) is a dyadic intervention that works with parent and infant together, with the aim of improving the parent‐infant relationship and promoting infant attachment and optimal infant development. PIP aims to achieve this by targeting the mother's view of her infant, which may be affected by her own experiences, and linking them to her current relationship to her child, in order to improve the parent‐infant relationship directly. Abstract BACKGROUNDParent‐infant psychotherapy (PIP) is a dyadic intervention that works with parent and infant together, with the aim of improving the parent‐infant relationship and promoting infant attachment and optimal infant development. PIP aims to achieve this by targeting the mother's view of her infant, which may be affected by her own experiences, and linking them to her current relationship to her child, in order to improve the parent‐infant relationship directly. OBJECTIVES To assess the effectiveness of PIP in improving parental and infant mental health and the parent‐infant relationship. To identify the programme components that appear to be associated with more effective outcomes and factors that modify intervention effectiveness (e.g. programme duration, programme focus). SEARCH METHODSWe searched the following electronic databases on 13 January 2014: Cochrane Central Register of Controlled Trials (CENTRAL, 2014, Issue 1), Ovid MEDLINE, EMBASE, CINAHL, PsycINFO, BIOSIS Citation Index, Science Citation Index, ERIC, and Sociological Abstracts. We also searched the metaRegister of Controlled Trials, checked reference lists, and contacted study authors and other experts. SELECTION CRITERIATwo review authors assessed study eligibility independently. We included randomised controlled trials (RCT) and quasi‐randomised controlled trials (quasi‐RCT) that compared a PIP programme directed at parents with infants aged 24 months or less at study entry, with a control condition (i.e. waiting‐list, no treatment or treatment‐as‐usual), and used at least one standardised measure of parental or infant functioning. We also included studies that only used ...

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“…Desses 68 artigos excluídos, 32 buscaram avaliar a eficácia e/ou efeitos de intervenções com mães de bebês e/ou famílias de bebês e/ ou profissionais de saúde em diferentes contextos, sem configurar psicoterapia pais-bebê; 12 artigos buscaram analisar a interação mãe-bebê; oito buscaram avaliar resultados e /ou propriedades e/ ou eficácia de instrumentos de avaliação psicológica com a díade mãe-bebê; sete estudos investigaram a saúde mental e/ou problemas de desenvolvimento de crianças; seis buscaram examinar a saúde mental dos pais; dois examinaram fenômenos relacionados à vacinação dos bebês, e um artigo procurou explorar as primeiras experiências de pais que têm um bebê muito prematuro. Dos dez artigos incluídos para este estudo, três deles avaliaram os efeitos de uma intervenção breve em psicoterapia pais-bebê para mães e bebês de populações consideradas de alto risco para a parentalidade (prisões e albergues) (Sleed, Baradon, & Fonagy, 2013a;Sleed, James, Baradon, Newbery, & Fonagy, 2013b;Bain, 2014); um avaliou a eficácia de uma intervenção em psicoterapia utilizando o dispositivo da arte para mães-bebê em um serviço de saúde pública (Armstrong & Howatson, 2015); três artigos analisaram o efeito de uma psicoterapia breve pais-bebê em serviços de saúde pública (Moayedoddin, Moser, & Nanzer, 2013;Salomonsson, Sorjonen, & Salomonsson, 2015;Salomonsson & Sandell, 2011); um artigo avaliou a participação do pai na psicoterapia breve pais-bebê no contexto da depressão pós-parto (Silva, Prado, & Piccinini, 2013); um artigo analisou e identificou conteúdos manifestos nas sessões de psicoterapia breve pais-bebê, evidências empíricas do conceito de "honorável fachada", com base nos eixos conjugalidade e parentalidade (Frizzo, Prado, Linares, & Piccinini, 2011); um artigo demonstrou a organização e o estabelecimento de um serviço de saúde mental para crianças com idade de 0-3 anos, com perspectiva de psicoterapia mãe-bebê em um ambiente comunitário (Berg, 2012).…”

Section: Fluxograma De Busca Nas Bases De Dadosunclassified

“…Referente à primeira subcategoria, designada "artigos cujo objetivo foi identificar os efeitos da intervenção proposta sobre o bebê", destaca-se a análise do desenvolvimento do bebê (motor, cognitivo e emocional), a partir da psicoterapia pais-bebê, em cinco trabalhos (Sleed et al, 2013b;Bain, 2014;Salomonsson et al, 2015;Berg, 2012;Salomonsson & Sandell, 2011); e em outro há a análise do funcionamento global do bebê a partir da psicoterapia pais-bebê (Salomonsson et al, 2015).…”

Section: Fluxograma De Busca Nas Bases De Dadosunclassified

“…Por fim, dois artigos avaliaram os efeitos da psicoterapia pais-bebê para a sintomatologia de ansiedade da mãe (Moayedoddin et al, 2013;Bain, 2014) e outro avaliou o estresse, com base na intervenção proposta (Salomonsson & Sandell, 2011). Em relação à última subcategoria designada "artigos cujo objetivo foi identificar os efeitos da intervenção sobre a relação/interação mãe-bebê e/ou pai-mãe-bebê", os dez artigos desta revisão sistemática documentaram a evolução da relação/interação mãe-bebê e/ou pai-mãe-bebê a partir da psicoterapia pais-bebê (Sleed et al, 2013a;Sleed et al, 2013b;Armstrong & Howatson, 2015;Bain, 2014;Moayedoddin et al, 2013;Salomonsson et al, 2015;Berg, 2012;Salomonsson & Sandell, 2011;Frizzo et al,2011;Silva et al, 2013).…”

Section: Fluxograma De Busca Nas Bases De Dadosunclassified

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Psicoterapia Pais-Bebê: Uma Revisão Sistemática de Literatura

Oliveira

Donelli

Reuse

2019

PSSA

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O presente artigo realizou uma revisão sistemática da literatura, a fim de identificar e analisar a produção científica recente sobre psicoterapia pais-bebê, publicada no período de janeiro de 2010 a julho de 2015. Os descritores utilizados foram parent-infant AND psychotherapy e parent-infant AND intervention e suas respectivas traduções em português e espanhol, sendo incluídos artigos empíricos, disponibilizados gratuitamente na íntegra e revisados por pares. Foram consultadas as bases de dados: PsycINFO, Scielo, Medline, Web of Science e BVS. O material foi analisado a partir das seguintes categorias: 1) objetivos; 2) delineamentos; 3) participantes; 4) instrumentos; 5) intervenções utilizadas; e 6) principais resultados. Os achados demonstraram que os resultados foram animadores a respeito dos efeitos terapêuticos tanto para a relação/interação da díade, bem como para o estado emocional da mãe, do bebê e para o desenvolvimento deste. Poucas publicações sobre psicoterapia pais-bebê foram encontradas, evidenciando a necessidade de mais investimentos em pesquisa.

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A psychotherapeutic baby clinic in a hostel for homeless families: Practice and evaluation

Cited by 57 publications

References 63 publications

Health status and health behaviour of the Hungarian homeless people

Health status and health behaviour of the Hungarian homeless people

Parent‐infant Psychotherapy for Improving Parental and Infant Mental Health: A Systematic Review

Psicoterapia Pais-Bebê: Uma Revisão Sistemática de Literatura

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