Long-term efficacy of an attachment-based parental training program for single mothers and their children: a randomized controlled trial

Weihrauch, Lonja; Schäfer, Ralf B.; Franz, Matthias

doi:10.1007/s10389-013-0605-4

Cited by 16 publications

(6 citation statements)

References 43 publications

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“…The finding that parent psychological symptoms reduced after an attachment-based intervention is in line the findings of Cohen et al (1999), Lieberman et al (2006) and Weihrauch et al (2014) but in contrast to those of Sadler et al (2013) and Toth et al (2006Toth et al ( , 2008, who found no change. Results in the current study suggest that parents who are supported to think and feel more positively about the child and feel more capable in their role as parents, experience more pleasure in the parent-child relationship, but also experience a more general increase in psychological well being.…”

Section: Change In Parenting Stress By Baseline Severity Groupsupporting

confidence: 83%

“…Some studies of attachment-based interventions have reported reductions in parenting stress (Cohen et al 1999), depressive symptoms (Cohen et al 1999;Weihrauch et al 2014), general levels of psychological distress (Lieberman et al 2006;Weihrauch et al 2014) and avoidance trauma symptoms (Lieberman et al 2005(Lieberman et al , 2006 in parents. Two studies examining the effectiveness of parent-infant psychotherapy with the same sample found that despite improvements in toddler attachment security and parent reflective functioning there were no improvements in parent depression levels in an otherwise low risk sample with a history of major depressive disorder (Toth et al 2006(Toth et al , 2008.…”

Section: Introductionmentioning

confidence: 99%

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Improved Parental Emotional Functioning After Circle of Security 20-Week Parent–Child Relationship Intervention

2016

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This study examined the effectiveness of the attachment-based Circle of Security 20-week intervention (COS) in improving parent emotional functioning in 83 families referred to a community clinical service with concerns about their young children's behavior. Parenting stress and parent psychological symptoms were assessed pre and post intervention and mixed design repeated measures ANOVAs were used to assess change. Severity of presenting problems was considered as a moderator. Results showed clinically significant improvements in both aspects of parent emotional functioning, with changes accounted for by for those with more severe problems at the outset. Improvements for parents were associated with improved child behavior and more positive parent representations of the child and of parenting capacity. Findings suggest the intensive COS intervention is effective in reducing parenting stress and psychological symptoms in parents of children from aged 1-7 years. Questions remain about the mechanisms of change and the direction of effects.

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Section: Change In Parenting Stress By Baseline Severity Groupsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Improved Parental Emotional Functioning After Circle of Security 20-Week Parent–Child Relationship Intervention

2016

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“…Additionally, the determination of these factors will be useful in order to design more targeted prevention programs , such as group sessions targeting single mothers, which found to be helpful in decreasing depressive symptoms, negative thinking, and chronic stressors. Some good examples could be “the cognitive-behavioral group intervention” [66], the “behavioral interventions or parenting programs” proposed by Taylor and Conger [67], and the “parental training program” developed by Weihrauch [68].…”

Section: Resultsmentioning

confidence: 99%

Mental health among single mothers in Cyprus: a cross-sectional descriptive correlational study

et al. 2019

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Background International literature reveals that single mothers experience increased levels of chronic stress, which is mainly due to economic hardship and reduced levels of social support. Eventually this leads to psychological distress. While most of the studies commonly identify that mental health disorders are common among single mothers compared to their married counterparts, the magnitude of the problem might be even larger since diagnosis-specific tools may mask important levels of distress of milder intensity. This study aims to assess the level of mental distress experienced by single mothers as measured by the GHQ-28, and how it is influenced by socioeconomic factors, as well as the level of perceived social support. Methods Between January and March 2012, Greek speaking single mothers who reside in Cyprus were recruited by either personal conduct through Single Mothers’ Association (SMA), or by using snowball sampling technic. Mental distress was assessed with the General Health Questionnaire (GHQ-28) and perceived social support with the Social Provision Scale (SPS). All scales were completed anonymously and voluntarily by 316 single mothers. Univariable and multivariable associations with socio-demographic characteristics were investigated using chi-square tests and in multivariable backward stepwise logistic regression models respectively. Odds ratio of psychological distress across decreasing levels of social support were estimated in logistic regression models. . Results As many as 44.6% of the sample appeared to experience psychological distress (GHQ-28 total score ≥ 5). Strong associations with all health assessment tools were observed with variables relating to the lowest monthly family income, the presence of economic difficulties, the higher educational level, the age group 35–44 years and pre-existing illness. Social support as perceived by the mothers displayed a strong negative independent association with psychological distress, even after adjusting confounders. Conclusion This study highlights that single mothers are very likely to experience poor psychological well-being. With a steady rise in the proportion of single-parent families headed by a mother, these findings highlight a significant issue that would adversely affect many women and consequently their children and the community. It also emphasizes the necessity for interventions and strategies at community level in order to support this vulnerable population group.

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“…Thus far, we have primarily highlighted the significant gap in the literature on AE effects on child EXT and INT, though there is also limited research around its effects on parent mental health and wellbeing outcomes. Previous reviews of AE have investigated intervention-induced improvements in parent skills (e.g., caregiver sensitivity; Bakermans-Kranenburg et al, 2003 ) but not parent mental health, which may also be impacted by some AE (e.g., Moretti et al, 2018 ; Weihrauch et al, 2014 ), particularly given that AE predominately target parents’ behavior, thoughts, and feelings (Havighurst et al, 2020 ; Kobak et al, 2015 ; Maliken & Katz, 2013 ). A meta-analysis on one type of AE—Circle of Security—found a medium effect on parent depressive symptoms following intervention; however, only three studies were included (Yaholkoski et al, 2016 ).…”

Section: Previous Reviews Of Parenting Intervention Effects On Extern...mentioning

confidence: 99%

Attachment- and Emotion-Focused Parenting Interventions for Child and Adolescent Externalizing and Internalizing Behaviors: A Meta-Analysis

Jugovac

O’Kearney

Hawes

et al. 2022

Clin Child Fam Psychol Rev

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Attachment- and emotion-focused parenting interventions (AE) have grown in popularity as an alternative to behavioral parent training (BPT) for children and adolescents. AE go beneath behavior by helping parents understand and respond to their child’s underlying attachment and emotional needs. Past reviews have examined their effects on attachment security and caregiver sensitivity, though less is known regarding their effects on child mental health symptoms. Reported here is the first systematic review and meta-analysis of individual and group AE on externalizing behavior (EXT) and internalizing behavior (INT) for children aged 0–18 years. A search of four databases prior to July 2021 elicited 43 studies that met eligibility criteria. Meta-analysis revealed that AE were superior to waitlist controls for EXT (SMD = − 0.17) and INT (SMD = − 0.34). Effects were sustained at follow-up periods of 6 months and greater, and AE considered to target child mental health were significantly more effective than those that did not in reducing EXT and INT. Two studies retrieved directly compared AE to BPT, which showed no evidence of a difference for follow-up measures of EXT. No studies compared AE to BPT on INT. AE demonstrated no evidence of superiority compared to controls for parent mental health. Findings support the potential for AE to reduce EXT and INT in children and adolescents; however, future research should consider the relative effectiveness of AE.

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Long-term efficacy of an attachment-based parental training program for single mothers and their children: a randomized controlled trial

Cited by 16 publications

References 43 publications

Improved Parental Emotional Functioning After Circle of Security 20-Week Parent–Child Relationship Intervention

Improved Parental Emotional Functioning After Circle of Security 20-Week Parent–Child Relationship Intervention

Mental health among single mothers in Cyprus: a cross-sectional descriptive correlational study

Attachment- and Emotion-Focused Parenting Interventions for Child and Adolescent Externalizing and Internalizing Behaviors: A Meta-Analysis

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