Pre‐ and postnatal antecedents of a home‐visiting intervention and family developmental outcome

Heinicke, Christoph M.; Goorsky, M.; Levine, Melvin D.; Ponce, Victoria; Ruth, Gloria; Silverman, Mara; Sotelo, Claudia Andrea Benavides

doi:10.1002/imhj.20082

Cited by 28 publications

(25 citation statements)

References 18 publications

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“…Our particular findings are both consistent and inconsistent with existing studies. Our findings are consistent with those studies that have found better program participation or outcomes for more secure mothers (Heinicke et al, 2006; Moran et al, 2005; Robinson et al, 2002; Spieker et al, 2005). Our findings are inconsistent with those that have found better program participation for mothers who are depressed and/or higher on attachment avoidance or anxiety (Duggan et al, 2009; Olds et al, 2008 [for mothers with fewer “psychological resources”]; Robinson & Emde, 2004).…”

Section: Discussionsupporting

confidence: 93%

“…A lack of self-disclosure may limit the extent to which a mother communicates her or her child's needs, which may then limit the extent to which services providers can help to address these needs. Further support for the proposed weaker program effects for mothers higher on attachment avoidance or anxiety comes from three studies that used the AAI and found greater program engagement or impacts for secure mothers (Heinicke et al, 2006; Spieker, Nelson, DeKlyen, & Staerkel, 2005), or for mothers who were not classified with the AAI as unresolved (with respect to loss or trauma; Moran, Pederson, & Krupka, 2005). …”

mentioning

confidence: 99%

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Testing maternal depression and attachment style as moderators of early head start's effects on parenting

Berlin

Whiteside-Mansell

Roggman

et al. 2011

Attachment & Human Development

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This study examined maternal depression, attachment avoidance, and attachment anxiety as moderators of Early Head Start's effects on four parenting outcomes assessed at age 3. Participants (N = 947) were drawn from six sites of the Early Head Start National Research and Evaluation Project, a multi-site randomized trial. Findings suggest more positive program effects for mothers with less initial attachment avoidance or attachment anxiety. First, baseline attachment avoidance moderated EHS program effects on observed maternal supportiveness, such that program mothers with lower baseline attachment avoidance were rated as more supportive of their 3-year-olds than program mothers with higher baseline attachment avoidance. Second, program effects on spanking varied depending on mothers’ baseline attachment anxiety.

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Section: Discussionsupporting

confidence: 93%

mentioning

confidence: 99%

Testing maternal depression and attachment style as moderators of early head start's effects on parenting

Berlin

Whiteside-Mansell

Roggman

et al. 2011

Attachment & Human Development

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show abstract

“…This time point is critical as extant research largely supports the adverse effects of maternal depressive symptoms on sensitive parenting and subsequent quality of attachments formed between mothers and children (Diener et al 2003; Goodman and Gotlib, 2002; Lyons-Ryth et al 2002; Mills-Koonce et al 2008). Furthermore, recent research supports the influence of maternal attachment style, and maternal depressive symptoms on the ability to benefit from early intervention programs aimed at improving parent-child interaction (Berlin et al 2011; Duggan et al 2009; Heinicke et al 2006). Mothers whose attachment styles make it difficult to connect with their unborn child may also have difficulty connecting with an interventionist charged with engaging the mother in a working alliance (Duggan et al 2009).…”

Section: Discussionmentioning

confidence: 98%

A longitudinal study of maternal attachment and infant developmental outcomes

Alhusen

Hayat

Gross

2013

Arch Womens Ment Health

189

134

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Extant research has demonstrated that compared to adults with insecure attachment styles, more securely attached parents tend to be more responsive, sensitive, and involved parents resulting in improved outcomes for their children. Less studied is the influence of a mother's attachment style on her attachment to her unborn child during pregnancy and the consequent developmental outcomes of the child during early childhood. Thus, the aim of this prospective longitudinal study was to examine the relationship between maternal-fetal attachment (MFA) during pregnancy and infant and toddler outcomes and the role of mothers’ attachment style on early childhood developmental outcomes in an economically disadvantaged sample of women and their children. Gamma regression modeling demonstrated an avoidant maternal attachment style (b = .98, 95% CI [.97, .98], p < 0.001) and post-partum depressive symptomatology (b = .97, 95% CI [.96-.99], p = .03) were significant predictors of early childhood development. Women demonstrating higher avoidant attachment styles and greater depressive symptomatology were more likely to have children demonstrating early childhood developmental delays than those women with less avoidant attachment styles and less depressive symptomatology. Furthermore, women reporting higher MFA during pregnancy had more secure attachment styles and their children had more optimal early childhood development than those women reporting lower MFA and less secure attachment styles. Findings have implications for enhancing early intervention programs aimed at improving maternal and childhood outcomes. An earlier identification of disruptions in attachment may be beneficial in tailoring interventions focused on the mother-child dyad.

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“…Heinicke et al (2006), using the AAI with pregnant women, found that secure mothers in the treatment group had better parenting and child outcomes than did insecure mothers. However, another study found that maternal attachment, as measured by the AAI, did not moderate Early Head Start program impacts (Spieker et al 2005).…”

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confidence: 99%

Maternal Relationship Security as a Moderator of Home Visiting Impacts on Maternal Psychosocial Functioning

et al. 2012

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There is variability in home visiting program impacts on the outcomes achieved by high risk families. An understanding of how effects vary among families is important for refining service targeting and content. The current study assessed whether and how maternal attributes, including relationship security, moderate short- and long-term home visiting impacts on maternal psychosocial functioning. In this multisite RCT of home visiting in a population-based, ethnically-diverse sample of families at risk for maltreatment of their newborns (n = 643), families were randomly assigned to home visited (HV) and control groups. HV families were to receive intensive services by trained paraprofessionals from birth-3 years. Outcome data were collected when children were 1, 2, and 3 years old and 7, 8, and 9 years old. Overall, short- and long-term outcomes for HV and control mothers did not differ significantly. Demographic attributes, a general measure of overall maternal risk, and partner violence did not moderate program impact on psychosocial functioning outcomes. Maternal relationship security did moderate program impact. Mothers who scored high on relationship anxiety but not on relationship avoidance showed the greatest benefits, particularly at the long-term follow-up. Mothers scoring high for both relationship anxiety and avoidance experienced some adverse consequences of home visiting. Further research is needed to determine mediating pathways and to inform and test ways to improve the targeting of home visiting and the tailoring of home visit service models to extend positive home visiting impacts to targeted families not benefiting from current models.

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Pre‐ and postnatal antecedents of a home‐visiting intervention and family developmental outcome

Cited by 28 publications

References 18 publications

Testing maternal depression and attachment style as moderators of early head start's effects on parenting

Testing maternal depression and attachment style as moderators of early head start's effects on parenting

A longitudinal study of maternal attachment and infant developmental outcomes

Maternal Relationship Security as a Moderator of Home Visiting Impacts on Maternal Psychosocial Functioning

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