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Parent-training programmes for improving maternal psychosocial health.

J Barlow1, E Coren

  • 1Health Services Research Unit, University of Oxford, Institute of Health Sciences, Old Road, Oxford, UK, OX3 7LF. esther.coren@dphpc.ox.ac.uk

The Cochrane Database of Systematic Reviews
|October 18, 2000
PubMed
Summary

Group-based parenting programs show promise for improving maternal psychosocial health, including anxiety and depression. While not all outcomes were significant, evidence supports their use for diverse parents, though caution is advised.

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Area of Science:

  • Psychology
  • Public Health
  • Maternal Health

Background:

  • Maternal mental health issues affect 1 in 3 women and can impact mother-infant relationships and child development.
  • Parenting programs are increasingly recognized for their potential to enhance maternal psychosocial well-being.

Purpose of the Study:

  • To evaluate the effectiveness of group-based parenting programs in improving maternal psychosocial health, specifically anxiety, depression, and self-esteem.

Main Methods:

  • A systematic review of randomized controlled trials (RCTs) was conducted using multiple electronic databases and the Cochrane Library.
  • Studies included group-based parenting programs and standardized measures of maternal psychosocial health.
  • Data were critically appraised using JAMA criteria and summarized using effect sizes; meta-analysis was not performed due to heterogeneity.

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Main Results:

  • Of 22 included studies, 17 provided data on 59 outcomes related to maternal psychosocial health.
  • Approximately 22% of outcomes showed statistically significant improvements favoring the intervention group.
  • An additional 40% of outcomes favored the intervention but lacked statistical significance, potentially due to small sample sizes; 38% showed no significant effect.

Conclusions:

  • Group-based parenting programs can contribute significantly to improved maternal psychosocial health.
  • Evidence supports the use of these programs across diverse parent populations, despite variability in study quality.
  • Further research is needed, and results should be generalized cautiously, considering the level of parental pathology.