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Parent-training programmes for improving maternal psychosocial health.

J Barlow, E Coren

    The Cochrane Database of Systematic Reviews
    |February 20, 2004
    PubMed
    Summary

    Group-based parenting programs show short-term benefits for maternal mental health, improving depression, anxiety, and self-esteem. Further research is needed to confirm long-term effectiveness and identify factors for successful outcomes.

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    Area of Science:

    • Psychology
    • Public Health
    • Social Sciences

    Background:

    • Maternal psychosocial health significantly impacts mother-infant relationships and child development.
    • Parenting programs are increasingly used to support child outcomes, but their effect on maternal mental health requires further investigation.

    Purpose of the Study:

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

    Main Methods:

    • Systematic review and meta-analysis of randomized controlled trials (RCTs) using standardized instruments for maternal psychosocial health.
    • Included studies focused on group-based parenting programs with control groups (waiting-list, no-treatment, or placebo).
    • Effect sizes were calculated and combined using a fixed-effect model with 95% confidence intervals.

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    Main Results:

    • Meta-analyses indicated statistically significant improvements favoring parenting programs for maternal depression, anxiety/stress, self-esteem, and marital adjustment.
    • No significant effectiveness was found for social support outcomes.
    • Follow-up data suggested sustained improvements in self-esteem and marital adjustment, though not statistically significant for depression and marital adjustment.

    Conclusions:

    • Group-based parenting programs offer short-term benefits for maternal psychosocial health.
    • Limited and equivocal follow-up data highlight the need for more research on long-term effectiveness.
    • Further research should explore factors influencing program success, emphasizing quality of delivery, to optimize maternal mental health promotion.