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Minding the Baby®: Enhancing parental reflective functioning and infant attachment in an attachment-based,
Arietta Slade1, Margaret L Holland2, Monica Roosa Ordway2
1Yale Child Study Center, New Haven, CT, USA.
The Minding the Baby (MTB) program improved reflective functioning in first-time mothers and promoted secure infant attachment. This intensive intervention helps prevent disrupted relationships in vulnerable families.
Area of Science:
- Developmental Psychology
- Public Health
- Social Work
Background:
- Vulnerable families, particularly young first-time mothers in urban settings, face challenges impacting parent-child relationships.
- The intergenerational transmission of disrupted relationships and insecure attachment is a significant public health concern.
- Intensive early-life interventions are crucial for supporting vulnerable families.
Purpose of the Study:
- To evaluate the effectiveness of the Minding the Baby (MTB) intervention in enhancing reflective functioning in mothers.
- To assess the impact of MTB on infant attachment security and disorganization.
- To understand the role of intensive home visiting in preventing negative relational outcomes in early parenthood.
Main Methods:
- A randomized controlled trial (RCT) involving young first-time mothers in underserved urban communities.
- Intensive interdisciplinary home visiting services provided by nurses and social workers from pregnancy to child's second birthday.
- Assessment of maternal reflective functioning and infant attachment patterns (secure, insecure, disorganized).
Main Results:
- Mothers in the Minding the Baby (MTB) group showed significantly greater increases in reflective functioning compared to the control group.
- Infants in the MTB group were significantly more likely to exhibit secure attachment.
- Infants in the MTB group were significantly less likely to display disorganized attachment.
Conclusions:
- The Minding the Baby (MTB) intervention is effective in enhancing maternal reflective functioning and promoting secure infant attachment.
- Intensive, interdisciplinary home visiting can mitigate risks associated with early parenthood in vulnerable populations.
- MTB shows promise in preventing the intergenerational transmission of disrupted relationships and insecure attachment patterns.
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Relationship with Parents: Attachment
Theory of Romantic Attachment in Adulthood
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