Effect of Attachment and Child Health (ATTACHTM) Parenting Program on Parent-Infant Attachment, Parental Reflective

Lubna Anis1, Kharah Ross2,3, Henry Ntanda4

  • 1Owerko Centre for Children's Neurodevelopment and Mental Health, Alberta Children's Hospital Research Institute, Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4, Canada.

Insights

The ATTACHTM parenting program significantly improved parent-child attachment security and parental reflective function (RF) in high-risk families. This intervention shows promise for supporting vulnerable caregivers and their young children.

Area of Science:

  • Developmental Psychology
  • Clinical Psychology
  • Family Studies

Background:

  • High-risk families face challenges like violence, addiction, and poverty, impacting parenting effectiveness.
  • Parenting difficulties in these families can negatively affect child development and attachment.
  • Parental Reflective Function (RF) is crucial for understanding and responding to a child's mental states.

Purpose of the Study:

  • To evaluate the effectiveness of the ATTACHTM program for high-risk families.
  • To assess the program's impact on parent-child attachment and parental RF.
  • To investigate ATTACHTM's protective role against parental depression.

Main Methods:

  • A manualized, 10-12 session, one-on-one parental RF-based parenting program (ATTACHTM).
  • Assessment of parent-child attachment using the Strange Situation Procedure (SSP).
  • Measurement of parental RF using the Reflective Function Scale (RFS).
  • Data from 40 caregivers and children < 6 years in pilot RCTs and QES.

Main Results:

  • ATTACHTM significantly increased secure parent-child attachment in RCTs (p=0.004).
  • Parental RF (self, child, overall) significantly improved in RCTs (p≤0.004).
  • Significant improvement in parental RF was observed in QES within the ATTACHTM group (p=0.000).

Conclusions:

  • ATTACHTM is effective in enhancing parent-child attachment and parental RF in high-risk populations.
  • The program demonstrates potential as a protective factor for depressed caregivers.
  • ATTACHTM shows promise as a valuable intervention for high-risk parents and young children.

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