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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.
Abstract:
High-risk families exposed to toxic stressors such as family violence, depression, addiction, and poverty, have shown greater difficulty in parenting young children. In this study, we examined the effectiveness of ATTACHTM, a 10−12 session manualized one-on-one parental Reflective Function (RF)-based parenting program designed for high-risk families. Outcomes of parent-child attachment and parental RF were assessed via the Strange Situation Procedure (SSP) and Reflective Function Scale (RFS), respectively. The protective role of ATTACHTM on parental depression was also assessed. Data were available from caregivers and their children < 6 years of age who participated in five pilot randomized control trials (RCTs) and quasi-experimental studies (QES; n = 40). Compared with the control group, caregivers who received the ATTACHTM-program demonstrated a greater likelihood of secure attachment with their children (p = 0.004) and higher parental RF [self (p = 0.004), child (p = 0.001), overall (p = 0.002)] in RCTs. A significant improvement in parental RF (p = 0.000) was also observed in the QES within ATTACHTM group analysis. As attachment security increased, receiving the ATTACHTM program may be protective for depressed caregivers. Results demonstrated the promise of ATTACHTM for high-risk parents and their young children.
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