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Testing an attachment- and trauma-informed intervention approach for parents and young children after interparental

Sabine van der Asdonk1, Ashwina R Kesarlal2, Carlo Schuengel3

  • 1Institute of Education and Child Studies, Faculty of Social and Behavioural Sciences, Leiden University, Leiden, the Netherlands. s.van.der.asdonk@fsw.leidenuniv.nl.

Trials
|December 5, 2022
PubMed

Insights

This study evaluates attachment- and trauma-informed interventions, including Nederlandse Interventie Kortdurend op Atypisch oudergedrag (NIKA) and eye movement desensitization and reprocessing (EMDR) therapy, for parents and young children exposed to interparental violence.

Area of Science:

  • Psychology
  • Trauma Studies
  • Child Development

Background:

  • Interparental violence negatively impacts parents and children, with young children being particularly vulnerable.
  • Limited evidence exists on effective interventions for infants and toddlers exposed to domestic violence.
  • Attachment and trauma-informed approaches are crucial for this population.

Purpose of the Study:

  • To test the effectiveness of Nederlandse Interventie Kortdurend op Atypisch oudergedrag (NIKA) and eye movement desensitization and reprocessing (EMDR) therapy.
  • To evaluate the individual and combined effects of NIKA and EMDR for parent-child dyads exposed to severe interparental violence.
  • To improve parenting behaviors and reduce trauma symptoms in parents and children.

Main Methods:

  • Multicenter randomized controlled trial in Dutch domestic violence shelters.
  • Recruitment of 150 parent-child dyads with children aged 0.5-6 years.
  • Two-phase study: Phase 1 (NIKA vs. waitlist), Phase 2 (EMDR vs. waitlist for parents with PTSD, NIKA+EMDR vs. usual care).

Main Results:

  • Primary outcomes: disrupted parenting, sensitive parenting, parental PTSD symptoms.
  • Secondary outcomes: child PTSD symptoms, behavioral and emotional problems.
  • Data collection via pre- and post-tests at 6-week intervals.

Conclusions:

  • This research will provide crucial insights into effective treatment strategies.
  • Findings will enhance clinical practice for families affected by interparental violence.
  • The study aims to improve outcomes for traumatized parents and young children.
Abstract

Keywords:
AttachmentDomestic violenceEMDR therapyEarly childhoodInterparental violenceInterventionPTSDRCTTraumaVideo feedback

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