Manualised Attachment-Based Interventions for Improving Caregiver-Infant Relationships: A Two-Stage Systematic Review
A Wittkowski1,2,3,4, C Crompton5,6, M W Wan5,7
1School of Health Sciences, The University of Manchester, Manchester, UK. anja.wittkowski@manchester.ac.uk.
Clinical Child and Family Psychology Review
|November 18, 2024
Summary
Manualized attachment-based interventions significantly improve caregiver-infant relationships. Attachment and Biobehavioral Catch-Up (ABC), Minding the Baby (MTB), and Circle of Security (COS) show the most promise for early childhood development.
Area of Science:
- Perinatal mental health
- Child development
- Attachment theory
Background:
- Attachment-based interventions enhance caregiver-infant relationships and psychological well-being.
- Identifying effective interventions is crucial for clinical practice implementation.
Purpose of the Study:
- To overview manualized attachment-based interventions for caregivers and infants (conception to 2 years), excluding video-feedback focused approaches.
- To determine the effectiveness of these interventions in improving caregiver-infant relational outcomes.
Main Methods:
- A two-stage systematic review process was employed to identify interventions and relevant studies.
- Forty studies on 16 interventions, focusing on relational outcomes, were quality assessed and synthesized.
- Observer-rated measures were utilized in 90% of the included studies.
Main Results:
- Eighty percent of studies reported statistically significant positive changes in caregiver-infant relational outcomes.
- Attachment and Biobehavioral Catch-Up (ABC), Minding the Baby (MTB), and Circle of Security (COS) demonstrated the most promising evidence.
- Most included studies were of good quality.
Conclusions:
- Manualized attachment-based interventions are effective in improving caregiver-infant relational outcomes.
- The review provides guidance for implementing evidence-based interventions in perinatal care.
- ABC, MTB, and COS are recommended interventions for supporting early caregiver-infant relationships.
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