Short-term psychodynamic infant–parent interventions at Child health centers : Outcomes on parental depression and infant social–emotional functioning
(2021) In Infant Mental Health Journal 42(1). p.109-123- Abstract
Randomized controlled trials (RCTs) demonstrate efficacy of parent–infant psychotherapy, but its applicability and effectiveness in public health care are less known. The method followed is Naturalistic study evaluating Short-term Psychodynamic Infant–Parent Interventions at Child Health Centers (SPIPIC) in Stockholm, Sweden. One hundred distressed mothers with infants were recruited by supervised nurses. Six therapists provided 4.3 therapy sessions on average (SD = 3.3). Sessions typically included the mothers, often with the baby present, while fathers rarely attended sessions. The Edinburgh Postnatal Depression Scale (EPDS) and the Ages and Stages Questionnaire: Social–Emotional (ASQ: SE) were distributed at baseline and at 3 and 9... (More)
Randomized controlled trials (RCTs) demonstrate efficacy of parent–infant psychotherapy, but its applicability and effectiveness in public health care are less known. The method followed is Naturalistic study evaluating Short-term Psychodynamic Infant–Parent Interventions at Child Health Centers (SPIPIC) in Stockholm, Sweden. One hundred distressed mothers with infants were recruited by supervised nurses. Six therapists provided 4.3 therapy sessions on average (SD = 3.3). Sessions typically included the mothers, often with the baby present, while fathers rarely attended sessions. The Edinburgh Postnatal Depression Scale (EPDS) and the Ages and Stages Questionnaire: Social–Emotional (ASQ: SE) were distributed at baseline and at 3 and 9 months later. Data from a nonclinical group were collected simultaneously to provide norm data. Multilevel growth models on the mothers’ questionnaire scores showed significant decreases over time on both measures. Nine months after baseline, 50% achieved a reliable change on the EPDS and 14% on the ASQ: SE. Prepost effect-sizes (d) were 0.70 and 0.40 for EPDS and ASQ: SE, figures that are comparable to results of other controlled studies. Psychotherapists integrated with public health care seem to achieve good results when supporting distressed mothers with brief interventions in the postnatal period. SPIPIC needs to be compared with other modalities and organizational frameworks.
(Less)
- author
- Salomonsson, Björn ; Kornaros, Katarina ; Sandell, Rolf LU ; Nissen, Eva and Lilliengren, Peter
- organization
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- naturalistic outcome study, nurse reflective supervision, parent–infant psychotherapy, postnatal depression, SPIPIC
- in
- Infant Mental Health Journal
- volume
- 42
- issue
- 1
- pages
- 109 - 123
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- pmid:33155706
- scopus:85096698517
- ISSN
- 0163-9641
- DOI
- 10.1002/imhj.21893
- language
- English
- LU publication?
- yes
- id
- 59089745-c80c-4e6e-bb3b-316604033c80
- date added to LUP
- 2020-12-08 14:16:38
- date last changed
- 2024-06-27 02:50:02
@article{59089745-c80c-4e6e-bb3b-316604033c80,
abstract = {{<p>Randomized controlled trials (RCTs) demonstrate efficacy of parent–infant psychotherapy, but its applicability and effectiveness in public health care are less known. The method followed is Naturalistic study evaluating Short-term Psychodynamic Infant–Parent Interventions at Child Health Centers (SPIPIC) in Stockholm, Sweden. One hundred distressed mothers with infants were recruited by supervised nurses. Six therapists provided 4.3 therapy sessions on average (SD = 3.3). Sessions typically included the mothers, often with the baby present, while fathers rarely attended sessions. The Edinburgh Postnatal Depression Scale (EPDS) and the Ages and Stages Questionnaire: Social–Emotional (ASQ: SE) were distributed at baseline and at 3 and 9 months later. Data from a nonclinical group were collected simultaneously to provide norm data. Multilevel growth models on the mothers’ questionnaire scores showed significant decreases over time on both measures. Nine months after baseline, 50% achieved a reliable change on the EPDS and 14% on the ASQ: SE. Prepost effect-sizes (d) were 0.70 and 0.40 for EPDS and ASQ: SE, figures that are comparable to results of other controlled studies. Psychotherapists integrated with public health care seem to achieve good results when supporting distressed mothers with brief interventions in the postnatal period. SPIPIC needs to be compared with other modalities and organizational frameworks.</p>}},
author = {{Salomonsson, Björn and Kornaros, Katarina and Sandell, Rolf and Nissen, Eva and Lilliengren, Peter}},
issn = {{0163-9641}},
keywords = {{naturalistic outcome study; nurse reflective supervision; parent–infant psychotherapy; postnatal depression; SPIPIC}},
language = {{eng}},
number = {{1}},
pages = {{109--123}},
publisher = {{John Wiley & Sons Inc.}},
series = {{Infant Mental Health Journal}},
title = {{Short-term psychodynamic infant–parent interventions at Child health centers : Outcomes on parental depression and infant social–emotional functioning}},
url = {{http://dx.doi.org/10.1002/imhj.21893}},
doi = {{10.1002/imhj.21893}},
volume = {{42}},
year = {{2021}},
}