title: New Beginnings for mothers and babies in prison: a cluster randomized controlled trial.
abstract: Mothers in prison represent a high-risk parenting population. New Beginnings is an attachment-based group intervention designed specifically for mothers and babies in prison. This cluster randomized trial examined the outcomes for 88 mothers and babies participating in the New Beginnings program and 75 dyads residing in prisons where the intervention did not take place. Outcomes were measured in terms of parental reflective functioning, the quality of parent-infant interaction, maternal depression, and maternal representations. Mothers in the control group deteriorated in their level of reflective functioning and behavioral interaction with their babies over time, whereas the mothers in the intervention group did not. There were no significant group effects on levels of maternal depression or mothers' self-reported representations of their babies over time. An attachment-based intervention may mitigate some of the risks to the quality of the parent-infant relationship for these dyads.
authors.affiliation: Research Department of Clinical, Educational and Health Psychology, University College London, London, UK. Michelle.Sleed@annafrued.org
authors.forename: Michelle
authors.initials: M
authors.lastname: Sleed
authors.forename: Tessa
authors.initials: T
authors.lastname: Baradon
authors.forename: Peter
authors.initials: P
authors.lastname: Fonagy
mesh_terms: D000293:Adolescent; D000328:Adult; D016000:Cluster Analysis; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology*; D009769:Object Attachment; D011329:Prisoners; D036301:Qualitative Research; D006113:United Kingdom; D055815:Young Adult
references.citation: Attach Hum Dev. 2010 Jul;12(4):285-8
references.pmid: 20582841
references.citation: Attach Hum Dev. 2010 Jul;12(4):375-93
references.pmid: 20582846
references.citation: BMC Med Res Methodol. 2005 Mar 02;5:10
references.pmid: 15743523
references.citation: Infancy. 2005 Jul;8(1):43-62
references.pmid: 33412661
references.citation: Attach Hum Dev. 2010 Jul;12(4):395-415
references.pmid: 20582847
references.citation: Attach Hum Dev. 2002 Dec;4(3):361-87
references.pmid: 12537851
references.citation: J Nerv Ment Dis. 1997 Dec;185(12):761-3
references.pmid: 9442188
references.citation: J Offender Rehabil. 2009 May 1;48(4):271-295
references.pmid: 19865610
references.citation: J Trauma Dissociation. 2008;9(2):123-47
references.pmid: 18985165
references.citation: Psychol Psychother. 2013 Mar;86(1):1-18
references.pmid: 23386552
references.citation: BMJ. 2004 Mar 20;328(7441):702-8
references.pmid: 15031246
references.citation: Attach Hum Dev. 2005 Sep;7(3):299-311
references.pmid: 16210241
references.citation: J Child Psychol Psychiatry. 1995 Feb;36(2):225-48
references.pmid: 7759588
references.citation: J Infant Child Adolesc Psychother. 2003;2:105-114
references.pmid: 18074006
references.citation: Am J Epidemiol. 1977 Sep;106(3):203-14
references.pmid: 900119
references.citation: J Pers Soc Psychol. 1986 Dec;51(6):1173-82
references.pmid: 3806354
references.citation: Attach Hum Dev. 2010 Jul;12(4):355-74
references.pmid: 20582845
references.citation: J Fam Psychol. 2003 Mar;17(1):94-107
references.pmid: 12666466
references.citation: Fam Relat. 2009 Dec 1;58(5):507-519
references.pmid: 20657746
references.citation: Infant Ment Health J. 2011 Jul;32(4):427-449
references.pmid: 22685361
references.citation: Child Dev. 1994 Oct;65(5):1457-77
references.pmid: 7982362
references.citation: Attach Hum Dev. 2005 Sep;7(3):333-43
references.pmid: 16210243
references.citation: Attach Hum Dev. 2010 Jul;12(4):333-53
references.pmid: 20582844
references.citation: Attach Hum Dev. 2010 Jul;12(4):417-28
references.pmid: 20582848
references.citation: Child Dev. 1995 Dec;66(6):1798-816
references.pmid: 8556900
references.citation: Attach Hum Dev. 2005 Sep;7(3):283-98
references.pmid: 16210240
references.citation: Child Dev. 1997 Aug;68(4):571-91
references.pmid: 9306636
references.citation: Attach Hum Dev. 2010 Sep;12(5):483-504
references.pmid: 20730641
references.citation: Int Rev Psychiatry. 2003 Feb-May;15(1-2):150-2
references.pmid: 12745325
references.citation: Attach Hum Dev. 2010 Jul;12(4):289-309
references.pmid: 20582842
references.citation: Community Pract. 2009 Oct;82(10):44
references.pmid: 19899509