title: RANDOMIZED CONTROLLED TRIAL OF PARENT-INFANT PSYCHOTHERAPY FOR PARENTS WITH MENTAL HEALTH PROBLEMS AND YOUNG INFANTS.
abstract: There is a dearth of good-quality research investigating the outcomes of psychoanalytic parent-infant psychotherapy (PIP). This randomized controlled trial investigated the outcomes of PIP for parents with mental health problems who also were experiencing high levels of social adversity and their young infants (<12 months). Dyads were clinically referred and randomly allocated to PIP or a control condition of standard secondary and specialist primary care treatment (n = 38 in each group). Outcomes were assessed at baseline and at 6-month and 12-month follow-ups. The primary outcome was infant development. Secondary outcomes included parent-infant interaction, maternal psychopathology, maternal representations, maternal reflective functioning, and infant attachment. There were no differential effects over time between the groups on measures of infant development, parent-infant interaction, or maternal reflective functioning. Infant attachment classifications, measured only at the 12-month follow-up, did not differ between the groups. There were favorable outcomes over time for the PIP-treated dyads relative to the control group on several measures of maternal mental health, parenting stress, and parental representations of the baby and their relationship. The findings indicate potential benefits of parent-infant psychotherapy for improving mothers' psychological well-being and their representations of their baby and the parent-infant relationship.
authors.affiliation: University College London and Anna Freud Centre, London.
authors.forename: Peter
authors.initials: P
authors.lastname: Fonagy
authors.affiliation: University College London and Anna Freud Centre, London.
authors.forename: Michelle
authors.initials: M
authors.lastname: Sleed
authors.affiliation: Anna Freud Centre, London and University of Witwatersrand, Johannesburg.
authors.forename: Tessa
authors.initials: T
authors.lastname: Baradon
mesh_terms: D000328:Adult; D002657:Child Development; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D016014:Linear Models; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology*; D009769:Object Attachment; D010349:Patient Compliance; D011613:Psychotherapy / Q000379:methods*; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Eltern-Säuglings-Psychotherapie; Frühförderung; Psychothérapie parent-nourrisson; RCT; Sicoterapia progenitor-infante; attachment-based intervention; bindungsbasierte Intervention; depresión posnatal; dépression postnatale; early intervention; essai aléatoire contrôlé (RCT); intervención con base en la afectividad; intervention basée sur l'attachement; intervention précoce; parent-infant psychotherapy; postnatal depression; postnatale Depression; temprana intervención; 以依附為基礎的干預; 家長幼兒心理治療; 愛着に基づく介入; 早期介入; 早期干預; 無作為対照化試験 (RCT); 產​​後抑鬱。; 産後抑うつ; 親乳幼児精神療法