title: Proof of concept of a mind-mindedness intervention for mothers hospitalized for severe mental illness.
abstract: Studies 1 and 2 investigated how maternal severe mental illness (SMI) related to mothers' mind-mindedness (appropriate and nonattuned mind-related comments). Study 1 showed that mothers with SMI (n = 50) scored lower than psychologically well mothers for both appropriate and nonattuned comments, whereas mothers with SMI in Study 2 (n = 22) had elevated levels of nonattuned comments. Study 2 also tested the efficacy of a single-session video-feedback intervention to facilitate mind-mindedness in mothers with SMI. The intervention was associated with a decrease in nonattuned comments, such that on discharge, mothers did not differ from psychologically well controls. Study 3 assessed infant-mother attachment security in a small subset of intervention-group mothers from Study 2 (n = 9) and a separate group of standard care mothers (n = 30) at infant mean age 17.1 months (SD = 2.1). Infants whose mothers completed the intervention were more likely to be securely attached and less likely to be classified as insecure-disorganized than those of mothers who received standard care. We conclude that a single session of video-feedback to facilitate mind-mindedness in mothers with SMI may have benefits for mother-infant interaction into the second year of life.
authors.affiliation: Durham University.
authors.forename: Robin
authors.initials: R
authors.lastname: Schacht
authors.affiliation: University of York.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Meins
authors.affiliation: Durham University.
authors.forename: Charles
authors.initials: C
authors.lastname: Fernyhough
authors.affiliation: University of Liverpool.
authors.forename: Luna C M
authors.initials: LC
authors.lastname: Centifanti
authors.affiliation: University of Ottawa.
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Bureau
authors.affiliation: King's College London.
authors.forename: Susan
authors.initials: S
authors.lastname: Pawlby
mesh_terms: D000328:Adult; D030141:Feedback, Psychological; D005260:Female; D006760:Hospitalization; D006801:Humans; D007223:Infant; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology*; D009769:Object Attachment; D011613:Psychotherapy / Q000379:methods*; D016896:Treatment Outcome; D014705:Verbal Behavior