scholarly journals Effects of parenting interventions for at-risk parents with infants: a systematic review and meta-analyses

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e015707 ◽  
Author(s):  
Signe B Rayce ◽  
Ida S Rasmussen ◽  
Sihu K Klest ◽  
Joshua Patras ◽  
Maiken Pontoppidan

ObjectivesInfancy is a critical stage of life, and a secure relationship with caring and responsive caregivers is crucial for healthy infant development. Early parenting interventions aim to support families in which infants are at risk of developmental harm. Our objective is to systematically review the effects of parenting interventions on child development and on parent–child relationship for at-risk families with infants aged 0–12 months.DesignThis is a systematic review and meta-analyses. We extracted publications from 10 databases in June 2013, January 2015 and June 2016, and supplemented with grey literature and hand search. We assessed risk of bias, calculated effect sizes and conducted meta-analyses.Inclusion criteria(1) Randomised controlled trials of structured psychosocial interventions offered to at-risk families with infants aged 0–12 months in Western Organisation for Economic Co-operation and Development (OECD) countries, (2) interventions with a minimum of three sessions and at least half of these delivered postnatally and (3) outcomes reported for child development or parent–child relationship.ResultsSixteen studies were included. Meta-analyses were conducted on seven outcomes represented in 13 studies. Parenting interventions significantly improved child behaviour (d=0.14; 95% CI 0.03 to 0.26), parent–child relationship (d=0.44; 95% CI 0.09 to 0.80) and maternal sensitivity (d=0.46; 95% CI 0.26 to 0.65) postintervention. There were no significant effects on cognitive development (d=0.13; 95% CI −0.08 to 0.41), internalising behaviour (d=0.16; 95% CI −0.03 to 0.33) or externalising behaviour (d=0.16; 95% CI −0.01 to 0.30) post-intervention. At long-term follow-up we found no significant effect on child behaviour (d=0.15; 95% CI −0.03 to 0.31).ConclusionsInterventions offered to at-risk families in the first year of the child’s life appear to improve child behaviour, parent–child relationship and maternal sensitivity post-intervention, but not child cognitive development and internalising or externalising behaviour. Future studies should incorporate follow-up assessments to examine long-term effects of early interventions.

BJPsych Open ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Signe B. Rayce ◽  
Ida S. Rasmussen ◽  
Mette Skovgaard Væver ◽  
Maiken Pontoppidan

Background Postpartum depression is common in the perinatal period and poses a risk for the development of the infant and the mother–infant relationship. Infancy is a critical developmental period of life and supportive parenting is crucial for healthy development, however, the effects of interventions aimed at improving parenting among mothers with depression are uncertain. Aims To assess the effects of parenting interventions on parent–child relationship and child development among mothers with depressive symptoms with 0–12-month-old infants. Method We conducted a systematic review with the inclusion criteria: (a) randomised controlled trials of structured psychosocial parenting interventions for women with depressive symptoms and a child aged 0–12 months in Western Organisation for Economic Co-operation and Development countries, (b) minimum three sessions with at least half of these delivered postnatally and (c) outcomes relating to the parent–child-relationship and/or child development. Publications were extracted from 10 databases in September 2018 and supplemented with grey search and hand search. We assessed risk of bias, calculated effect sizes and conducted meta-analysis. Results Eight papers representing seven trials were included. We conducted meta-analysis on the post-intervention parent–child relationship. The analysis included six studies and showed no significant effect. For individual study outcomes, no significant effects on the majority of both the parent–child relationship and child development outcomes were reported. Conclusions No evidence of the effect of parenting interventions for mothers with depressive symptoms was found on the parent–child relationship and child development. Larger studies with follow-up assessments are needed, and future reviews should examine the effects in non-Western countries.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S895-S895
Author(s):  
Ayako Baba

Abstract OBJECTIVE: Long-term caregiver (child)/care-recipient (parent) relationships have both positive and negative effects on care. However, the mechanism of that impact is unclear. This study aimed to explore how parent–child relationships affect care and which aspects cause those effects. METHOD: Five hundred thirty-four adult children who were caring for or had cared for their parents at home completed the scales of parent–child psychological independence, the acceptance of care, care attitude, and care burden. Data were analyzed using a pass analysis with multiple group structural equation modeling to identify the relationship between parent–child psychological independence, acceptance of care, care attitude, and care burden, and the care dyad difference of the models. RESULT: 1) “Reliable relationship with parent” in parent–child psychological independence affected “resignation” and “understanding actively” in acceptance of care. 2) “Psychological individuation from the parent” in parent–child independence affected all subscales of care attitudes. 3) “Resistance” and “understanding actively” in acceptance of care and “auto-pilot” in care attitude affected care burden. 4) In mother–daughter caregiving, “resistance” and “resignation” had stronger effects on “auto-pilot” whereas “utilization of resource” and “flexible response” in care attitude and “resistance” had weaker effects on care burden. CONCLUSION: The relationship between long-term parent–child relationship and care were revealed. In some points, daughters who were caring for or had cared for their mothers had a different model from other care dyads. These results suggest that child caregivers should be supported mentally in accordance to their difficult points and dyads.


2002 ◽  
Vol 83 (3) ◽  
pp. 285-292 ◽  
Author(s):  
Theresa Barron-McKeagney ◽  
Jane D. Woody ◽  
Henry J. D'Souza

The Family Mentoring Program (FMP), which provided approximately 1 year of mentoring for at-risk, 10-year-old Latino children and their parents, offered individual mentoring, group educational sessions for children and parents, and group social/recreational activities. This study examined mothers' perceptions of the parent–child relationship and of family strength as measured by the Parent–Child Relationship Inventory (PCRI) and the Family Hardiness Index (FHI). Analysis focused on factors expected to contribute to variance in the outcome measures. Regression results indicated that involvement in parent group education predicted higher scores on the Support and Communication measures. Compared to the standardized samples used in the development of these measures, mothers, at the beginning of the program, scored lower on six of seven PCRI subscales and on the FHI. By the end of the program, mothers' scores on Support and Limit Setting had improved, no longer differing from the standardized norms. The overall findings suggest that parents of children in mentoring programs need services and parent education and that they can benefit from these. Future research should focus on careful design and evaluation of multifaceted mentoring programs that include parents.


2014 ◽  
Vol 9 (1) ◽  
pp. 1787-1791
Author(s):  
Michelle H Moon

Research with adult children of divorce (ACD) has contributed to literature suggesting the adverse long-term effects of parental separation and divorce. The role of the parent-child relationship following parental separation, when a parents availability and support might well be especially important for a child, particularly if there is ongoing parental conflict, has received little empirical attention and was examined here.The present investigation was designed to assess ACDs retrospective ratings of their mothersand fathers parenting in the two years following parental separation. ACDs reports of each of their parents dating behaviors as well as the conflict they remembered between their parents during this period were also examined.The results of the present investigation indicate that ACD view their mothers and fathers parenting behavior in the two years following separation as an important factor related to their current relationships with each of their parents.


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