Effects of parenting interventions for mothers with depressive symptoms and an infant: systematic review and meta-analysis

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.

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Parenting interventions for incarcerated parents to improve parenting knowledge and skills, parent well-being, and quality of the parent–child relationship: A systematic review and meta-analysis

Journal of Experimental Criminology ◽

10.1007/s11292-017-9290-6 ◽

2017 ◽

Vol 14 (3) ◽

pp. 279-317 ◽

Cited By ~ 5

Author(s):

Eleanor Armstrong ◽

Elizabeth Eggins ◽

Natasha Reid ◽

Paul Harnett ◽

Sharon Dawe

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Well Being ◽

Parenting Interventions ◽

Parent Child Relationship ◽

Incarcerated Parents ◽

Knowledge And Skills ◽

Parenting Knowledge ◽

Child Relationship

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

BMJ Open ◽

10.1136/bmjopen-2016-015707 ◽

2017 ◽

Vol 7 (12) ◽

pp. e015707 ◽

Cited By ~ 14

Author(s):

Signe B Rayce ◽

Ida S Rasmussen ◽

Sihu K Klest ◽

Joshua Patras ◽

Maiken Pontoppidan

Keyword(s):

At Risk ◽

Maternal Sensitivity ◽

Child Behaviour ◽

Parenting Interventions ◽

Parent Child Relationship ◽

Post Intervention ◽

Child Relationship ◽

Meta Analyses ◽

Parent Child

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.

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The parent–child relationship and adolescent alcohol use: a systematic review of longitudinal studies

BMC Public Health ◽

10.1186/1471-2458-12-886 ◽

2012 ◽

Vol 12 (1) ◽

Cited By ~ 24

Author(s):

Leenke Visser ◽

Andrea F de Winter ◽

Sijmen A Reijneveld

Keyword(s):

Systematic Review ◽

Alcohol Use ◽

Longitudinal Studies ◽

Parent Child Relationship ◽

Adolescent Alcohol Use ◽

Adolescent Alcohol ◽

Child Relationship ◽

Parent Child

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Parenting and Child Development: A Relational Health Perspective

American Journal of Lifestyle Medicine ◽

10.1177/1559827619849028 ◽

2019 ◽

Vol 15 (1) ◽

pp. 45-59

Author(s):

Cynthia A. Frosch ◽

Sarah J. Schoppe-Sullivan ◽

D. David O’Banion

Keyword(s):

Child Development ◽

Child Outcomes ◽

Relational Health ◽

Parent Child Relationship ◽

Child Relationship ◽

Parent Health ◽

The Many ◽

The One ◽

Early Parent ◽

Parent Child

A child’s development is embedded within a complex system of relationships. Among the many relationships that influence children’s growth and development, perhaps the most influential is the one that exists between parent and child. Recognition of the critical importance of early parent-child relationship quality for children’s socioemotional, cognitive, neurobiological, and health outcomes has contributed to a shift in efforts to identify relational determinants of child outcomes. Recent efforts to extend models of relational health to the field of child development highlight the role that parent, child, and contextual factors play in supporting the development and maintenance of healthy parent-child relationships. This review presents a parent-child relational health perspective on development, with an emphasis on socioemotional outcomes in early childhood, along with brief attention to obesity and eating behavior as a relationally informed health outcome. Also emphasized here is the parent–health care provider relationship as a context for supporting healthy outcomes within families as well as screening and intervention efforts to support optimal relational health within families, with the goal of improving mental and physical health within our communities.

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