No registrations found.
ID
Source
Brief title
Health condition
Experimental condition: mother-baby intervention.
Control condition: minimal intervention.
Sponsors and support
The Foundation for Children’s Welfare Stamps Netherlands SKN,
Intervention
Outcome measures
Primary outcome
Quality of the mother-child interaction.
Secondary outcome
Infant attachment security and socio-emotional functioning.
Background summary
Infants of depressed mothers are at high risk to develop mental and socio-emotional problems in adolescence and adulthood. Early interventions focused on improving mother-child interactions are deemed to benefit the infant’s development and prevent psychopathology. The effects of an early mother-baby intervention program on the quality of the mother-child interaction and infant attachment security and socio-emotional functioning was tested.
Design:
Randomized controlled trial.
Setting:
Eight Dutch outpatient treatment centers serving adults with serious mental disorders.
Participants:
Seventy-one depressed mothers, meeting the DSM-VI criteria for a depressive episode or dysthymia, with infants aged 1-12 months. Comorbid psychotic disorders, manic depression, and substance abuse were excluded, other psychiatric comorbidity was not.
Intervention:
Depressed mothers were randomly assigned to either the control (n = 36) or the experimental condition (n = 35), thus receiving either 3-month parenting support comprising three telephone contacts with a child therapist or the treatment program comprising 8-10 home visits by an experienced prevention therapist. All mothers concurrently received separate treatment by a psychiatrist of psychologist for their depressive symptoms.
Main outcome measures:
Quality of the mother-child interaction, infant attachment security and socio-emotional functioning.
Study objective
The mother baby intervention positively affects the quality of the mother-child interaction, particularly the mother’s sensitivity towards her child and the child’s responsiveness and involvement, and (2) The intervention positively affects the children’s attachment security and socio-emotional functioning.
Study design
N/A
Intervention
Intervention:
the mother-baby program comprising 8-10 home visits by an experienced prevention therapist.
Control condition:
3-month parenting support comprising three telephone contacts with a child therapist or.
All mothers concurrently received separate treatment by a psychiatrist of psychologist for their depressive symptoms.
P.O. Box 9104
Karin Doesum, van
Nijmegen 6500 HE
The Netherlands
vandoesumk@hetnet.nl
P.O. Box 9104
Karin Doesum, van
Nijmegen 6500 HE
The Netherlands
vandoesumk@hetnet.nl
Inclusion criteria
1. Mothers with an infant not older than 12 months, who met the DSM-IV criteria for a major depressive episode or dysthymia and/or exhibited elevated levels of depressive symptoms (BDI >14);
2. psychiatric comorbidity was allowed.
Exclusion criteria
1. Comorbid psychotic disorders;
2. manic depression;
3. substance abuse were excluded.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL417 |
| NTR-old | NTR457 |
| Other | : N/A |
| ISRCTN | ISRCTN83523136 |
Summary results
2. Van Doesum KTM, Hosman CMH, Riksen-Walraven JM, Hoefnagels C Predicting depressed mothers’ sensitivity towards their infants: the role of maternal, child and contextual characteristics (in preparation). <br>
3. Van Doesum KTM, Hosman CMH, Riksen-Walraven JM, Hoefnagels C. A randomized controlled trial of an early intervention aimed at preventing relationship problems in depressed mothers and their infants. Child Dev. 2008 May-Jun;79(3):547-61.