Long-Term Effects of a Home-Visiting Intervention for Depressed Mothers and Their Infants

Autor/inn/en	Kersten-Alvarez, Laura E.; Hosman, Clemens M. H.; Riksen-Walraven, J. Marianne; Van Doesum, Karin T. M.; Hoefnagels, Cees
Titel	Long-Term Effects of a Home-Visiting Intervention for Depressed Mothers and Their Infants
Quelle	In: Journal of Child Psychology and Psychiatry, 51 (2010) 10, S.1160-1170 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0021-9630
DOI	10.1111/j.1469-7610.2010.02268.x
Schlagwörter	Control Groups; Intervention; Mothers; Infants; Parent Child Relationship; Student Adjustment; Depression (Psychology); Home Visits; Prevention; Attachment Behavior; Security (Psychology); Self Esteem; Prosocial Behavior; Behavior Problems; Outcomes of Treatment; Sample Size + Suchen Sie Ihr Suchwort? Mother; Mutter; Infant; Toddler; Toddlers; Kleinkind; Parents-child relationship; Parent-child-relation; Parent-child relationship; Eltern-Kind-Beziehung; Student; Students; Adjustment; Schüler; Schülerin; Studentin; Adaptation; Hausbesuch; Prävention; Vorbeugung; Attachment; Bindungsverhalten; Security; Psychology; Sicherheit; Self-esteem; Selbstaufmerksamkeit
Abstract	Background: Whereas preventive interventions for depressed mothers and their infants have yielded positive short-term outcomes, few studies have examined their long-term effectiveness. The present follow-up of a randomised controlled trial (RCT) is one of the first to examine the longer-term effects of an intervention for mothers with postpartum depression and their infants at school-age. In early infancy, the intervention was found effective in improving mother-infant interaction and the child's attachment to its mother. Methods: Twenty-nine mother-child pairs who completed the intervention are compared with 29 untreated mother-child dyads as to the quality of maternal interactive behaviour and the child outcomes of attachment security to the mother, self-esteem, ego-resiliency, verbal intelligence, prosocial behaviour, school adjustment, and behaviour problems at age 5 (M = 68 months). Results: In the total sample no lasting treatment benefits were found, but in families reporting a higher number of stressful life events, children in the intervention group had fewer externalising behaviour problems as rated by their mothers than children in the control group. Conclusions: In the context of multiple stressful life events the intervention served as a buffer by preventing the development of externalising problems in the child. The results warrant cautious interpretation because of the relatively small sample size and differential attrition revealing the mothers that completed the follow-up assessment to have improved less on maternal sensitivity following the intervention than the mothers who did not participate in the follow-up. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10