The role of mentalizing in psychological interventions in adults: Systematic review and recommendations for future research

Clinical Psychology Review, Journal Year: 2024, Volume and Issue: 108, P. 102380 - 102380

Published: Jan. 8, 2024

Language: Английский

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Parental Reflective Functioning and Its Association With Parenting Behaviors in Infancy and Early Childhood: A Systematic Review

Frontiers in Psychology, Journal Year: 2022, Volume and Issue: 13

Published: March 3, 2022

Parental reflective functioning (PRF) refers to parents' mental capacity understand their own and children's behaviors in terms of envisioned states. As part a broader concept parental mentalization, PRF has been identified as one the central predictors for sensitive parenting. However, unique contribution quality various parenting not yet addressed systematically. Thus, present article provides systematic overview current research on associations between or its sub-dimensions observed infancy early childhood, while considering influence contextual factors.

Language: Английский

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Interventions to Reduce Parental Substance Use, Domestic Violence and Mental Health Problems, and Their Impacts Upon Children’s Well-Being: A Systematic Review of Reviews and Evidence Mapping

Trauma Violence & Abuse, Journal Year: 2023, Volume and Issue: 25(1), P. 393 - 412

Published: Feb. 15, 2023

Introduction: Children exposed to parental intimate partner violence and abuse, mental illness, substance use experience a range of problems which may persist into adulthood. These risks often co-occur interact with structural factors such as poverty. Despite increasing evidence, it remains unclear how best improve outcomes for children families experiencing these adversities address the complex issues they face. Aims Methods: Systematic review systematic reviews. We searched international literature databases reviews, from inception 2021, provide an evidence overview effectiveness interventions support where risk had been identified. Results: Sixty-two reviews were included. The majority ( n = 59) focused on designed single factors. Reviews mostly health 38) included psychological or parenting-training mothers. Only two assessed all three in combination interventions. Evidence indicates that affected by be served integrated combining therapeutic parents parent skills training. Upstream income supplementation welfare reform demonstrated reduce impacts family adversity. Conclusion: Most intervention approaches focus mitigating individual harms seek isolation, presents potentially significant gaps evidence. not cumulative co-occurring risks, social compound adversities.

Language: Английский

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Attachment and mother-infant interactions in dyads with infants born full-term, moderate-to-late preterm, and very-to-extreme preterm

Early Human Development, Journal Year: 2024, Volume and Issue: 189, P. 105943 - 105943

Published: Jan. 17, 2024

The impact of prematurity status on attachment quality remains indeterminate. Some studies found no differences between infants born preterm (PT) and full-term (FT), while other investigations present opposite results. We aim to contribute this body research by studying mother-infant interactive behaviors in 3 independent samples: Full-Term Moderate-to-Late Preterm (MLPT) Very-to-Extreme (VEPT). This is a longitudinal laboratory study conducted from 12 months age (corrected-age the case PT). participants are 213 Portuguese (FT = 105; MLPT 52; VEPT 56) their mothers. Mother-infant behavior was observed free-play at 9 (corrected-age). Infant Strange Situation months. Secure more prevalent FT, ambivalent VEPT. Infants with secure have higher gestational weight birth. maternal associated patterns varies according infant status. Last, results indicate changes sensitivity difficult infant's age. Our findings that impacts quality. Changes suggest period rapid non-linear development, supporting transactional multilayered approach relationship.

Language: Английский

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Parental Reflective Functioning on the Parent Development Interview: A narrative review of measurement, association, and future directions

Infant Mental Health Journal, Journal Year: 2024, Volume and Issue: 45(4), P. 464 - 480

Published: April 22, 2024

A caregiver's capacity to mentalize is thought be one of the most important features secure parent-child relationships. Parental mentalizing can measured using Reflective Functioning (RF) coding system applied Parent Development Interview (PDI). In this narrative review, we summarize research measure and synthesize what has been learnt about predictors, correlates sequelae parental RF. Studies have consistently shown that PRF on PDI associated with both parent child attachment an factor in intergenerational transmission attachment. It also related quality representations, interactions, outcomes. While a number social clinical risk factors are lower PRF, it difficult disentangle unique contribution each these. We discuss these findings present direction future work planned expand refine scale for PDI.

Language: Английский

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Prevention of Mental Health Difficulties for Children Aged 0–3 Years: A Review

Frontiers in Psychology, Journal Year: 2021, Volume and Issue: 11

Published: Sept. 29, 2021

The period of infancy and early childhood is a critical time for interventions to prevent future mental health problems. first signs difficulties can be manifest in infancy, emphasizing the importance understanding identifying both protective risk factors pregnancy postnatal period. Parents are at higher developing problems during perinatal An evidence around prevention intervention parental anxiety depression vital process disorders infants young children. Here we review existing treatment years focusing on from conception 3 – majority targeting parents order improve their health, that infants. Elements successful programs include psychoeducation practical skills training, as well work co-parenting relationship, secure attachment, enhancing reflective functioning. While targeted universal have produced strong effect sizes, added benefit reaching people who may otherwise not sought treatment. In synthesizing this information, our goal inform development integrated models novel life possible.

Language: Английский

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Measuring Parental Reflective Functioning: Further Validation of the Parental Reflective Functioning Questionnaire in Portuguese Mothers of Infants and Young Children

Child Psychiatry & Human Development, Journal Year: 2022, Volume and Issue: 54(4), P. 1042 - 1054

Published: Jan. 22, 2022

Language: Английский

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Trauma and Outcomes of Mentalization-Based Therapy for Individuals With Borderline Personality Disorder

American Journal of Psychotherapy, Journal Year: 2022, Volume and Issue: 75(1), P. 12 - 20

Published: Jan. 31, 2022

Objective: Recent meta-analyses suggest that many patients with borderline personality disorder have a history of complex trauma. Although trauma is central in mentalization-based approaches to the understanding disorder, surprisingly little known about effects on outcomes treatment (MBT). This article investigates prevalence and impact childhood among participating randomized controlled trial (RCT) comparing day hospital MBT (MBT-DH) intensive outpatient (MBT-IOP). Methods: All 114 from original multicenter RCT Netherlands were included this study. Childhood was assessed at baseline (with Trauma Questionnaire), its symptom severity, interpersonal functioning, pathology investigated through multilevel modeling for 36 months after start treatment. Results: common referred MBT, more than 85% meeting cutoff criteria substantial had either MBT-DH or MBT-IOP terms improved features functioning. However, seemed improve rapidly MBT-DH, as compared MBT-IOP, severity. In addition, emotional neglect showed rapid changes symptoms MBT-IOP. Conclusions: Findings are discussed context social communicative approach focus need address MBT.

Language: Английский

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Supporting early infant relationships and reducing maternal distress with the Newborn Behavioral Observations: A randomized controlled effectiveness trial

Infant Mental Health Journal, Journal Year: 2022, Volume and Issue: 43(3), P. 455 - 473

Published: May 1, 2022

Abstract Research points to the significant impact of maternal distress on parent‐infant relationship and infant development. The Newborn Behavioral Observations (NBO) is a brief intervention supporting infant, parent their relationship. This randomized controlled trial examined effectiveness NBO in population with antenatal risk postnatal depression (PND). Pregnant, first‐time mothers current anxiety or symptoms past mental illness were recruited from two Australian hospitals. Participants received three sessions first month life plus treatment as usual (TAU), or, TAU‐only. Outcomes assessed at age 4 months included mother‐infant interaction quality; symptoms; diagnosis. Of 111 pregnant individuals randomized, 90 remained eligible 74 completed (82.2% retention). There effects emotional availability F (6, 67) = 2.52, p .049, Cohen's d .90, higher sensitivity non‐intrusiveness group ( n 40) than comparison 34). was an effect approaching significance for .06), over time .014), but not symptoms. Anxiety significantly reduced sub‐clinical levels within only. fewer diagnoses 6) expected across groups, no observed effect. No adverse seen. Exploratory analysis sensory processing suggested differential susceptibility benefits. accepted exerted meaningful quality distress; may enhance infant's experience adjustment at‐risk populations.

Language: Английский

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Thinking about the next generation: The case for a mentalization‐informed approach to perinatal and intergenerational mental health

Psychology and Psychotherapy Theory Research and Practice, Journal Year: 2023, Volume and Issue: 97(S1), P. 1 - 15

Published: Aug. 3, 2023

Abstract Background There has been substantial progress made across multiple disciplines to emphasize the importance of perinatal mental health both for parents and offspring. This focuses on what termed ‘First 1000 Days’ from conception child's second birthday. We argue that our understanding this issue can go further create an intergenerational approach health. Despite existence theoretical frameworks practical approaches implementation, there are gaps in including which psychological mechanisms implicated transmission risk resilience within period; how leverage these into treatment approaches. Aims Methods In paper, we explore potential mentalization as a candidate Results contextualize terms points contact between broader models such social determinants Developmental Origins Health Disease (DoHaD) model. Further, provide overview existing evidence base relevance Discussion Finally, sketch out outline model integrating health, highlighting several areas opportunity develop research practice diverse geographies demographics. Here, suggest integration with other conceptual DoHaD mutually enrich each model, pointing way towards more effective early preventative interventions.

Language: Английский

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