Self‐report measure of parental reflective functioning: A study of reliability and validity across three samples of varying clinical risk

Infant Mental Health Journal, Journal Year: 2023, Volume and Issue: 44(2), P. 240 - 254

Published: March 1, 2023

Abstract The Parental Reflective Functioning Questionnaire (PRFQ) provides an efficient way to measure a parent's capacity recognize their child's mental states and understand the relationship between underlying behavior. To date, limited work evaluates its psychometric properties beyond initial validation studies. Here we examined reliability validity of PRFQ in three samples varying clinical risk (e.g., community sample, previous health diagnosis, substance use disorder diagnosis). Across samples, majority 75%–78%) mothers identified as White; all were from USA. We compared task‐based measures mentalization, Parent Development Interview (PDI), parent‐child relationship. was reliable across it associated theoretically consistent ways with mentalization. RF PDI not highly correlated sample disorders. Existing may be tapping into different component broader construct parental reflective functioning (PRF). further validated by demonstrating relationships parent‐report Taken together, these findings provide additional support for PRFQ.

Language: Английский

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Enhancing parental reflective functioning through early dyadic interventions: A systematic review and meta‐analysis

Infant Mental Health Journal, Journal Year: 2020, Volume and Issue: 42(1), P. 21 - 34

Published: Nov. 18, 2020

Parental reflective functioning (PRF) is an important predictor of infant attachment, and interventions that target parent-infant/toddler dyads who are experiencing significant problems have the potential to improve PRF. A range dyadic been developed over past two decades, some which explicitly PRF as part their theory change, do not PRF, but measured it outcome. However, no meta-analytic review impact these has carried out date. The aim this was evaluate effectiveness targeting parents toddlers, in improving a number secondary outcomes. systematic meta-analysis conducted key electronic databases were searched up October 2018. Eligible studies identified data extracted. Data synthesised using expressed both effect sizes risk ratios. Six providing total 521 participants. results six meta-analyses showed nonsignificant moderate improvement intervention group (standardised mean difference [SMD]: -0.46; 95% confidence interval [CI] [-0.97, 0.04]) reduction disorganised attachment (risk ratio: 0.50; CI [0.27, 0.90]). There evidence for effects on security (odds 0.71; [0.19, 2.64]), parent-infant interaction (SMD: -0.10; [-0.46, 0.26]), parental depression -1.55; [-3.74, 0.64]) or global distress -0.19, [-3.04, 22.65]). insufficient conduct subgroup analysis (i.e. compare mentalisation-based treatment with non-mentalization-based interventions). Relational early may benefits reducing prevalence disorganisation. implications future research discussed.El funcionamiento de reflexión del progenitor es un factor importante predicción la afectividad infante, y las intervenciones que se enfocan en díadas progenitor/infante/niño pequeñito experimentan problemas significativos tienen posibilidad mejorar el La meta esta revisión fue evaluar eficacia diádicas los progenitores infantes niños pequeñitos, para número resultados secundarios. Se llevó cabo una sistemática meta-análisis investigaron bancos información electrónica claves hasta octubre identificaron estudios elegibles sacó ellos información. sintetizó esa usando misma presentada tanto términos dimensión efectos como proporción riesgo. seis aportaron participantes. Los mostraron moderado, poco significativo limítrofe mejoramiento cuanto al grupo intervención -0.97, 0.04), reducción significativa desorganizada (RR: CI: 0.27, 0.90), pero así segura (OR: 0.19, 2.64), ninguna evidencia beneficio interacción progenitor-infante -0.09; -0.51, 0.32). dio grande depresión -3.74, 0.64), hubo angustia -0.19; -3.04, 22.65). discuten implicaciones futura investigación.Le fonctionnement réfléchi (en anglais Reflective Functioning, soit PRF) est facteur prédiction l'attachement du bébé, et les qui ciblent dyades parent-bébé/petit enfant font l'expérience problèmes importants ont le potentiel d'améliorer Le cette article était d’évaluer l'efficacité d'interventions dyadiques ciblant bébés petits enfants, améliorant bon nombre résultats secondaires. Une revue une méta-analyse été faites, bases données électroniques clés ayant passées au crible octobre Les études pouvant être utilisées identifiées extraites. synthétisées utilisant exprimées sous forme d'ampleur l'effet risque relatif. identifiées, pour méta-analyses montré amélioration limite non modérée dans groupe d'intervention -0,46; -0,97, 0,04), réduction désorganisé l'enfant 0,50; 0,27, 0,90) mais sécure 0,71; 0,19, 2,64), ainsi qu'aucune preuve bénéfice l'interaction parent-bébé -0,09; -0,51, 0,32). Il avait non-importante dépression parentale -1,55; -3,74, 0,64) aucune détresse globale -0,19; -3,04, 22,65. recherches futures sont discutées.Verbesserung der elterlichen Reflektionsfähigkeit durch frühe dyadische Interventionen: Systematisches Review und Metaanalyse Die elterliche Reflexionsfähigkeit (Parental Functioning; ist ein wichtiger Prädiktor für die Säuglingsbindung. Interventionen Eltern-Säuglings bzw. Eltern-Kleinkind Dyaden, unter erheblichen Problemen leiden, haben das Potenzial, zu verbessern. Ziel dieses Reviews war es, Wirksamkeit von dyadischen bewerten, sich Eltern Säuglingen Kleinkindern richten, um deren verbessern eine Reihe sekundären Ergebnissen erzielen. Das systematische wurden durchgeführt indem relevante elektronische Datenbanken bis Oktober 2018 durchsucht wurden. Geeignete Studien identifiziert Daten extrahiert. Anschließend metaanalytisches Vorgehen synthetisiert sowohl auf Effektgrößen als auch Risikoverhältnisse geprüft. Es sechs mit insgesamt Teilnehmenden identifiziert. Ergebnisse Metaanalysen zeigten annähernd signifikante, Verbesserung Interventionsgruppe -0,97; signifikante Verringerung desorganisierter nicht aber sicherer 2,64) kindlicher Bindung keinen belegbaren Nutzen Eltern-Kind-Interaktion gab große elterlicher Depression 0,64), Hinweis einen bei globaler Belastung 22,65). Implikationen zukünftige Forschung werden diskutiert.早期の親子への介入を通じて親の内省機能を高める:系統的レビューとメタ分析 親の内省機能(PRF)は、乳児のアタッチメントと、深刻な問題を抱えている乳幼 児親子がPRFを向上させる可能性のある介入に対する重要な予測因子である。 本レビューの目的は、PRFの向上といくつかの二次的な結果における乳幼児の親 を対象にした親子介入の効果を測定することである。 系統的レビューとメタ分析は、2018年10月まで探索された主要な電子データベー スを基に実施された。的確な研究が同定され、データが抽出された。データはメ タ分析を使って統合され、効果量とリスク比として表された。 6つの研究が合計521人の参加者を提供するものとして同定された。6つの研究の メタ分析の結果は、介入グループにおいてPRFの境界線上の有意でない中程度の 改善(SMD: −0.46; −0.97, 0.04)、安定型アタッチメントには見られない が(OR: 2.64)、無秩序型アタッチメントにおける有意な低 下(RR: 0.90)が見られ、乳幼児親子の相互交流に関するメ リットを支持する根拠はなかった(SMD: −0.09; −0.51, 0.32)。 親の抑鬱における有意でない大きな改善はあった(SMD: −1.55; −3.74, 0.64) が、全体的なストレスにおけるメリットを支持する根拠はなかった(SMD: −0.19; −3.04, 22.65)。 今後の研究に対する示唆を論じる。.家长反思功能 是婴儿依恋的一个重要预测因子, 对有严重问题的家长和婴幼儿采取干预措施有可能改善家长反思功能。 这篇综述的目的是评估针对婴幼儿父母的二元干预在改善家长反思功能和一些次要方面的有效性。 本文对截至2018年10月的关键电子数据库进行了系统评价和荟萃分析, 找到符合条件的研究并提取了数据, 进而使用荟萃分析合并数据, 计算其效应量和风险比。 最终确定了6项符合条件的研究, 提供了521个研究对象。6项荟萃分析的结果显示, 干预组的家长反思功能呈现非边缘显著型中度改善 絮乱型婴儿依恋明显减少 安全型婴儿依恋没有减少 并且没有证据表明对母婴互动有益 0.32)。家长压力呈现明显的非显著型改善 但没有证据表明对整体痛苦有益 本文也对今后的研究方向进行了展望。.تعزيز الأداء التأملي للوالدين من خلال التدخلات الثنائية المبكرة: مراجعة منهجية وتحليل تلوي إن هو مؤشر مهم على تعلق الرضع، والتدخلات التي تستهدف ثنائيات الوالدين والرضع/الأطفال الصغار الذين يعانون مشاكل كبيرة لديها القدرة تحسين كان الهدف هذا الاستقصاء المنهجي تقييم فعالية آباء الرضع والأطفال الصغار، في وعدد النتائج الثانوية. وأجري استعراض منهجي تم خلالهما البحث قواعد البيانات الإلكترونية الرئيسية حتى أكتوبر وتم تحديد الدراسات المؤهلة واستخراج البيانات. تجميع باستخدام التحليل التلوي والتعبير عنها حجم التأثير ونسب المخاطرة. ست دراسات قدمت مجموع مشاركاً. وأظهرت نتائج ستة تحليلات تلوية تحسناً متوسطا غير دال إحصائيا مجموعة التدخل (0.97, 0.04-0.46; -SMD:)، وانخفاض كبير الطفل المنظم (0.90RR: 0.27,) ولكنه آمن 2.64) .ولا يوجد دليل فائدة التفاعل بين والرضع (% 950.09; -SMD: 0.51, 0.32-). بينما هناك تحسن كبيرغير الاكتئاب الوالدي (0.09; 0.32-CI) ولكن لا الفائدة مستوى الكرب العام (-0.19; 3.04, وتناقش الدراسة التطبيقات العملية للبحوث المستقبلية.

Language: Английский

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Problematic Media Use among Children up to the Age of 10: A Systematic Literature Review

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(10), P. 5854 - 5854

Published: May 17, 2023

Introduction: Digital screen media use has significantly grown in all age groups and at an increasingly young age, including toddlers, schoolers, primary school children. Although there is evidence that excessive early childhood exposure can lead to several negative developmental outcomes, no systematic review on Problematic Media Use (PMU) of children under 10 years old have been provided. The aim the present was identify (i) main instruments used measure children’s PMU across different studies; (ii) risk protective factors which might increase or reduce PMU; (iii) outcomes associated with PMU. Methods: This study conducted following guidelines proposed PRISMA statement. A total 35 studies published between 2012–2022 a mean sample 0 were ultimately included this literature review. Results: for more than 2 h day, male gender, higher increased developing among led consequences development well-being (e.g., problematic behaviors, sleep problems, depressive symptoms, lower emotional intelligence, academic achievements). Children who experienced psychological dysfunctional parent–child relationship, difficulties context prone develop However, authoritative parenting style restrictive parental mediation reduced Finally, self-report measures specifically designed get younger perspective are still few not so widely used. Conclusions: Overall, research field its infancy needs further investigation. Likely, family system experience distress they try manage by escaping into virtual world, thus increasing As closely affected environment, future prevention interventions should target both their parents improve self-regulatory mentalizing capabilities, as well strategies general practices.

Language: Английский

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Emotion Regulation, Parenting, and Psychopathology: A Systematic Review

Clinical Child and Family Psychology Review, Journal Year: 2023, Volume and Issue: 27(1), P. 1 - 22

Published: Sept. 13, 2023

Abstract The presence of a parental mental disorder can lead to adverse outcomes for children. Difficulties in emotion regulation are observed across range health problems and may play crucial role this context. Following PRISMA guidelines, we systematically searched Medline, PsycINFO, Embase, Web Science studies examining the association between parents with psychopathology at clinical or subclinical level their parenting. protocol was registered PROSPERO international prospective register systematic reviews (CRD42021224954; January 2021). A total 23 were included qualitative synthesis. Emotion predominantly assessed using self-report on general ability (e.g., Regulation Scale). assessment parenting encompassed broad aspects operationalizations. Across parents, several difficulties associated unfavorable socialization, more negative parenting, partially less positive Slightly different effects posttraumatic stress anxiety disorders. For depressive disorders, specific strategies (suppression, reappraisal) seem buffer against Since majority refer only mothers, generalization fathers is limited. Furthermore, conclusions limited due study heterogeneity lack studies. Nevertheless, findings suggest that interventions should target improvement psychopathology.

Language: Английский

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Is parental depression related to parental mentalizing? A systematic review and three-level meta-analysis

Clinical Psychology Review, Journal Year: 2023, Volume and Issue: 104, P. 102322 - 102322

Published: July 16, 2023

Language: Английский

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Family Minds: A randomized controlled trial of a group intervention to improve foster parents’ reflective functioning

Development and Psychopathology, Journal Year: 2021, Volume and Issue: 34(3), P. 1177 - 1191

Published: Feb. 15, 2021

Abstract Family Minds is a brief group psychoeducational parenting intervention designed to increase the reflective functioning (RF) and mentalization skills of foster parents. RF important for parents who have build relationships with children whose adverse experiences their risk psychosocial challenges. A randomized controlled trial (RCT) was conducted in Texas 89 The main aims this study were examine whether could significantly RF/mentalization decrease stress. After 6 weeks, compared control group, improved via lowering pre-mentalizing also decreased stress related parent–child dysfunctional interactions. Other measures showed no significant differences between groups. Foster child behavior not different groups, although data at months possible internalizing symptoms This RCT provides some encouraging evidence that may parents, improve parental sensitivity ability emotionally regulate, challenging interactions children, possibly children's behavior.

Language: Английский

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Parent and Child’s Negative Emotions During COVID-19: The Moderating Role of Parental Attachment Style

Frontiers in Psychology, Journal Year: 2021, Volume and Issue: 12

Published: March 5, 2021

In February 2020, the coronavirus disease 2019 (COVID-19) appeared and spread rapidly in Italy. With health emergency social isolation, parents started spending more time with their children, they might have experienced greater distress. Attachment style is considered as an effective emotion regulation strategy parent–child relationship. However, few empirical studies addressed this issue. Based on attachment theory, study aimed to find parental a candidate moderate relation between parents’ negative emotions perceptions of children’s related COVID-19. Parents ( M age = 42.55 ± 6.56, 88.2% female) 838 Italian children adolescents aged 3 18 years participated online survey. Results showed that fearful had significantly higher when facing COVID-19 than those other styles. Moreover, dismissing perceived fewer preoccupied At last, were associated perception only classified secure fearful. These findings suggest styles may be at risk during pandemic should given long-term attention.

Language: Английский

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Improving the parent–child relationship and child adjustment through parental reflective functioning group intervention

Attachment & Human Development, Journal Year: 2021, Volume and Issue: 24(2), P. 208 - 228

Published: May 3, 2021

Parental reflective functioning (PRF) is a core element in the parent–child relationship. This study set out to investigate changes PRF following DUET program, 12-week group intervention program. We proposed that would enhance maternal capacities, resulting better mother-child emotional availability, child self-regulation, and decreased behavioral problems. Seventy mothers completed intervention. Of these mothers, nine were first allocated waiting-list thereafter included an group. was measured using observation (mind-mindedness) interview (PDI). Following intervention, significant improvement evident PRF, parental beliefs about feeling, sense of efficacy. In addition, mother–child interaction more positive, problems decreased, self-regulation increased. remained stable over period 6 months. Clinical future directions this are discussed.

Language: Английский

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Offline and online parental mentalizing in mothers with symptoms of postpartum depression: Examining the association between self‐reported parental reflective functioning and interactional mind‐mindedness

Infant Mental Health Journal, Journal Year: 2024, Volume and Issue: 45(3), P. 301 - 317

Published: March 6, 2024

Abstract Mentalizing is, to a certain extent, considered context specific. However, research on the association between parents’ abilities reflect upon their infant's mental states outside social interaction (offline) versus during ongoing parent‐infant (online) is currently limited. This study investigated self‐reported offline and online mentalizing in sample of primarily ethnically Danish mothers ( N = 142), with symptoms postpartum depression, 1–11‐month‐old infants. Offline was assessed Parental Reflective Functioning Questionnaire—Infant Version (PRFQ‐I) interactional mind‐mindedness. Ordinal logistic regressions showed that higher score PRFQ‐I prementalizing subscale negatively related number overall mind‐related comments appropriate produced by infant. Our results indicate partial overlaps parental reflective functioning mind‐mindedness, particularly maladaptive associated lower levels depression. Post‐hoc examination effect depression this only evident medium high Findings implications are discussed.

Language: Английский

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Parental Reflective Capacities: A Scoping Review of Mindful Parenting and Parental Reflective Functioning

Mindfulness, Journal Year: 2024, Volume and Issue: 15(7), P. 1531 - 1602

Published: June 18, 2024

Abstract Objectives Two key parental reflective capacities—mindful parenting (MP) and functioning (PRF) — have been shown to promote healthy parent-child relationships through parents’ increased sensitivity responsiveness their children’s needs in spite of stressors. Despite the theoretical overlap between these two constructs, researchers continued examine them independently. Therefore, purpose this scoping review was overlapping distinctive outcomes correlates empirical MP PRF literatures. Method A comprehensive literature search across for studies published from 2005 early 2020 (pre-COVID-19 pandemic) conducted. Results 301 articles ( n = 180 121 PRF) revealed study correlates, including improvement parent child well-being, behaviors, attachment. Both literatures suggest are amenable intervention-induced changes, although mostly documented White mothers, which results may not be generalizable diverse populations. Conclusions Researchers should consider impact on positive family relationships. that scholars investigating intervening simultaneously. Specifically, identified convergent associations perhaps synergistic impacts behaviors. Limitations future directions discussed. Preregistration This preregistered.

Language: Английский

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