Mother-child Relationship Disturbances Clinical Trial
Official title:
A Follow-up Study of a Randomized Controlled Trial of Mother-Infant Psychoanalytic Treatment and Treatment As Usual at Child Health Centres
An RCT comparing mother-infant psychoanalytic treatment (MIP) with Child Health Centre care in cases of mother-infant relationship disturbances was performed on 80 cases in Stockholm 2005-2008. The infants were < 18 months at interview #1. At 6 months follow-ups, significant effects were shown in favour of MIP on maternal sensitivity (EAS), depression (EPDS), and relationship qualities PIR-GAS). This study will evaluate effects at a child age of 4½ years; to evaluate the longterm effects of MIP and CHild Health Centre care, and to better validate results on children who now have reached an age where they can participate more actively in evaluations.
DESIGN
The 71 dyads remaining from the MIPPS-01 study will be interviewed when the children have
reached 4½ years, in order to evaluate the long-term intervention effects of MIP treatments
delivered by psychoanalysts at the Infant Reception Service of the Swedish Psychoanalytic
Society and of the usual treatments of infants and children in Sweden implying contact with
nurses at Child Health Centres.
INSTRUMENTS
Mother-report questionnaires; the Ages and Stages Questionnaire:Social-Emotional (ASQ:SE;
Squires et al., 2002), the Edinburgh Postnatal Depression Scale (EPDS; Cox et al., 1987),
the Swedish Parental Questionnaire (SPSQ; Östberg et al., 1997) and the Strengths and
Difficulties Questionnaire (SDQ; Goodman, 1997).
Independently rated video-taped mother-child interactions: the Emotional Availability Scale
(EAS; Biringen, 1998).
Assessment of the general functioning of the child : Children's Global Assessment Scale
(Shaffer et al 1983).
Assessment of the child's cognitive functioning: Wechsler Preschool and Primary Scale of
Intelligence (WPPSI, Wechsler, 2005).
Assessment of the child's social and emotional functioning: Story Stem Attachment Profile
(SSAP, Hodges et al., 2003). Machover Draw-a-Person Test (Blomberg & Cleve, 1997)
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment