Child Behavior Problem Clinical Trial
Official title:
A Randomized and Controlled Trial Using Circle of Security-Parenting for Parents of Children Referred to Child Psychiatric Services.
Background:The quality of attachment is greatly influenced by parental sensitivity.
Attachment based interventions are designed to promote parental sensitivity, to change
parental mental representations and to improve understanding of the developmental needs of
the child. Very few studies have investigated the effect of attachment-based interventions on
psychiatric symptoms in children. Targeting parental sensitivity and the parent-child
interaction might have an important impact on psychiatric symptoms in a clinical sample of
children referred to child psychiatric services.
Objectives: The primary objective is to investigate whether Circle of Security-Parenting
(COS-P) has an effect on parental sensitivity in parents of children referred to child
psychiatric services. The secondary objectives are to investigate the effect on children's
behavioral and emotional symptoms and the parental stress and reflective functioning after 10
weeks of intervention and at the 24 week follow-up. The study is also exploring the effect of
parental attachment style, parental stress and parental psychopathology on the effect of the
intervention.
Methods: The trial will include 128 families of children (age 3-8 years) who are referred to
child psychiatric services in a randomized and controlled design. Included families will be
randomized to COS-P+ Treatment as Usual (TAU) or TAU only.
Perspectives: Considering the important impact of the quality of the parent-child
relationship on the child's well-being, it is essential to target it in interventions and to
investigate the relation with psychiatric symptoms. Generally there is a lack of
interventions targeting parental sensitivity in psychiatric child populations. Working with
the parents on the child-parent relation, might have an important impact on their children's
current psychiatric symptoms and could additionally prevent future psychopathology.
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