| Examining maternal depression and attachment insecurity as moderators of the impacts of home visiting for at-risk mothers and infants. | |
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MedLine Citation:
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PMID: 19634970 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Home visiting programs for at-risk mothers and their infants have proliferated nationally in recent years, yet experimental studies of home visiting have yielded mixed findings. One promising strategy for explicating the effects of early home visiting is to examine moderators of program impacts. This study assessed the roles of maternal depression and attachment insecurity as moderators of the impacts of Healthy Families Alaska home visiting services for at-risk mothers and their infants. At-risk families (N = 325) were randomly assigned to home visiting or community services as usual (n = 162 and 163, respectively). Maternal depression and attachment insecurity (attachment anxiety and discomfort with trust/dependence) were measured at baseline. Maternal psychosocial and parenting outcomes were measured when children were 2 years old via maternal self-report, observation, and review of substantiated reports of child maltreatment. Maternal depression and attachment insecurity interacted in their moderation of program impacts. For several outcomes, home visiting impacts were greatest for nondepressed mothers with moderate-to-high discomfort with trust/dependence and for depressed mothers with low discomfort with trust/dependence. Implications for practice and policy are discussed. |
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Authors:
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Anne K Duggan; Lisa J Berlin; Jude Cassidy; Lori Burrell; S Darius Tandon |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of consulting and clinical psychology Volume: 77 ISSN: 1939-2117 ISO Abbreviation: J Consult Clin Psychol Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-07-28 Completed Date: 2010-02-17 Revised Date: 2010-09-27 |
Medline Journal Info:
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Nlm Unique ID: 0136553 Medline TA: J Consult Clin Psychol Country: United States |
Other Details:
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Languages: eng Pagination: 788-99 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21205-1903, USA. aduggan@jhmi.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Alaska Child Abuse / prevention & control, psychology Child, Preschool Community Mental Health Services Dependency (Psychology) Depression, Postpartum / psychology, therapy* Female Follow-Up Studies House Calls* Humans Infant Male Mother-Child Relations Object Attachment* Parenting / psychology Randomized Controlled Trials as Topic Risk Factors Social Environment Trust Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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K01 MH070378-04/MH/NIMH NIH HHS; K01MH70378/MH/NIMH NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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