Document Detail


Examining maternal depression and attachment insecurity as moderators of the impacts of home visiting for at-risk mothers and infants.
MedLine Citation:
PMID:  19634970     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Anne K Duggan; Lisa J Berlin; Jude Cassidy; Lori Burrell; S Darius Tandon
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of consulting and clinical psychology     Volume:  77     ISSN:  1939-2117     ISO Abbreviation:  J Consult Clin Psychol     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-28     Completed Date:  2010-02-17     Revised Date:  2010-09-27    
Medline Journal Info:
Nlm Unique ID:  0136553     Medline TA:  J Consult Clin Psychol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  788-99     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21205-1903, USA. aduggan@jhmi.edu
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MeSH Terms
Descriptor/Qualifier:
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:
K01 MH070378-04/MH/NIMH NIH HHS; K01MH70378/MH/NIMH NIH HHS
Comments/Corrections

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