Document Detail

The effectiveness of early intervention and the factors related to child behavioural problems at age 2: a randomized controlled trial.
MedLine Citation:
PMID:  17317044     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The aim of this study was to assess the effectiveness of early home-based intervention as a community health service and evaluate the influence of both early maternal depression and mother-infant relationships on child behavioral problems at age 2 in a longitudinal setting. METHODS: A randomized controlled trial was conducted in this study. A total of 95 mother-infant pairs were assigned randomly to intervention (48) or control (47) groups. The intervention group received monthly specific home visits between the infant ages of 5 and 9 months while the control group received only routine center-based services. Maternal depression and the mother-infant relationship were assessed by medical checkups at the ages of 4 and 10 months. Child behavioral problems were assessed at age 2. RESULTS: The intervention had no significant impact on child behavioral problems. However, for mothers who had a disturbed relationship with their infants, the rate of improvement in the quality of the relationship was higher in the intervention group. Disturbed mother-infant relationships at 10 months and early maternal depression significantly increased the risk of high scores on the Child Behavior Checklist (CBCL). CONCLUSIONS: These findings indicate that intervention is most likely to have a positive impact on the quality of mother-infant relationships in cases where the relationship is disturbed and that a disturbed mother-infant relationship and maternal depression during infancy are relevant to the future mental health of the child. To prevent difficulties in child functioning, more prolonged interventions focusing on disturbed mother-infant relationships may be required.
Shunyue Cheng; Naoji Kondo; Yutaka Aoki; Yumi Kitamura; Yasuhisa Takeda; Zentaro Yamagata
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2007-02-21
Journal Detail:
Title:  Early human development     Volume:  83     ISSN:  0378-3782     ISO Abbreviation:  Early Hum. Dev.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-15     Completed Date:  2008-03-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708381     Medline TA:  Early Hum Dev     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  683-91     Citation Subset:  IM    
Department of Health Sciences, School of Medicine, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, Japan.
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MeSH Terms
Child Behavior Disorders / prevention & control*
Child, Preschool
Depression, Postpartum*
Early Intervention (Education)*
Mother-Child Relations*
Social Welfare*

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