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Lynne Murray - One of the best experts on this subject based on the ideXlab platform.
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improving quality of mother Infant relationship and Infant Attachment in socioeconomically deprived community in south africa randomised controlled trial
BMJ, 2009Co-Authors: Peter J. Cooper, Mark Tomlinson, Leslie Swartz, Mireille Landman, Chris Molteno, Alan Stein, Klim Mcpherson, Lynne MurrayAbstract:Objective To assess the efficacy of an intervention designed to improve the mother-Infant relationship and security of Infant Attachment in a South African peri-urban settlement with marked adverse socioeconomic circumstances. Design Randomised controlled trial. Setting Khayelitsha, a peri-urban settlement in South Africa. Participants 449 pregnant women. Interventions The intervention was delivered from late pregnancy and for six months postpartum. Women were visited in their homes by previously untrained lay community workers who provided support and guidance in parenting. The purpose of the intervention was to promote sensitive and responsive parenting and secure Infant Attachment to the mother. Women in the control group received no therapeutic input from the research team. Main outcome measures Primary outcomes: quality of mother-Infant interactions at six and 12 months postpartum; Infant Attachment security at 18 months. Secondary outcome: maternal depression at six and 12 months. Results The intervention was associated with significant benefit to the mother-Infant relationship. At both six and 12 months, compared with control mothers, mothers in the intervention group were significantly more sensitive (6 months: mean difference=0.77 (SD 0.37), t=2.10, P<0.05, d =0.24; 12 months: mean difference=0.42 (0.18), t=−2.04 , P<0.05, d =0.26) and less intrusive (6 months: mean difference=0.68 (0.36), t=2.28, P<0.05, d =0.26; 12 months: mean difference=−1.76 (0.86), t=2.28 , P<0.05, d =0.24) in their interactions with their Infants. The intervention was also associated with a higher rate of secure Infant Attachments at 18 months (116/156 (74%) v 102/162 (63%); Wald=4.74, odds ratio=1.70, P<0.05). Although the prevalence of maternal depressive disorder was not significantly reduced, the intervention had a benefit in terms of maternal depressed mood at six months (z=2.05, P=0.04) on the Edinburgh postnatal depression scale). Conclusions The intervention, delivered by local lay women, had a significant positive impact on the quality of the mother-Infant relationship and on security of Infant Attachment, factors known to predict favourable child development. If these effects persist, and if they are replicated, this intervention holds considerable promise for use in the developing world. Trial registration Current Controlled Trials [ISRCTN25664149][1]. [1]: /external-ref?link_type=ISRCTN&access_num=ISRCTN25664149
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The mother - Infant relationship and Infant Attachment in a South African peri-urban settlement
Child Development, 2005Co-Authors: Mark Tomlinson, Peter Cooper, Lynne MurrayAbstract:A sample of 147 mother-Infant dyads was recruited from a peri-urban settlement outside Cape Town and seen at 2- and 18-months postpartum. At 18 months, 61.9% of the Infants were rated as securely attached (B); 4.1% as avoidant (A); 8.2% as resistant (C); and 25.8% disorganized (D). Postpartum depression at 2 months, and indices of poor parenting at both 2 and 18 months, were associated with insecure Infant Attachment. The critical 2-month predictor variables for insecure Infant Attachment were maternal intrusiveness and maternal remoteness, and early maternal depression. When concurrent maternal sensitivity was considered, the quality of the early mother-Infant relationship remained important, but maternal depression was no longer predictive. Cross-cultural differences and consistencies in the development of Attachment are discussed.
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The Mother–Infant Relationship and Infant Attachment in a South African Peri-Urban Settlement
Child development, 2005Co-Authors: Mark Tomlinson, Peter J. Cooper, Lynne MurrayAbstract:A sample of 147 mother-Infant dyads was recruited from a peri-urban settlement outside Cape Town and seen at 2- and 18-months postpartum. At 18 months, 61.9% of the Infants were rated as securely attached (B); 4.1% as avoidant (A); 8.2% as resistant (C); and 25.8% disorganized (D). Postpartum depression at 2 months, and indices of poor parenting at both 2 and 18 months, were associated with insecure Infant Attachment. The critical 2-month predictor variables for insecure Infant Attachment were maternal intrusiveness and maternal remoteness, and early maternal depression. When concurrent maternal sensitivity was considered, the quality of the early mother-Infant relationship remained important, but maternal depression was no longer predictive. Cross-cultural differences and consistencies in the development of Attachment are discussed.
Mark Tomlinson - One of the best experts on this subject based on the ideXlab platform.
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improving quality of mother Infant relationship and Infant Attachment in socioeconomically deprived community in south africa randomised controlled trial
BMJ, 2009Co-Authors: Peter J. Cooper, Mark Tomlinson, Leslie Swartz, Mireille Landman, Chris Molteno, Alan Stein, Klim Mcpherson, Lynne MurrayAbstract:Objective To assess the efficacy of an intervention designed to improve the mother-Infant relationship and security of Infant Attachment in a South African peri-urban settlement with marked adverse socioeconomic circumstances. Design Randomised controlled trial. Setting Khayelitsha, a peri-urban settlement in South Africa. Participants 449 pregnant women. Interventions The intervention was delivered from late pregnancy and for six months postpartum. Women were visited in their homes by previously untrained lay community workers who provided support and guidance in parenting. The purpose of the intervention was to promote sensitive and responsive parenting and secure Infant Attachment to the mother. Women in the control group received no therapeutic input from the research team. Main outcome measures Primary outcomes: quality of mother-Infant interactions at six and 12 months postpartum; Infant Attachment security at 18 months. Secondary outcome: maternal depression at six and 12 months. Results The intervention was associated with significant benefit to the mother-Infant relationship. At both six and 12 months, compared with control mothers, mothers in the intervention group were significantly more sensitive (6 months: mean difference=0.77 (SD 0.37), t=2.10, P<0.05, d =0.24; 12 months: mean difference=0.42 (0.18), t=−2.04 , P<0.05, d =0.26) and less intrusive (6 months: mean difference=0.68 (0.36), t=2.28, P<0.05, d =0.26; 12 months: mean difference=−1.76 (0.86), t=2.28 , P<0.05, d =0.24) in their interactions with their Infants. The intervention was also associated with a higher rate of secure Infant Attachments at 18 months (116/156 (74%) v 102/162 (63%); Wald=4.74, odds ratio=1.70, P<0.05). Although the prevalence of maternal depressive disorder was not significantly reduced, the intervention had a benefit in terms of maternal depressed mood at six months (z=2.05, P=0.04) on the Edinburgh postnatal depression scale). Conclusions The intervention, delivered by local lay women, had a significant positive impact on the quality of the mother-Infant relationship and on security of Infant Attachment, factors known to predict favourable child development. If these effects persist, and if they are replicated, this intervention holds considerable promise for use in the developing world. Trial registration Current Controlled Trials [ISRCTN25664149][1]. [1]: /external-ref?link_type=ISRCTN&access_num=ISRCTN25664149
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The mother - Infant relationship and Infant Attachment in a South African peri-urban settlement
Child Development, 2005Co-Authors: Mark Tomlinson, Peter Cooper, Lynne MurrayAbstract:A sample of 147 mother-Infant dyads was recruited from a peri-urban settlement outside Cape Town and seen at 2- and 18-months postpartum. At 18 months, 61.9% of the Infants were rated as securely attached (B); 4.1% as avoidant (A); 8.2% as resistant (C); and 25.8% disorganized (D). Postpartum depression at 2 months, and indices of poor parenting at both 2 and 18 months, were associated with insecure Infant Attachment. The critical 2-month predictor variables for insecure Infant Attachment were maternal intrusiveness and maternal remoteness, and early maternal depression. When concurrent maternal sensitivity was considered, the quality of the early mother-Infant relationship remained important, but maternal depression was no longer predictive. Cross-cultural differences and consistencies in the development of Attachment are discussed.
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The Mother–Infant Relationship and Infant Attachment in a South African Peri-Urban Settlement
Child development, 2005Co-Authors: Mark Tomlinson, Peter J. Cooper, Lynne MurrayAbstract:A sample of 147 mother-Infant dyads was recruited from a peri-urban settlement outside Cape Town and seen at 2- and 18-months postpartum. At 18 months, 61.9% of the Infants were rated as securely attached (B); 4.1% as avoidant (A); 8.2% as resistant (C); and 25.8% disorganized (D). Postpartum depression at 2 months, and indices of poor parenting at both 2 and 18 months, were associated with insecure Infant Attachment. The critical 2-month predictor variables for insecure Infant Attachment were maternal intrusiveness and maternal remoteness, and early maternal depression. When concurrent maternal sensitivity was considered, the quality of the early mother-Infant relationship remained important, but maternal depression was no longer predictive. Cross-cultural differences and consistencies in the development of Attachment are discussed.
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Mother-Infant Attachment, Culture And Research: A Pilot Study
Southern African Journal of Child and Adolescent Mental Health, 2001Co-Authors: Mark TomlinsonAbstract:ABSTRACT The Strange Situation was developed in the United States in the 1970's as a measure of mother Infant Attachment. Since then there has been increased interest in its cross Cultural applicability. This paper reports on a pilot mother-Infant intervention study conducted in Hanover Park, Cape Town. Its focus is on the Attachment component of this study and its cross cultural relevance, highlights common shortcomings in the research and makes a number of suggestions about how to provide the data that will ensure meaningful Attachment data in the South African context.
Peter J. Cooper - One of the best experts on this subject based on the ideXlab platform.
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improving quality of mother Infant relationship and Infant Attachment in socioeconomically deprived community in south africa randomised controlled trial
BMJ, 2009Co-Authors: Peter J. Cooper, Mark Tomlinson, Leslie Swartz, Mireille Landman, Chris Molteno, Alan Stein, Klim Mcpherson, Lynne MurrayAbstract:Objective To assess the efficacy of an intervention designed to improve the mother-Infant relationship and security of Infant Attachment in a South African peri-urban settlement with marked adverse socioeconomic circumstances. Design Randomised controlled trial. Setting Khayelitsha, a peri-urban settlement in South Africa. Participants 449 pregnant women. Interventions The intervention was delivered from late pregnancy and for six months postpartum. Women were visited in their homes by previously untrained lay community workers who provided support and guidance in parenting. The purpose of the intervention was to promote sensitive and responsive parenting and secure Infant Attachment to the mother. Women in the control group received no therapeutic input from the research team. Main outcome measures Primary outcomes: quality of mother-Infant interactions at six and 12 months postpartum; Infant Attachment security at 18 months. Secondary outcome: maternal depression at six and 12 months. Results The intervention was associated with significant benefit to the mother-Infant relationship. At both six and 12 months, compared with control mothers, mothers in the intervention group were significantly more sensitive (6 months: mean difference=0.77 (SD 0.37), t=2.10, P<0.05, d =0.24; 12 months: mean difference=0.42 (0.18), t=−2.04 , P<0.05, d =0.26) and less intrusive (6 months: mean difference=0.68 (0.36), t=2.28, P<0.05, d =0.26; 12 months: mean difference=−1.76 (0.86), t=2.28 , P<0.05, d =0.24) in their interactions with their Infants. The intervention was also associated with a higher rate of secure Infant Attachments at 18 months (116/156 (74%) v 102/162 (63%); Wald=4.74, odds ratio=1.70, P<0.05). Although the prevalence of maternal depressive disorder was not significantly reduced, the intervention had a benefit in terms of maternal depressed mood at six months (z=2.05, P=0.04) on the Edinburgh postnatal depression scale). Conclusions The intervention, delivered by local lay women, had a significant positive impact on the quality of the mother-Infant relationship and on security of Infant Attachment, factors known to predict favourable child development. If these effects persist, and if they are replicated, this intervention holds considerable promise for use in the developing world. Trial registration Current Controlled Trials [ISRCTN25664149][1]. [1]: /external-ref?link_type=ISRCTN&access_num=ISRCTN25664149
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The Mother–Infant Relationship and Infant Attachment in a South African Peri-Urban Settlement
Child development, 2005Co-Authors: Mark Tomlinson, Peter J. Cooper, Lynne MurrayAbstract:A sample of 147 mother-Infant dyads was recruited from a peri-urban settlement outside Cape Town and seen at 2- and 18-months postpartum. At 18 months, 61.9% of the Infants were rated as securely attached (B); 4.1% as avoidant (A); 8.2% as resistant (C); and 25.8% disorganized (D). Postpartum depression at 2 months, and indices of poor parenting at both 2 and 18 months, were associated with insecure Infant Attachment. The critical 2-month predictor variables for insecure Infant Attachment were maternal intrusiveness and maternal remoteness, and early maternal depression. When concurrent maternal sensitivity was considered, the quality of the early mother-Infant relationship remained important, but maternal depression was no longer predictive. Cross-cultural differences and consistencies in the development of Attachment are discussed.
Peter Cooper - One of the best experts on this subject based on the ideXlab platform.
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The mother - Infant relationship and Infant Attachment in a South African peri-urban settlement
Child Development, 2005Co-Authors: Mark Tomlinson, Peter Cooper, Lynne MurrayAbstract:A sample of 147 mother-Infant dyads was recruited from a peri-urban settlement outside Cape Town and seen at 2- and 18-months postpartum. At 18 months, 61.9% of the Infants were rated as securely attached (B); 4.1% as avoidant (A); 8.2% as resistant (C); and 25.8% disorganized (D). Postpartum depression at 2 months, and indices of poor parenting at both 2 and 18 months, were associated with insecure Infant Attachment. The critical 2-month predictor variables for insecure Infant Attachment were maternal intrusiveness and maternal remoteness, and early maternal depression. When concurrent maternal sensitivity was considered, the quality of the early mother-Infant relationship remained important, but maternal depression was no longer predictive. Cross-cultural differences and consistencies in the development of Attachment are discussed.
Katherine L. Rosenblum - One of the best experts on this subject based on the ideXlab platform.
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Maternal reflective functioning among mothers with childhood maltreatment histories: links to sensitive parenting and Infant Attachment security
Attachment & human development, 2014Co-Authors: Ann M. Stacks, Maria Muzik, Kristyn Wong, Marjorie Beeghly, Alissa C. Huth-bocks, Jessica L. Irwin, Katherine L. RosenblumAbstract:This study examined relationships among maternal reflective functioning, parenting, Infant Attachment, and demographic risk in a relatively large (N = 83) socioeconomically diverse sample of women with and without a history of childhood maltreatment and their Infants. Most prior research on parental reflective functioning has utilized small homogenous samples. Reflective functioning was assessed with the Parent Development Interview, parenting was coded from videotaped mother-child interactions, and Infant Attachment was evaluated in Ainsworth's Strange Situation by independent teams of reliable coders masked to maternal history. Reflective functioning was associated with parenting sensitivity and secure Attachment, and inversely associated with demographic risk and parenting negativity; however, it was not associated with maternal maltreatment history or PTSD. Parenting sensitivity mediated the relationship between reflective functioning and Infant Attachment, controlling for demographic risk. Findings are discussed in the context of prior research on reflective functioning and the importance of targeting reflective functioning in interventions.