Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Attach Hum Dev. 2010 Sep;12(5):483-504. doi: 10.1080/14616734.2010.501983.
This is a report of post-treatment findings from a completed randomized pilot study testing the preliminary efficacy of the Mothers and Toddlers Program (MTP), a 12 week attachment-based individual parenting therapy for mothers enrolled in substance abuse treatment and caring for children ages birth to 36 months. Forty-seven mothers were randomized to MTP versus the Parent Education Program (PE), a comparison intervention providing individual case management and child guidance brochures. At post-treatment, MTP mothers demonstrated better reflective functioning in the Parent Development Interview, representational coherence and sensitivity, and caregiving behavior than PE mothers. Partial support was also found for proposed mechanisms of change in the MTP model. Together, preliminary findings suggest that attachment-based interventions may be more effective than traditional parent training for enhancing relationships between substance using women and their young children.
这是一份完成的随机试点研究的治疗后结果报告，该研究旨在测试母亲与幼儿计划（MTP）的初步疗效，MTP 是一种为期 12 周的基于依恋的个体育儿治疗方法，适用于参加药物滥用治疗并照顾 0 至 36 个月大的儿童的母亲。47 名母亲被随机分配到 MTP 组或父母教育计划（PE）组，PE 是一种比较干预措施，提供个体案例管理和儿童指导手册。在治疗后，MTP 组的母亲在父母发展访谈中表现出更好的反思功能、代表性一致性和敏感性以及育儿行为，优于 PE 组的母亲。MTP 模型中提出的一些变化机制也得到了部分支持。总的来说，初步结果表明，基于依恋的干预措施可能比传统的父母培训更有效，可以增强药物滥用女性及其幼儿之间的关系。
