Ordway Monica Roosa, Sadler Lois S, Dixon Jane, Close Nancy, Mayes Linda, Slade Arietta
Yale University School of Nursing, New Haven, CT.
Yale University School of Nursing, New Haven, CT; Yale Child Study Center, New Haven, CT.
J Pediatr Nurs. 2014 Jan-Feb;29(1):3-13. doi: 10.1016/j.pedn.2013.04.006. Epub 2013 May 15.
Child mental health is of great concern requiring effective and appropriate parenting interventions. This pilot study was the first attempt to examine the intermediate effects of an ongoing parenting home visiting program, Minding the Baby (MTB), on parental reflective functioning (RF) and child behavior. Results indicated that the women who participated in the MTB intervention described their children-when assessed post-intervention-as having significantly fewer externalizing child behaviors. However, there was no significant difference between the two groups on parental RF from the end of the intervention to follow-up. The central finding that children who participated with the MTB program were reported to have significantly fewer externalizing behaviors following the intervention has important clinical and public health implications. Recommendations for the design of future follow-up studies and for further exploration of parental RF as it relates to the MTB outcomes are discussed.
儿童心理健康备受关注,需要有效的适当育儿干预措施。这项试点研究首次尝试检验一项正在进行的育儿家访项目“关爱宝宝”(MTB)对父母反思功能(RF)和儿童行为的中间效应。结果表明,参与MTB干预的女性在干预后评估时表示,她们的孩子外化行为显著减少。然而,从干预结束到随访期间,两组在父母反思功能方面没有显著差异。核心发现是,参与MTB项目的儿童在干预后据报告外化行为显著减少,这具有重要的临床和公共卫生意义。文中讨论了未来随访研究设计以及进一步探索与MTB结果相关的父母反思功能的建议。