Owerko Centre for Children's Neurodevelopment and Mental Health, Alberta Children's Hospital Research Institute, Faculty of Nursing, and Cumming School of Medicine, Departments of Pediatrics, Psychiatry and Community Health Sciences, University of Calgary, Calgary, AB T2N 1N4, Canada.
Owerko Centre for Children's Neurodevelopment and Mental Health, Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB T2N 1N4, Canada.
Int J Environ Res Public Health. 2023 Feb 9;20(4):3078. doi: 10.3390/ijerph20043078.
Early adversity (e.g., family violence, parental depression, low income) places children at risk for maltreatment and negatively impacts developmental outcomes. Optimal parental reflective function (RF), defined as the parent's ability to think about and identify thoughts, feelings, and mental states in themselves and in their children, is linked to secure attachment and may protect against suboptimal outcomes. We present the results of Phase 2 randomized control trials (RCTs) and quasi-experimental studies (QES) of the Attachment and Child Health (ATTACH) parental RF intervention for families with children at risk for maltreatment. Phase 2 parents experiencing adversity, along with their children aged 0-5 years ( = 45), received the 10-12-week ATTACH intervention. Building on completed Phase 1 pilot data, Phase 2 examined outcomes of long-standing interest, including parental RF and child development, as well as new outcomes, including parental perceived social support and executive function, and children's behavior, sleep, and executive function. RCTs and QES revealed significant improvements in parents' RF, perception of social support, and executive function, children's development (i.e., communication, problem-solving, personal-social, and fine motor skills), and a decrease in children's sleep and behavioral problems (i.e., anxiety/depression, attention problems, aggressive behavior, and externalizing problems), post-intervention. ATTACH™ positively impacts parental RF to prevent negative impacts on children at risk of maltreatment.
早期逆境（例如，家庭暴力、父母抑郁、低收入）使儿童面临虐待风险，并对发展结果产生负面影响。最佳的父母反射功能（RF），定义为父母思考和识别自身和子女的思想、感受和心理状态的能力，与安全依恋有关，并可能预防不理想的结果。我们介绍了针对有虐待风险儿童的家庭的依恋和儿童健康（ATTACH）父母 RF 干预的第二阶段随机对照试验（RCT）和准实验研究（QES）的结果。经历逆境的第二阶段父母及其 0-5 岁的孩子（=45）接受了为期 10-12 周的 ATTACH 干预。在完成的第一阶段试点数据的基础上，第二阶段检查了长期关注的结果，包括父母 RF 和儿童发展，以及新的结果，包括父母感知的社会支持和执行功能，以及儿童的行为、睡眠和执行功能。RCT 和 QES 显示，父母的 RF、社会支持感和执行功能、儿童的发展（即沟通、解决问题、个人-社会和精细运动技能）显著改善，儿童的睡眠和行为问题（即焦虑/抑郁、注意力问题、攻击行为和外化问题）减少，干预后。ATTACH™ 积极影响父母的 RF，以防止对有虐待风险的儿童产生负面影响。
