Feasibility Study of a Mentalization-based Parenting Program for Female Caregivers Involved in Mental Health Services.
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 18
- 试验地点
- 1
- 主要终点
- Maternal reflective functioning
研究概览
简要总结
The purpose of this two-year pilot study is to adapt a 12-week attachment-based parenting intervention for implementation with female adult caregivers who have or are at risk for long-term interpersonal conflict with family members, children, or significant others and are caring for a child between the ages of birth and 7 years.
详细描述
The purpose of this two-year pilot study is to adapt a 12-week attachment-based parenting intervention (Parenting from the Inside Out or PIO) originally developed for substance abusing mothers (as part of an ongoing NIDA-funded treatment development study; R01 DA17294) for implementation with female adult caregivers who have or are at risk for long-term interpersonal conflict with family members, children, or significant others and are caring for a child between the ages of birth and 7 years. The PIO intervention involves 12-24 weekly 1 hour individual therapy sessions with Masters level therapists who are trained and supervised by Dr. Suchman (the Principal Investigator) in the PIO approach.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •receive psychiatric services through the adult or young adult treatment team at the West Haven Mental Health Clinic
- •have a child receiving psychiatric services through the child treatment team at the West Haven Mental Health Clinic
- •express interest in receiving a parent intervention at the West Haven Mental Health Clinic
排除标准
- •severe mental health problems (e.g., suicidal, homicidal, psychosis, thought disorder)
- •severely cognitively impaired
- •have psychiatric or substance-related symptoms requiring inpatient hospitalization or ambulatory detoxification
- •are not fluent in English
- •child has a serious illness or significant developmental delay (e.g., cognitive, language, or motor)
研究组 & 干预措施
Mentalization based therapy
Women who are the primary caregivers of a child between the ages of 0-7 years and are involved with mental health services for themselves or a child.
干预措施: Mentalization based therapy (Behavioral)
结局指标
主要结局
Maternal reflective functioning
时间窗: Change at week 24 from baseline
PDI: Rated on a -1 to +9 scale where a score of 3 indicates simple awareness of mental states, 5 indicates rudimentary recognition of how mental states influence behavior, and above 5 indicates advance rPRFQ-1: Rated on a 7-point scale. 3 subscales: PMM (Pre-mentalizing Mode) with high scores indicating reliance on pre-reflective modes of thinking about child's behavior, NRO (Not Recognizing Opacity) with high scores indicating less recognition of the opaque nature of the child's mental states, and IC (Interest and Curiosity) with high scores indicating more interest and curiosity about the child's underlying mental states.
Maternal reflective functioning
时间窗: Change at week 12 from baseline
PDI: Rated on a -1 to +9 scale where a score of 3 indicates simple awareness of mental states, 5 indicates rudimentary recognition of how mental states influence behavior, and above 5 indicates advance rPRFQ-1: Rated on a 7-point scale. 3 subscales: PMM (Pre-mentalizing Mode) with high scores indicating reliance on pre-reflective modes of thinking about child's behavior, NRO (Not Recognizing Opacity) with high scores indicating less recognition of the opaque nature of the child's mental states, and IC (Interest and Curiosity) with high scores indicating more interest and curiosity about the child's underlying mental states.
次要结局
- Coding Interactive Behavior(Change at week 24 from baseline)
- Maternal global psychiatric distress(Change at week 24 from baseline)
- Maternal parenting stress(Change at week 24 from baseline)
- Maternal depression(Change at week 24 from baseline)
- Coding Interactive Behavior(Change at week 12 from baseline)
- Maternal parenting stress(Change at week 12 from baseline)
- Maternal depression(Change at week 12 from baseline)
- Maternal global psychiatric distress(Change at week 12 from baseline)