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28-11-2023 | Original Paper

Circle of Security-Parenting Randomized Waitlist Control Study: Change in Reflective Functioning Explains Positive Caregiver Behavior

Auteurs: Casey A. Dexter, Kristyn Wong

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 2/2024

Abstract

Sensitive and responsive parenting is known to promote secure attachment. Caregiver reflective functioning (RF), one’s capacity to mentalize, is a critical mechanism for caregiver behaviors supportive of secure attachment. Interventions targeting RF can improve caregiving quality, and in turn, attachment security. One such promising intervention is Circle of Security-Parenting (COS-P), a brief eight-week parenting program designed to improve caregiver behaviors known to promote attachment security. Using a randomized wait-list control design, we examined the efficacy of the COS-P program in improving caregiver RF, and in turn, positive caregiver behaviors. The present sample of forty-six primary caregivers (3 fathers, 40 mothers, 1 grandfather, 2 grandmothers) were predominately low-income and people of color. Caregivers were randomly assigned to the COS-P intervention group or wait-list control group. Pre/post data collection included demographic information, interview to assess RF (PDI-R2-S), and a caregiver-child semi-structured play interaction (Crowell). As a result of the brief intervention, intervention caregivers, compared to control group caregivers, demonstrated significant growth in RF, behavioral responsiveness, and emotional responsiveness. Caregiver RF at posttest explained a significant amount of variance in both posttest behavioral and emotional responsiveness above and beyond pretest RF, pretest parenting behavior, and intervention condition. Using a randomized waitlist control trial, and a gold-standard measure of RF, these findings extend previous literature by not only demonstrating a significant intervention effect on key outcomes known to promote attachment security, but also by highlighting the important role that caregiver RF plays in this process.

vorige artikel Differential Effects of an Early Childhood Care Preventive Intervention Program on Behavior and Emotional Problems

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Alvarez-Monjarás, M., McMahon, T. J., & Suchman, N. E. (2019). Does maternal reflective functioning mediate associations between representations of caregiving with maternal sensitivity in a high-risk sample? Psychoanalytic Psychology, 36(1), 82–92. https://doi.org/10.1037/pap0000166.CrossRefPubMed

Anan, R. M., & Barnett, D. (1999). Perceived social support mediates between prior attachment and subsequent adjustment: A study of urban African American children. Developmental psychology, 35(5), 1210. https://doi.org/10.1037/0012-1649.35.5.1210.CrossRefPubMed

Anis, L., Perez, G., Benzies, K. M., Ewashen, C., Hart, M., & Letourneau, N. (2020). Convergent validity of three measures of reflective function: Parent Development Interview, Parental Reflective Function Questionnaire, and Reflective Function Questionnaire. Frontiers in Psychology, 11, 574719. https://doi.org/10.3389/fpsyg.2020.574719.CrossRefPubMedPubMedCentral

Aoki, Y., Zeanah, C. H., Heller, S. S., & Bakshi, S. (2002). Parent–infant relationship global assessment scale: A study of its predictive validity. Psychiatry and clinical neurosciences, 56(5), 493–497. https://doi.org/10.1046/j.1440-1819.2002.01044.x.CrossRefPubMed

Bar‐Haim, Y., Sutton, D. B., Fox, N. A., & Marvin, R. S. (2000). Stability and change of attachment at 14, 24, and 58 months of age: Behavior, representation, and life events. Journal of Child Psychology and Psychiatry, 41(3), 381–388. https://doi.org/10.1111/1469-7610.00622.CrossRefPubMed

Barnett, D., Kidwell, S. L., & Leung, K. H. (1998). Parenting and preschooler attachment among low‐income urban African American families. Child development, 69(6), 1657–1671. https://doi.org/10.1111/j.1467-8624.1998.tb06183.x.CrossRefPubMed

Bornstein, M. H., & Tamis-LeMonda, C. S. (1989). Maternal responsiveness and cognitive development in children. In M. H. Bornstein (Ed.), New directions for child development, No. 43: The Jossey-Bass social and behavioral sciences series. Maternal responsiveness: Characteristics and consequences (p. 49–61). Jossey-Bass.

Buttitta, K. V., Smiley, P. A., Kerr, M. L., Rasmussen, H. F., Querdasi, F. R., & Borelli, J. L. (2019). In a father’s mind: paternal reflective functioning, sensitive parenting, and protection against socioeconomic risk. Attachment & Human Development, 21(5), 445–466. https://doi.org/10.1080/14616734.2019.1582596.CrossRef

Camoirano, A. (2017). Mentalizing makes parenting work: A review about parental reflective functioning and clinical interventions to improve it. Frontiers in psychology, 8, 14. https://doi.org/10.3389/fpsyg.2017.00014.CrossRefPubMedPubMedCentral

Cassidy, J., Ziv, Y., Stupica, B., Sherman, L. J., Butler, H., Karfgin, A., & Powell, B. (2010). Enhancing attachment security in the infants of women in a jail-diversion program. Attachment & Human Development, 12(4), 333–353. https://doi.org/10.1080/14616730903416955.CrossRef

Cassidy, J., Brett, B. E., Gross, J. T., Stern, J. A., Martin, D. R., Mohr, J. J., & Woodhouse, S. S. (2017). Circle of Security–Parenting: A randomized controlled trial in Head Start. Development and Psychopathology, 29(2), 651.CrossRefPubMedPubMedCentral

Cicchetti, D., Cummings, E. M., Greenberg, M. T., & Marvin, R. S. (1990). An organizational perspective on attachment beyond infancy. Attachment in the preschool years: Theory, research, and intervention, p. 3–49. the University of Chicago Press.

Circle of Security International (2021). Circle of security international. https://www.circleofsecurityinternational.com/.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates, Publishers.

Cooper, G., Hoffman, K., & Powell, B. (2009). Facilitator DVD Manual 5.0. Spokane, WA: Circle of Security International; Circle of Security Parenting: A relationship based parenting program.

Crittenden, P. M. (1992). Quality of attachment in the preschool years. Development and psychopathology, 4(2), 209–241. https://doi.org/10.1016/0145-2134(92)90043-Q.CrossRef

Crowell, J. A., & Fleischmann, M. A. (1993). Use of structured research procedures in clinical assessments of infants. In C. H. Zeanah (Ed.), Handbook of infant mental health. 1st ed. (pp. 210–221). New York, NY: Guilford Press.

Decarli, A., Schulz, A., Pierrehumbert, B., & Vögele, C. (2022). Mothers’ and fathers’ reflective functioning and its association with parenting behaviors and cortisol reactivity during a conflict interaction with their adolescent children. Emotion. https://doi.org/10.1037/emo0001113.

Dexter, C. A., Wong, K., Stacks, A. M., Beeghly, M., & Barnett, D. (2013). Parenting and attachment among low-income african american and caucasian preschoolers. Journal of Family Psychology, 27(4), 629–638. https://doi.org/10.1037/a0033341.CrossRefPubMed

Ensink, K., Borelli, J. L., Roy, J., Normandin, L., Slade, A., & Fonagy, P. (2019). Costs of not getting to know you: Lower levels of parental reflective functioning confer risk for maternal insensitivity and insecure infant attachment. Infancy, 24(2), 210–227. https://doi.org/10.1111/infa.12263.CrossRefPubMed

Faul, F., Erdfelder, E., Lang, A. & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social behavioral and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/BF03193146.CrossRefPubMed

Fonagy, P., & Target, M. (1998). Mentalization and the changing aims of child psychoanalysis. Psychoanalytic dialogues, 8(1), 87–114. https://doi.org/10.1080/10481889809539235.CrossRef

Fonagy, P., & Target, M. (2005). Bridging the transmission gap: An end to an important mystery of attachment research? Attachmenet and Human Development, 7(3), 333–343. https://doi.org/10.1080/14616730500269278.CrossRef

Gray, S. A. O. (2015). Widening the circle of security: A quasiexperimental evaluation of attachment-based professional development for family child care providers. Infant Mental Health Journal, 36(3), 308–319. https://doi.org/10.1002/imhj.21513.CrossRefPubMed

Grienenberger, J. F., Kelly, K., & Slade, A. (2005). Maternal reflective functioning, mother–infant affective communication, and infant attachment: Exploring the link between mental states and observed caregiving behavior in the intergenerational transmission of attachment. Attachment & human development, 7(3), 299–311. https://doi.org/10.1080/14616730500245963.CrossRef

Hoffman, K. T., Marvin, R. S., Cooper, G., & Powell, B. (2006). Changing toddlers’ and preschoolers’ attachment classifications: the Circle of Security intervention. Journal of consulting and clinical psychology, 74(6), 1017. https://doi.org/10.1037/0022-006X.74.6.1017.CrossRefPubMed

Horton, E., & Murray, C. (2015). A quantitative exploratory evaluation of the circle of security‐parenting program with mothers in residential substance‐abuse treatment. Infant mental health journal, 36(3), 320–336. https://doi.org/10.1002/imhj.21514.CrossRefPubMed

Jennings, M., & Cribbie, R. A. (2016). Comparing pre-post change across groups: Guidelines for choosing between difference scores, ANCOVA, and residual change scores. Journal of Data Science, 14(2), 205–230. https://doi.org/10.6339/JDS.201604_14(2).0002.CrossRef

Julian, M. M., Muzik, M., Kees, M., Valenstein, M., Dexter, C. & Rosenblum, K. L. (2018). Intervention effects on reflectivity explain change in positive parenting in military families with young children. Journal of Family Psychology, 32(6), 804–815. https://doi.org/10.1037/fam0000431.CrossRefPubMedPubMedCentral

Katznelson, H. (2014). Reflective functioning: A review. Clinical psychology review, 34(2), 107–117. https://doi.org/10.1016/j.cpr.2013.12.003.CrossRefPubMed

Kim, M., Woodhouse, S. S., & Dai, C. (2018). Learning to provide children with a secure base and a safe haven: The Circle of Security‐Parenting (COS‐P) group intervention. Journal of Clinical Psychology, 74(8), 1319–1332.CrossRefPubMed

Kohlhoff, J., Stein, M., Ha, M., & Mejaha, K. (2016). The circle of security parenting (COS-P) intervention: Pilot evaluation. Australian Journal of Child and Family Health Nursing, 13(1), 3.

Krishnamoorthy, G., Hessing, P., Middeldorp, C., & Branjerdporn, M. (2020). Effects of the ‘Circle of Security’group parenting program (COS-P) with foster carers: An observational study. Children and Youth Services Review, 115, 105082. https://doi.org/10.1016/j.childyouth.2020.105082.

Landry, S. H., Smith, K. E., & Swank, P. R. (2006). Responsive Parenting: Establishing Early Foundations for Social, Communication, and Independent Problem-Solving Skills. Developmental Psychology, 42, 627–642. https://doi.org/10.1037/0012-1649.42.4.627.CrossRefPubMed

Lo, C. K., & Wong, S. Y. (2020). The effectiveness of parenting programs in regard to improving parental reflective functioning: a meta-analysis. Attachment & Human Development, 1-17. https://doi.org/10.1080/14616734.2020.1844247.

Loop, L., Mouton, B., Brassart, E., & Roskam, I. (2017). The observation of child behavior during parent-child interaction: The psychometric properties of the crowell procedure. Journal of Child and Family Studies, 26(4), 1040–1050. https://doi.org/10.1007/s10826-016-0625-0.CrossRef

Luyten, P., Mayes, L. C., Nijssens, L., & Fonagy, P. (2017). The parental reflective functioning questionnaire: Development and preliminary validation. PLOS ONE, 12(5), e0176218. https://doi.org/10.1371/journal.pone.0176218.CrossRefPubMedPubMedCentral

Maupin, A. N., Samuel, E. E., Nappi, S. M., Heath, J. M., & Smith, M. V. (2017). Disseminating a Parenting Intervention in the Community: Experiences from a Multi-Site Evaluation. Journal of Child and Family Studies, 26, 3079–3092. https://doi.org/10.1007/s10826-017-0804-7.

Maxwell, A. M., McMahon, C., Huber, A., Reay, R. E., Hawkins, E., & Barnett, B. (2021). Examining the Effectiveness of Circle of Security Parenting (COS-P): A Multi-Site Non-Randomized Study with Waitlist Control. Journal of Child and Family Studies, 30(5), 1123–1140.CrossRef

Nievar, M. A., & Becker, B. J. (2008). Sensitivity as a privileged predictor of attachment: A second perspective on De Wolff and van IJzendoorn’s meta‐analysis. Social Development, 17(1), 102–114. https://doi.org/10.1111/j.1467-9507.2007.00417.x.CrossRef

Osofsky, J., Kronenberg, M., Hammer, J., Lederman, J. C., Katz, L., Adams, S., & Hogan, A. (2007). The development and evaluation of the intervention model for the Florida Infant Mental Health Pilot Program. Infant Mental Health Journal, 28, 259–280. https://doi.org/10.1002/imhj.20135.CrossRefPubMed

Perrett, F., Spies, R., & Dolby, R. (2015, August). Enhancing familial mental health through parental reflection and education: Circle of Security Program. In Australian and New Zealand Mental Health Association (Éd.), Proceedings of 16th International Mental Health Conference (pp. 47-56).

Risholm Mothander, P., Furmark, C., & Neander, K. (2018). Adding “Circle of Security–Parenting” to treatment as usual in three Swedish infant mental health clinics. Effects on parents’ internal representations and quality of parent‐infant interaction. Scandinavian Journal of Psychology, 59(3), 262–272. https://doi.org/10.1111/sjop.12419.CrossRefPubMed

Slade, A. (2005). Parental reflective functioning: An introduction. Attachment & human development, 7(3), 269–281. https://doi.org/10.1080/14616730500245906.CrossRef

Slade, A., Grienenberger, J., Bernbach, E., Levy, D., & Locker, A. (2005). Maternal reflective functioning, attachment, and the transmission gap: A preliminary study. Attachment & Human Development, 7(3), 283–298. https://doi.org/10.1080/14616730500245880.CrossRef

Slade, A., Aber, J. L., Berger, B., Bresgi, I., & Kaplan, M. (2003). Parent development interview revised: Short version (PDI-R2-S) [Unpublished manuscript]. Yale Child Study Center, New Haven, CT.

Smaling, H. A., Huijbregts, S. C. J., Van der Heijden, K. B., Hay, D. F., Van Goozen, S. H. M., & Swaab, H. (2017). Prenatal reflective functioning and development of aggression in infancy: The roles of maternal intrusiveness and sensitivity. Journal of Abnormal Child Psychology, 45(2), 237–248. https://doi.org/10.1007/s10802-016-0177-1.CrossRefPubMed

Sprang, G., & Craig, C. (2015). Crowell problem solving procedure: a psychometric analysis of a laboratory measure of the caregiver–child relationship. Child and Adolescent Mental Health, 20(4), 202–209. https://doi.org/10.1111/camh.12082.CrossRefPubMed

Stacks, A. M., Muzik, M., Wong, K., Beeghly, M., Huth-Bocks, A., Irwin, J. L. & Rosenblum, K. L. (2014). Maternal reflective functioning among mothers with childhood maltreatment histories: Links to sensitive parenting and infant attachment security. Attachment & Human Development, 16(5), 515–533. https://doi.org/10.1080/14616734.2014.935452.CrossRef

Thompson, R. A. (2008). Early attachment and later development: Familiar questions, new answers. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (p. 348–365). The Guilford Press.

Tronick, E., & Beeghly, M. (2011). Infants’ meaning-making and the development of mental health problems. American Psychologist, 66(2), 107. https://doi.org/10.1037/a0021631.CrossRefPubMed

Vondra, J. I., Shaw, D. S., Swearingen, L., Cohen, M., & Owens, E. B. (2001). Attachment stability and emotional and behavioral regulation from infancy to preschool age. Development and Psychopathology, 13, 13–33. https://doi.org/10.1017/S095457940100102X.CrossRefPubMedADS

Yaholkoski, A., Hurl, K., & Theule, J. (2016). Efficacy of the circle of security intervention: a meta-analysis. Journal of Infant, Child, and Adolescent Psychotherapy, 15(2), 95–103. https://doi.org/10.1080/15289168.2016.1163161.CrossRef

Zimmer-Gembeck, M. J., Rudolph, J., Ewards, E., Swan, K., Campbell, S. M., Hawes, T., & Webb, H. J. (2022). The circle of security parenting program (COS-P): A randomized controlled trial of a low intensity individualized attachment-based program with at-risk caregivers. Behavior Therapy, 53(2), 208–223. https://doi.org/10.1016/j.beth.2021.07.003.CrossRefPubMed

Titel: Circle of Security-Parenting Randomized Waitlist Control Study: Change in Reflective Functioning Explains Positive Caregiver Behavior
Auteurs: Casey A. Dexter
Kristyn Wong
Publicatiedatum: 28-11-2023
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 2/2024
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-023-02710-0

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