Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Journal of Child and Family Studies 5/2021

13-03-2021 | Original Paper

Examining the Effectiveness of Circle of Security Parenting (COS-P): A Multi-Site Non-Randomized Study with Waitlist Control

Auteurs: Anne-Marie Maxwell, Catherine McMahon, Anna Huber, Rebecca E. Reay, Erinn Hawkins, Bryanne Barnett

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 5/2021

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Recognition of the protective value of secure parent–child relationships has prompted a growing interest in parenting interventions informed by attachment theory. Circle of Security Parenting (COS-P) is one such program, specifically designed for scalability. Although widely disseminated internationally, evidence for the effectiveness of COS-P is very limited. This non-randomized controlled effectiveness study was designed to help address this gap. A sample of 256 parents of children aged 0–6 years was recruited from four community child and family health organizations. Assessments were undertaken pre- and post-intervention for the treatment group (n = 201) and at comparable times for the waitlist control group (n = 55). Analysis of data for mothers (89% of sample) revealed a significant Time x Group interaction for six of the seven outcomes examined. Compared to mothers in the control condition, treatment group mothers reported significantly: (a) improved parental mentalizing and self-efficacy regarding empathy and affection toward the child; (b) reduced caregiving helplessness and hostility toward the child; and (c) reduced depression symptoms, at the end of COS-P treatment. There was no difference between groups for change in perceived child difficultness. Within-treatment-group analyses indicated that mothers with older children reported greatest reductions in caregiving helplessness, and mothers with probable clinical depression pre-intervention reported greatest reductions in hostility and depression symptoms. Improvements in other study outcomes did not differ by depression severity or child age. Exploratory analyses indicated that treatment group fathers showed the same pattern of change as mothers. Clinical implications and directions for future research are discussed.
Literatuur
go back to reference Abel, K. M., Hope, H., Swift, E., Parisi, R., Ashcroft, D. M., Kosidou, K., Osam, C. S., Dalman, C., & Pierce, M. (2019). Prevalence of maternal mental illness among children and adolescents in the UK between 2005 and 2017: a national retrospective cohort analysis. The Lancet Public Health, 4(6), e291–e300. CrossRef Abel, K. M., Hope, H., Swift, E., Parisi, R., Ashcroft, D. M., Kosidou, K., Osam, C. S., Dalman, C., & Pierce, M. (2019). Prevalence of maternal mental illness among children and adolescents in the UK between 2005 and 2017: a national retrospective cohort analysis. The Lancet Public Health, 4(6), e291–e300. CrossRef
go back to reference Ainsworth, M. D. S. (1964). Patterns of attachment behavior shown by the infant in interaction with his mother. Merrill-Palmer Quarterly of Behavior and Development, 10(1), 51–58. Ainsworth, M. D. S. (1964). Patterns of attachment behavior shown by the infant in interaction with his mother. Merrill-Palmer Quarterly of Behavior and Development, 10(1), 51–58.
go back to reference Bandura, A. (1996). Self-efficacy. In V. S. Ramachaudran (Ed.), Encyclopedia of human behavior (Vol. 4, pp. 71–81). Academic Press. Bandura, A. (1996). Self-efficacy. In V. S. Ramachaudran (Ed.), Encyclopedia of human behavior (Vol. 4, pp. 71–81). Academic Press.
go back to reference Bauer, D. J., Sterba, S. K., & Hallfors, D. D. (2008). Evaluating group-based interventions when control participants are ungrouped. Multivariate Behavioral Research, 43(2), 210–236. CrossRef Bauer, D. J., Sterba, S. K., & Hallfors, D. D. (2008). Evaluating group-based interventions when control participants are ungrouped. Multivariate Behavioral Research, 43(2), 210–236. CrossRef
go back to reference Bellis, M. A., Hughes, K., Ford, K., Rodriguez, G. R., Sethi, D., & Passmore, J. (2019). Life course health consequences and associated annual costs of adverse childhood experiences across Europe and North America: a systematic review and meta-analysis. The Lancet Public Health, 4(10), e517–e528. CrossRef Bellis, M. A., Hughes, K., Ford, K., Rodriguez, G. R., Sethi, D., & Passmore, J. (2019). Life course health consequences and associated annual costs of adverse childhood experiences across Europe and North America: a systematic review and meta-analysis. The Lancet Public Health, 4(10), e517–e528. CrossRef
go back to reference Berlin, L. J., Zeanah, C. H., & Lieberman, A. F. (2016). Prevention and intervention programs to support early attachment security: a move to the level of the community. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment (3rd ed., pp. 739-758). The Guilford Press. Berlin, L. J., Zeanah, C. H., & Lieberman, A. F. (2016). Prevention and intervention programs to support early attachment security: a move to the level of the community. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment (3rd ed., pp. 739-758). The Guilford Press.
go back to reference Bowlby, J. (1982). Attachment and loss Volume I: Attachment. Basic Books. (Original work published 1969). Bowlby, J. (1982). Attachment and loss Volume I: Attachment. Basic Books. (Original work published 1969).
go back to reference Cooper, G., Hoffman, K., & Powell, B. (2018). Circle of Security Parenting: A relationship based parenting program. Facilitator DVD Manual. (Original work published 2009). Cooper, G., Hoffman, K., & Powell, B. (2018). Circle of Security Parenting: A relationship based parenting program. Facilitator DVD Manual. (Original work published 2009).
go back to reference Demetriou, C., Ozer, B. U., & Essau, C. A. (2015). Self‐report questionnaires. In R. L. Cautin & S. O. Lilienfeld (Eds.), The encyclopedia of clinical psychology (Vol. 5, pp. 1–6): John Wiley & Sons, Inc. Demetriou, C., Ozer, B. U., & Essau, C. A. (2015). Self‐report questionnaires. In R. L. Cautin & S. O. Lilienfeld (Eds.), The encyclopedia of clinical psychology (Vol. 5, pp. 1–6): John Wiley & Sons, Inc.
go back to reference Diamond, C. (2014). Keeping baby in mind: The development of a maternal reflective functioning scale for primary health services [Unpublished doctoral dissertation]. James Cook University. Diamond, C. (2014). Keeping baby in mind: The development of a maternal reflective functioning scale for primary health services [Unpublished doctoral dissertation]. James Cook University.
go back to reference Fonagy, P., Steele, M., Steele, H., Moran, G. S., & Higgitt, A. C. (1991). The capacity for understanding mental states: the reflective self in parent and child and its significance for security of attachment. Infant Mental Health Journal, 12(3), 201–218. CrossRef Fonagy, P., Steele, M., Steele, H., Moran, G. S., & Higgitt, A. C. (1991). The capacity for understanding mental states: the reflective self in parent and child and its significance for security of attachment. Infant Mental Health Journal, 12(3), 201–218. CrossRef
go back to reference Gardner, F. (2000). Methodological issues in the direct observation of parent–child interaction: do observational findings reflect the natural behavior of participants? Clinical Child and Family Psychology Review, 3(3), 185–198. CrossRef Gardner, F. (2000). Methodological issues in the direct observation of parent–child interaction: do observational findings reflect the natural behavior of participants? Clinical Child and Family Psychology Review, 3(3), 185–198. CrossRef
go back to reference George, C., & Solomon, J. (1996). Representational models of relationships: Links between caregiving and attachment. Infant Mental Health Journal, 17(3), 198–216. CrossRef George, C., & Solomon, J. (1996). Representational models of relationships: Links between caregiving and attachment. Infant Mental Health Journal, 17(3), 198–216. CrossRef
go back to reference George, C., & Solomon, J. (2011). Caregiving helplessness: The development of a screening measure for disorganized maternal caregiving. In J. Solomon & C. George (Eds.), Disorganized attachment and caregiving (pp. 133–166). The Guilford Press. George, C., & Solomon, J. (2011). Caregiving helplessness: The development of a screening measure for disorganized maternal caregiving. In J. Solomon & C. George (Eds.), Disorganized attachment and caregiving (pp. 133–166). The Guilford Press.
go back to reference IBM. (2019). Statistical package for the social sciences (Version 26.0). IBM. (2019). Statistical package for the social sciences (Version 26.0).
go back to reference Kendall, S., & Bloomfield, L. (2005). Developing and validating a tool to measure parenting self‐efficacy. Journal of Advanced Nursing, 51(2), 174–181. CrossRef Kendall, S., & Bloomfield, L. (2005). Developing and validating a tool to measure parenting self‐efficacy. Journal of Advanced Nursing, 51(2), 174–181. CrossRef
go back to reference Kochanska, G., Radke‐Yarrow, M., Kuczynski, L., & Friedman, S. L. (1987). Normal and affectively ill mothers’ beliefs about their children. American Journal of Orthopsychiatry, 57(3), 345–350. CrossRef Kochanska, G., Radke‐Yarrow, M., Kuczynski, L., & Friedman, S. L. (1987). Normal and affectively ill mothers’ beliefs about their children. American Journal of Orthopsychiatry, 57(3), 345–350. CrossRef
go back to reference 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), 3–7. 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), 3–7.
go back to reference Lyons-Ruth, K., & Jacobvitz, D. (2016). Attachment disorganization from infancy to adulthood. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research and clinical applications. 3rd ed. (pp. 667–695). The Guilford Press. Lyons-Ruth, K., & Jacobvitz, D. (2016). Attachment disorganization from infancy to adulthood. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research and clinical applications. 3rd ed. (pp. 667–695). The Guilford Press.
go back to reference Matijasevich, A., Munhoz, T. N., Tavares, B. F., Barbosa, A. P. P. N., da Silva, D. M., Abitante, M. S., Dall’Agnol, T. A., & Santos, I. S. (2014). Validation of the Edinburgh postnatal depression scale (EPDS) for screening of major depressive episode among adults from the general population. BMC Psychiatry, 14, 284. CrossRef Matijasevich, A., Munhoz, T. N., Tavares, B. F., Barbosa, A. P. P. N., da Silva, D. M., Abitante, M. S., Dall’Agnol, T. A., & Santos, I. S. (2014). Validation of the Edinburgh postnatal depression scale (EPDS) for screening of major depressive episode among adults from the general population. BMC Psychiatry, 14, 284. CrossRef
go back to reference Matthey, S., Barnett, B., Kavanagh, D. J., & Howie, P. (2001). Validation of the Edinburgh Postnatal Depression Scale for men, and comparison of item endorsement with their partners. Journal of Affective Disorders, 6 4(2–3), 175–184. CrossRef Matthey, S., Barnett, B., Kavanagh, D. J., & Howie, P. (2001). Validation of the Edinburgh Postnatal Depression Scale for men, and comparison of item endorsement with their partners. Journal of Affective Disorders, 6 4(2–3), 175–184. CrossRef
go back to reference McCall, R. B., & Green, B. L. (2004). Beyond the methodological gold standards of behavioral research: Considerations for practice and policy. Social Policy Report, 18(2), 1–20. CrossRef McCall, R. B., & Green, B. L. (2004). Beyond the methodological gold standards of behavioral research: Considerations for practice and policy. Social Policy Report, 18(2), 1–20. CrossRef
go back to reference Murray, L., Cooper, P., & Fearon, P. (2014). Parenting difficulties and postnatal depression: Implications for primary healthcare assessment and intervention. Community Practitioner, 87(11), 34–38. PubMed Murray, L., Cooper, P., & Fearon, P. (2014). Parenting difficulties and postnatal depression: Implications for primary healthcare assessment and intervention. Community Practitioner, 87(11), 34–38. PubMed
go back to reference Powell, B., Cooper, G., Hoffman, K., & Marvin, B. (2014). The Circle of Security intervention: Enhancing attachment in early parent–child relationships. The Guilford Press. Powell, B., Cooper, G., Hoffman, K., & Marvin, B. (2014). The Circle of Security intervention: Enhancing attachment in early parent–child relationships. The Guilford Press.
go back to reference 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 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
go back to reference Ruppert, D. (2006). Trimming and winzorization. In S. Kotz, C. B. Read, N. Balakrishnan, B. Vidakovic, & N. L. Johnson (Eds.), Encyclopedia of Statistical Sciences. John Wiley & Sons, Inc. Ruppert, D. (2006). Trimming and winzorization. In S. Kotz, C. B. Read, N. Balakrishnan, B. Vidakovic, & N. L. Johnson (Eds.), Encyclopedia of Statistical Sciences. John Wiley & Sons, Inc.
go back to reference Scheeringa, M. S., & Zeanah, C. H. (2001). A relational perspective on PTSD in early childhood. Journal of Traumatic Stress, 14(4), 799–815. CrossRef Scheeringa, M. S., & Zeanah, C. H. (2001). A relational perspective on PTSD in early childhood. Journal of Traumatic Stress, 14(4), 799–815. CrossRef
go back to reference Thompson, R. A. (2016). Early attachment and later development: Reframing the questions. In J. Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, Research and Clinical Applications (3rd ed., pp. 330–348). The Guilford Press. Thompson, R. A. (2016). Early attachment and later development: Reframing the questions. In J. Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, Research and Clinical Applications (3rd ed., pp. 330–348). The Guilford Press.
go back to reference Woodhouse, S. S., Powell, B., Cooper, G., Hoffman, K., & Cassidy, J. (2018). The Circle of Security Intervention: Design, research and implementation. In H. Steele & M. Steele (Eds.), Handbook of attachment-based interventions (pp. 50–78). The Guilford Press. Woodhouse, S. S., Powell, B., Cooper, G., Hoffman, K., & Cassidy, J. (2018). The Circle of Security Intervention: Design, research and implementation. In H. Steele & M. Steele (Eds.), Handbook of attachment-based interventions (pp. 50–78). The Guilford Press.
Metagegevens
Titel
Examining the Effectiveness of Circle of Security Parenting (COS-P): A Multi-Site Non-Randomized Study with Waitlist Control
Auteurs
Anne-Marie Maxwell
Catherine McMahon
Anna Huber
Rebecca E. Reay
Erinn Hawkins
Bryanne Barnett
Publicatiedatum
13-03-2021
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 5/2021
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-021-01932-4