Strengthening the Reflective Functioning Capacities of Parents Who Have a Child With a Neurodevelopmental Disability Through a Brief, Relationship-Focused Intervention

Sealy, Julie; Glovinsky, Ira

doi:10.1002/imhj.21557

Cited by 36 publications

(24 citation statements)

References 34 publications

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“…Regarding the distal measures, not all of the measures that captured the child's symptoms by the parents were significant. These findings support prior reports that mentalization‐based interventions for parents lead to increases in RF and other positive outcomes [Pajulo et al, ; Suchman et al, ; Suchman, Decoste, Castiglioni, et al, ; Suchman, Decoste, Leigh, & Borelli, ; Sealy & Glovinsky, ]. To our knowledge, this is the first study that has examined the effectiveness of a mentalization‐based intervention in parents of children with ASD.…”

Section: Discussionsupporting

confidence: 89%

“…The Mother and Toddler Program, which focuses on mentalizing the child and paying attention to his feelings and thoughts, leads to increases in RF, quality of the relationship, and caregiving behavior [Suchman et al, ; Suchman, Decoste, Leigh, & Borelli, ]. A randomized controlled trial that investigated RF in parents of children with a neurodevelopmental disorder found a significant improvement in those who received a mentalization‐based intervention when compared to the parents in the wait‐list group [Sealy & Glovinsky, ]. In her review, Camoirano [] concluded that parental RF is associated with quality of caregiving as well as the child's attachment security.…”

Section: The Impact Of Parental Interventionsmentioning

confidence: 99%

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A non randomized mentalization intervention for parents of children with autism

et al. 2019

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Parents of children diagnosed with autism spectrum disorder (ASD) report higher levels of stress and other negative affective states than parents of typically developing children. One important resource in managing these heightened levels of negative affect is emotion regulation, which in turn depends upon the ability to recognize and understand one's own and others' mental states (referred to as mentalization or reflective functioning). In this study, parents of children with ASD either participated in a mentalization‐based group intervention (N = 36) or a delayed treatment (N = 28). Compared to delayed treatment participants, parents in the mentalization‐based group had increases in reflective functioning and in the belief that emotions can change. Moreover, they reported decreased behavioral and emotional symptoms in their children, and greater parental self‐efficacy. These preliminary findings support previous studies, which have shown that mentalization‐based interventions for parents lead to positive outcomes, and suggest that these findings may apply to a diverse population of parents such as those of children with broader autism phenotype or children with different neurological disorders. Further studies to evaluate the effects of the intervention are recommended. Autism Res 2019, 12: 1077–1086. © 2019 International Society for Autism Research, Wiley Periodicals, Inc. Lay Summary In this study, parents of children with ASD participated in a group intervention designed to increase their awareness of mental states (their own and their children's) and to enhance their emotion regulation. Compared to delayed treatment parents, those in the intervention group showed increased awareness of developmental states, and reported increased belief that emotions can change and decreased levels of behavioral and emotional symptoms in their children.

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Section: Discussionsupporting

confidence: 89%

Section: The Impact Of Parental Interventionsmentioning

confidence: 99%

A non randomized mentalization intervention for parents of children with autism

et al. 2019

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“…The sole randomized controlled trial that investigated parental reflective functioning in the parents of children suffering from a neurodevelopmental disorder found a significant improvement in parents who received a 12-week relationship-based intervention when compared to the parents in the psychoeducational (wait-list) group (Sealy and Glovinsky, 2016). …”

Section: Resultsmentioning

confidence: 99%

Mentalizing Makes Parenting Work: A Review about Parental Reflective Functioning and Clinical Interventions to Improve It

Camoirano¹

2017

Front. Psychol.

246

213

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In the last decade several studies have investigated the role of parental reflective functioning (RF), defined as the parental ability to understand his/her child’s mental states, on the child’s development. Herein, a narrative review on parental RF is presented aimed at (1) presenting an overview of the existing empirical studies, (2) pinpointing unrequited questions, and (3) identifying future research directions. Specifically, the current review focused on (a) the impact of parental RF on the quality of caregiving and the child’s attachment security, (b) the effect of parental RF on the child’s emotion regulation and the child’s RF, (c) maternal RF in women with a history of neglect and abuse, (d) the efficacy of mentalization-based clinical interventions, and (e) the recently developed Parental Reflective Questionnaire. The following terms “maternal RF,” “paternal RF,” “parental RF,” “parental mentalization,” “maternal mentalization,” and “paternal mentalization” were searched in titles, abstracts, and main texts using Medline, Web of Science, and Scopus databases. Next, a search in Mendeley was also conducted. Inclusion criteria comprised original articles if they refer to the RF Scale (Fonagy et al., 1998) and were published in an English language, peer-reviewed journal before July, 2016. According to exclusion criteria, dissertations, qualitative or theoretical papers, and chapters in books were not taken into account. The review includes 47 studies that, taken together, supported the notion that higher parental RF was associated with adequate caregiving and the child’s attachment security, whereas low maternal RF was found in mothers whose children suffered from anxiety disorders, impairment in emotion regulation, and externalizing behaviors. In addition, higher parental RF was associated with better mentalizing abilities in children. However, unexpected findings have emerged from the most recent randomized controlled trials that tested the efficacy of mentalization-based interventions in high risk samples of mothers, raising questions about the suitability of the verbal measures in capturing the mentalizing processes at the root of the parental capacity to be adequately responsive to the child’s emotional needs.

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“…Findings indicated that less experienced therapists used videotaping less frequently than more experienced therapists, although both groups showed relatively low rates, as well as a substantial drop in use of video across time (e.g., less experienced therapists reported video use only 18% of the time and more experienced therapists reported use of videotaping 27% of the time in the fourth quarter). These low rates were surprising given that the IMH‐HV model includes use of video as an important treatment strategy (albeit more recently, see Rosenblum et al., this issue), and past research has shown that video feedback reduces maternal negative attributions of the child and improves reflective functioning and observed maternal sensitivity (Rosenblum et al., this issue; Sealy & Glovinsky, ; Schechter et al., ; Steele et al., ). These results indicate that IMH‐HV therapists may need more training and support for use of video during sessions with families, especially newer therapists in the field.…”

Section: Discussionmentioning

confidence: 99%

Infant mental health home visiting therapists’ fidelity to the Michigan IMH‐HV model in community practice settings

Huth‐Bocks

Jester

Stacks

et al. 2020

Infant Mental Health Journal

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Implementation research suggests that fidelity to a therapeutic model is important for enhancing outcomes, yet can be difficult to achieve in community practice settings. Furthermore, few published studies have reported on characteristics of treatment fidelity. The present study examined fidelity to the Infant Mental Health Home Visiting (IMH-HV) model among 51 therapists with a range of experience practicing in community settings across the state of Michigan. IMH therapists completed fidelity checklists after every session with participating families to track use of 15 treatment strategies central to the IMH-HV model across the 12-month study period. Results indicated that the most commonly endorsed components utilized in home visits were developmental guidance and infant-parent psychotherapy, followed by the provision of emotional support. Use of IMH-HV components did not vary over time for the entire sample; however, patterns of strategies used showed somewhat more variability among more experienced therapists and when serving higher risk families. Findings demonstrate that IMH-HV therapists report a range of adherence to the model in community settings, with greatest fidelity to several model core components. Ongoing training in the flexible use of all core strategies may further enhance fidelity and contribute to positive outcomes for caregivers and their children receiving IMH-HV services.

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Strengthening the Reflective Functioning Capacities of Parents Who Have a Child With a Neurodevelopmental Disability Through a Brief, Relationship-Focused Intervention

Cited by 36 publications

References 34 publications

A non randomized mentalization intervention for parents of children with autism

A non randomized mentalization intervention for parents of children with autism

Mentalizing Makes Parenting Work: A Review about Parental Reflective Functioning and Clinical Interventions to Improve It

Infant mental health home visiting therapists’ fidelity to the Michigan IMH‐HV model in community practice settings

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