Teaching attachment behaviors to pregnant women: a randomized controlled trial of effects on infant mental health from birth to the age of three months

Akbarzadeh, Marzieh; Dokuhaki, Akram; Joker, Azam; Pishva, Narjes; Zare, Najaf

doi:10.5144/0256-4947.2016.175

Cited by 27 publications

(18 citation statements)

References 45 publications

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“…Reviewers identified 273 articles that were potentially relevant and thus included in full text screening. Thirty-six articles representing 21 randomised trials met criteria for inclusion in this systematic review and seven articles were classified as awaiting assessment because eligibility could not be adequately evaluated given available information (Aracena et al ., 2011; Aracena et al ., 2012; Akbarzadeh et al ., 2016; Shirazi et al ., 2016; Frith et al ., 2017; Kahalili et al ., 2019; Tran et al ., 2019). The most common reasons for exclusion were studies that described an intervention that did not aim to improve MMH and studies that did not include a child outcome (Fig.…”

Section: Resultsmentioning

confidence: 99%

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Tol

Greene

Lasater

et al. 2020

Epidemiol Psychiatr Sci

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Aims Observational studies have shown a relationship between maternal mental health (MMH) and child development, but few studies have evaluated whether MMH interventions improve child-related outcomes, particularly in low- and middle-income countries. The objective of this review is to synthesise findings on the effectiveness of MMH interventions to improve child-related outcomes in low- and middle-income countries (LMICs). Methods We searched for randomised controlled trials conducted in LMICs evaluating interventions with a MMH component and reporting children's outcomes. Meta-analysis was performed on outcomes included in at least two trials. Results We identified 21 trials with 28 284 mother–child dyads. Most trials were conducted in middle-income countries, evaluating home visiting interventions delivered by general health workers, starting in the third trimester of pregnancy. Only ten trials described acceptable methods for blinding outcome assessors. Four trials showed high risk of bias in at least two of the seven domains assessed in this review. Narrative synthesis showed promising but inconclusive findings for child-related outcomes. Meta-analysis identified a sizeable impact of interventions on exclusive breastfeeding (risk ratio = 1.39, 95% confidence interval (CI): 1.13–1.71, ten trials, N = 4749 mother–child dyads, I2 = 61%) and a small effect on child height-for-age at 6-months (std. mean difference = 0.13, 95% CI: 0.02–0.24, three trials, N = 1388, I2 = 0%). Meta-analyses did not identify intervention benefits for child cognitive and other growth outcomes; however, few trials measured these outcomes. Conclusions These findings support the importance of MMH to improve child-related outcomes in LMICs, particularly exclusive breastfeeding. Given, the small number of trials and methodological limitations, more rigorous trials should be conducted.

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Section: Resultsmentioning

confidence: 99%

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Tol

Greene

Lasater

et al. 2020

Epidemiol Psychiatr Sci

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“…researchers are emphasize on understanding nature and the necessity of security relationship between parents and children. other research in recent years has emphasized the importance of teaching parental affiliation and its impact on maternal-fetal attachment [35], reducing the mother's anxiety and increasing maternal-neonatal attachment [36,37] infant mental health [38], and development of the baby [39].…”

Section: Discussionmentioning

confidence: 99%

The impact of paternal attachment training skills on the extent of maternal neonatal attachment in primiparous women: a clinical trial

Setodeh¹,

Sharif²,

Akbarzadeh³

2018

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Background. Women in some social groups of the population may be less supported by their partners and may be more reliant on their employees. Objectives. This study was designed to investigate the impact of paternal-attachment training skills on the extent of maternal neonatal attachment in primiparous women referred to the hospitals affiliated with the Shiraz University of Medical Sciences. Material and methods. A randomized controlled trial was done in hospitals affiliated with the Shiraz University of Medical Sciences from October 2012 to September 2013. The present clinical trial was conducted on 150 husbands of qualified pregnant women. The intervention group took part in 90-minute sessions of maternal-fetal attachment training held once a week. On the other hand, the control group received routine pregnancy care. Both groups filled out Avant's checklist after the intervention to determine maternal-neonatal attachment. The data was then analyzed in SPSS using the independent t-test, chi-square test and Fisher's exact test. A rating of p < 0.05 was considered as statistically significant. Results. The median score in the total maternal-neonatal attachment group was [84; IQR,70-103], and in the control group it was [66; IQR, 49-86; p < 0.001]. The Mann-Whitney U test showed a significant difference between the median of the groups. In the five aspects of the checklist, Avant included dimensions such as mothers' emotional behavior, maternal-infant proximity behavior, maternal-infant caring behavior and maternal-infant attention. The relationship between the attachment and control groups was significant (p < 0.001). Conclusions. Paternal attachment behavior training skills increased the score of maternal-neonatal attachment. Thus, there is a need to educate fathers on prenatal care.

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“…They can be effective in providing spiritual and health advice (such as control of anxiety and negative thoughts and patterns of proper sleep, exercise and nutrition, relaxation exercise during pregnancy) and increasing the morale aspect of mothers. What is more, pregnancy education to parents can reduce maternal stress and transfer these pressures to other family members [56][57][58]. In addition, spirituality-centered counseling can be effective in controlling post-abortion depression in high-risk pregnancies and leading to its control.…”

Section: %mentioning

confidence: 99%

The seven-year epidemiological study of legal abortion caused by heart disease, blood disorders, diabetes and hypertension as referred to forensic medicine centers in Fars Province

Ghodrati¹,

Saadatmand²,

Gholamzadeh³

et al. 2019

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Background. Chronic diseases such as uncontrolled diabetes, some types of heart disease, and hypertension are of the most common risk factors for high risk pregnancies and spontaneous or therapeutic abortions. Objectives. To investigate the legal abortion caused by heart disease, blood disorders, diabetes and hypertension as referred to forensic medicine centers in Fars Province from 2007 to 2013. Material and methods. In a retrospective, cross-sectional study, samples consisted of all documents of people referred to forensic medicine centers in Shiraz since 2007 to 2013, comprising of 1664 files. Data collection tools included a demographic forum and the checklist of abortion causes. SPSS.16.0 was applied to analyze the data through descriptive statistical analysis. Results. The most frequent age group was 25-29 years at 31.5% (n = 522) and the lowest was over 40 years old at 4.15% (n = 70). The statistical report of the reasons for legal abortion permission were 19% (n = 63), 24.4% (n = 81), 10.54% (n = 35), and 8.13% (n = 27) due to heart problems, blood disorders, hypertension, and diabetes mellitus, respectively. Most frequent legal abortion permits by forensic medicine due to maternal causes were between the years of 2011-2012 at 17.8-28% (n = 59-93). The relationship between legal abortion permission at The Forensic Medicine Center at different years and maternal ages was statistically significant (p < 0.00001). Conclusions. The most common prevalent reason of abortion was Blood Disorder-81 patients (24.4%) and heart disease-63 cases (19%). It is essential that family education and prevention of repeated pregnancies be done with high-risk women. Also, initiation of pregnancy care at lower gestational age in identifying risky pregnancies and timely control of complications must also be undertaken.

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Teaching attachment behaviors to pregnant women: a randomized controlled trial of effects on infant mental health from birth to the age of three months

Cited by 27 publications

References 45 publications

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

The impact of paternal attachment training skills on the extent of maternal neonatal attachment in primiparous women: a clinical trial

The seven-year epidemiological study of legal abortion caused by heart disease, blood disorders, diabetes and hypertension as referred to forensic medicine centers in Fars Province

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