The Efficacy of Brief Parent−Infant Psychotherapy for Treating Early Regulatory Disorders: A Randomized Controlled Trial

Georg, Anna; Cierpka, Manfred; Schröder-Pfeifer, Paul; Kress, Sandra; Taubner, Svenja

doi:10.1016/j.jaac.2020.06.016

Cited by 24 publications

(20 citation statements)

References 31 publications

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“…Children with organic feeding problems (e.g., reflux and swallowing problems) may need medical intervention, but many children may benefit from behavioral intervention. This study supports the need to continue to assess whether interventions for feeding impairments (Dahlsgaard & Bodie, 2019;Georg, Cierpka, Schroder-Pfeifer, Kress, & Taubner, 2021;Knight et al, 2019;Satter, 1990) may impact the developmental course of psychopathology.…”

Section: Discussionsupporting

confidence: 67%

Associations of toddler mechanical/distress feeding problems with psychopathology symptoms five years later

Putnick

Bell

Ghassabian

et al. 2022

Child Psychology Psychiatry

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Background Feeding problems are common in early childhood, and some evidence suggests that feeding problems may be associated with psychopathology. Few prospective studies have explored whether toddler feeding problems predict later psychopathology. Methods Mothers of 1,136 children from the Upstate KIDS cohort study provided data when children were 2.5 and 8 years of age. Food refusal (picky eating) and mechanical/distress feeding problems and developmental delays were assessed at 2.5 years. Child eating behaviors (enjoyment of food, food fussiness, and emotional under and overeating) and child psychopathology (attention‐deficit/hyperactivity (ADHD), oppositional‐defiant (OD), conduct disorder (CD), and anxiety/depression) symptoms were assessed at 8 years. Results Mechanical/distress feeding problems at age 2.5, but not food refusal problems, were associated with ADHD, problematic behavior (OD/CD), and anxiety/depression symptoms at 8 years in models adjusting for eating behaviors at 8 years and child and family covariates. Associations with mechanical/distress feeding problems were larger for ADHD and problematic behavior than anxiety/depression symptoms, though all were modest. Model estimates were similar for boys and girls. Conclusions Much of the research on feeding problems focuses on picky eating. This study suggests that early mechanical and mealtime distress problems may serve as better predictors of later psychopathology than food refusal. Parents and pediatricians could monitor children with mechanical/distress feeding problems for signs of developing psychopathology.

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Section: Discussionsupporting

confidence: 67%

Associations of toddler mechanical/distress feeding problems with psychopathology symptoms five years later

Putnick

Bell

Ghassabian

et al. 2022

Child Psychology Psychiatry

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“…All information about the intervention was obtained from Georg et al (2021) 92 unless otherwise stated.…”

Section: Ainsworth's Maternal Sensitivity Scalesmentioning

confidence: 99%

“…Paradigms. Typically, dyads are videotaped for 15 93, 95 to 20 60, 95 or 30-minute 94 interactions in which the mothers are instructed to play with their child as they normally would, with or without toys. If the assessment is given prenatally, mothers are instructed to perform playful activities with the fetus for the duration of the session such as playing an instrument to the fetus 198 .…”

Section: Observational Assessments Of Relational Healthmentioning

confidence: 99%

“…Scales can be assessed on a 3-, 5-, 7-, or 9-point system. A Likert 7-point scale (1-low, 7-high) was used for all subscales in most studies research reviewed that applied this coding system 92, 93, 95 . Van Doesum and colleagues (2008 65 ) used the following scoring: parental sensitivity (9-point), structuring, non-intrusiveness, and non-hostility (5-point), and child responsivity and involvement (7-point).…”

Section: Observational Assessments Of Relational Healthmentioning

confidence: 99%

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Dyadic Parent/Caregiver-Infant Interventions Initiated in the First 6 Months of Life to Support Early Relational Health: A Meta-Analysis

Lavallée¹,

Pang²,

Warmingham³

et al. 2022

Preprint

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Importance: In 2021, the American Academy of Pediatrics published a policy statement seeking to create a paradigm shift away from a focus on childhood toxic stress and toward the emphasis on early relational health (ERH) as a buffer for childhood adversity and promoter of life-course resilience. A comprehensive appraisal of the efficacy of contemporary parent/caregiver-child interventions in — primarily — improving ERH, and — secondarily — enhancing child wellbeing and neurodevelopment is needed to guide widespread implementation and policy. Objective: Determine the effectiveness of contemporary early dyadic parent/caregiver-infant interventions on ERH, child socio-emotional functioning and development, and parent/caregiver mental health. Data Sources: PubMed, Medline, Cinhal, ERIC, and PsycInfo were searched on April 28, 2022. Additional sources: clinical trial registries (clinicaltrials.gov, ISRCTN Registry, EU Clinical Trials Register, Australian New Zealand Clinical Trials Registry), contacting authors of unpublished/ongoing studies, backward/forward reference-searching. Study Selection: Studies targeting parent/caregiver-infant dyads and evaluating effectiveness of a dyadic intervention were eligible. Study selection was performed in duplicate, using Covidence. Data Extraction and Synthesis: Cochrane methodological guidance presented per PRISMA guidelines. Data extraction and risk of bias assessment were completed in duplicate with consensuses by first author. Data were pooled using inverse-variance random effects models. Main Outcomes and Measures: The primary outcome domain was ERH. Secondary outcome domains were child socio-emotional functioning and development, and parent/caregiver mental health, and were only considered in studies where at least one ERH outcome was also measured. The association between dose of intervention and effect estimates was explored. Results: 93 studies (14,993 parent/caregiver-infant dyads) met inclusion criteria. Based on very low to moderate quality of evidence, we found significant non-dose-dependent intervention effects on several measures of ERH, including bonding, parent/caregiver sensitivity, attachment, and dyadic interactions, and a significant effect on parent/caregiver anxiety, but no significant effects on other child outcomes. Conclusion: Current evidence does not support the notion that promoting ERH through early dyadic interventions ensures optimal child development, despite effectively promoting ERH outcomes. Given the lack of an association with dose of intervention, the field is ripe for novel, innovative, cost-effective, potent ERH intervention strategies that effectively and equitably improve meaningful long-term child outcomes.

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“…Demographic and clinical characteristics of the T3 sample (n = 52) of the fPIP group and the entire fPIP sample of the RCT (n = 81) at T1 and drop-out analysis Diagnosis according to DC: 0-3R or AWMF-guidelines (cf. Georg et al[2]) fPIP focused parent-infant psychotherapy, PIR-GAS parent-infant relationship global assessment scale…”

mentioning

confidence: 99%

Stability of improvements: follow-up data on focused parent–infant psychotherapy (fPIP) for treating regulatory disorders in infancy

Georg

Moessner

Taubner

2022

Eur Child Adolesc Psychiatry

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The Efficacy of Brief Parent−Infant Psychotherapy for Treating Early Regulatory Disorders: A Randomized Controlled Trial

Cited by 24 publications

References 31 publications

Associations of toddler mechanical/distress feeding problems with psychopathology symptoms five years later

Associations of toddler mechanical/distress feeding problems with psychopathology symptoms five years later

Dyadic Parent/Caregiver-Infant Interventions Initiated in the First 6 Months of Life to Support Early Relational Health: A Meta-Analysis

Stability of improvements: follow-up data on focused parent–infant psychotherapy (fPIP) for treating regulatory disorders in infancy

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