The efficacy of Toddler-Parent Psychotherapy to increase attachment security in off-spring of depressed mothers

Dante Cicchetti; Sheree L. Toth; Fred A. Rogosch

doi:10.1080/14616739900134021

The efficacy of Toddler-Parent Psychotherapy to increase attachment security in off-spring of depressed mothers

Dante Cicchetti, Sheree L. Toth, Fred A. Rogosch

Research output: Contribution to journal › Article › peer-review

189 Scopus citations

Abstract

The efficacy of toddler-parent psychotherapy (TPP) as a preventive intervention for promoting secure attachment in the offspring of depressed mothers was evaluated, 63 mothers with major depressive disorder being randomly assigned to TPP (n = 27) or to a no treatment group (n = 36) and compared with a control group (n = 45) of women with no current or past mental disorder. At baseline, comparable and higher rates of attachment insecurity were found in the two depressed offspring groups as compared with the non-depressed control group. At the post-treatment follow-up, offspring in the intervention group attained rates of secure attachment that were comparable with those of youngsters in the non-depressed control group. In contrast, the children in the depressed control group continued to demonstrate a greater rate of attachment insecurity than children in the non-depressed control group. The findings support the efficacy of an attachment-theory based model of intervention for fostering developmental competence in the offspring of depressed mothers.

Original language	English (US)
Pages (from-to)	34-66
Number of pages	33
Journal	Attachment and Human Development
Volume	1
Issue number	1
DOIs	https://doi.org/10.1080/14616739900134021
State	Published - Apr 1999
Externally published	Yes

Bibliographical note

Funding Information:
This investigation was supported through a grant and scientific MERIT award from the Child and Adolescent Prevention Research Branch (MH45027) of the National Institute of Mental Health. We acknowledge the efforts of the research assistants who helped to facilitate this work and of the therapists on this project, including Barbara Fox, Michelle Parker, Kristina Rauscher, Elizabeth Sather and Jodi Steigerwald. We also thank the children and families who participated in this project. We are especially grateful to Alicia Lieberman for helping us to become toddler-parent psychotherapists.

Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.

Keywords

Attachment
Intervention efficacy
Maternal depressive disorder
Parent psychotherapy
Prevention
Toddler

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abstract = "The efficacy of toddler-parent psychotherapy (TPP) as a preventive intervention for promoting secure attachment in the offspring of depressed mothers was evaluated, 63 mothers with major depressive disorder being randomly assigned to TPP (n = 27) or to a no treatment group (n = 36) and compared with a control group (n = 45) of women with no current or past mental disorder. At baseline, comparable and higher rates of attachment insecurity were found in the two depressed offspring groups as compared with the non-depressed control group. At the post-treatment follow-up, offspring in the intervention group attained rates of secure attachment that were comparable with those of youngsters in the non-depressed control group. In contrast, the children in the depressed control group continued to demonstrate a greater rate of attachment insecurity than children in the non-depressed control group. The findings support the efficacy of an attachment-theory based model of intervention for fostering developmental competence in the offspring of depressed mothers.",

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The efficacy of Toddler-Parent Psychotherapy to increase attachment security in off-spring of depressed mothers

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