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Changing parental depression and sensitivity: Randomized clinical trial of ABC's effectiveness in the community

Published online by Cambridge University Press:  14 July 2020

Laura Perrone Open the ORCID record for Laura Perrone [Opens in a new window] ,
Steven D. Imrisek ,
Allison Dash ,
Melanie Rodriguez ,
Erasma Monticciolo  and
Kristin Bernard
Laura Perrone
Affiliation:
Department of Psychology, Stony Brook University, Stony Brook, NY, USA
Steven D. Imrisek
Affiliation:
Department of Psychology, Stony Brook University, Stony Brook, NY, USA Power of Two, Brooklyn, NY, USA
Allison Dash
Affiliation:
Department of Psychology, Stony Brook University, Stony Brook, NY, USA Power of Two, Brooklyn, NY, USA
Melanie Rodriguez
Affiliation:
Department of Psychology, Stony Brook University, Stony Brook, NY, USA Power of Two, Brooklyn, NY, USA
Erasma Monticciolo
Affiliation:
Power of Two, Brooklyn, NY, USA
Kristin Bernard*
Affiliation:
Department of Psychology, Stony Brook University, Stony Brook, NY, USA
*
Author for Correspondence: Dr. Kristin Bernard, Department of Psychology, Stony Brook University, Stony Brook, NY11794-2500; E-mail: kristin.bernard@stonybrook.edu.
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Abstract

Attachment and Biobehavioral Catch-up (ABC) demonstrates efficacy in improving parent and child outcomes, with preliminary evidence for effectiveness in community settings. The objective of this study was to assess the effectiveness of a community-based ABC implementation in improving parent outcomes as well as to examine potential mediators and moderators of intervention effectiveness. Two hundred parents and their 5- to 21-month-old infants recruited from an urban community were randomly assigned to receive ABC or be placed on a waitlist. The majority of participants had a minority racial or ethnic background. Before intervention, parents completed questionnaires about sociodemographic risk and adverse childhood experiences. At both baseline and follow-up, parents reported depression symptoms and were video-recorded interacting with their infant, which was coded for sensitivity. The ABC intervention predicted significant increases in parental sensitivity and, among parents who completed the intervention, significant decreases in depression symptoms. Changes in parental depression symptoms did not significantly mediate the intervention effects on sensitivity. Risk variables did not moderate the intervention effects. The results indicate that ABC shows promise for improving parent outcomes in community settings, supporting dissemination.

Keywords

depressionearly interventionparentingrisksensitivity
Type
Regular Articles
Information
Development and Psychopathology , Volume 33 , Issue 3 , August 2021 , pp. 1026 - 1040
Copyright
Copyright © Cambridge University Press 2020

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