Abstract
This study utilizes video feedback to improve maternal parenting behavior in clinically depressed mothers admitted to a perinatal inpatient psychiatric unit. Depressed mothers (n = 74) were randomized to “video” (n = 25), “verbal” (n = 26), or “standard care” (n = 23). “Video” mothers were taped playing with their infant; interaction was reviewed with a mental health specialist. “Verbal” mothers only discussed interaction with their infant. “Standard care” mothers received only routine inpatient care. Mothers were assessed for mental health status, perceptions of baby behavior, and parenting competence. There was significant improvement in mental health status of all participants, regardless of intervention. Neither intervention had an advantage, compared to standard care, in improving parenting confidence or perceptions of infant behavior. Video mothers were more likely to report no change in their parenting confidence the more feedback sessions completed. The number of intervention sessions for each participant was limited by the duration of their inpatient admission. Most participants were on simultaneous pharmacotherapy and psychotherapy, as well as receiving intensive mothercraft assistance; this may have influenced intervention effectiveness. Results suggest that this type of intervention may be beneficial, but in the current format does not add sufficiently to standard care to be detected by the measures used.
Similar content being viewed by others
References
Agrawal H, Gunderson J, Holmes B, Lyons-Ruth K (2004) Attachment studies with borderline patients: a review. Harv Rev Psychiatry 12:94–104
Ainsworth M, Blehar M, Waters E, Wall S (1978) Patterns of attachement: a psychological study of the strange situation. Earlbaum, HIllside
Austin M-P, Priest S (2005) Clinical issues in perinatal mental health: new developments in the detection and treatment of perinatal mood and anxiety disorders. Acta Psychiatr Scand 112:97–104
Bakermans-Kranenburg M, Juffer F, van IJzendoorn M (1998) Intervention with video feedback and attachment discussions: deoso type of maternal insecurity make a difference? Infant Ment Health J 19:202–219
Bakermans-Kranenburg M, van Ijzendoorn M, Juffer F (2003) Less is more: meta-analysis of sensitivity and attachment interventions in early childhood. Psychol Bull 129(2):195–215
Beebe B (2005) Mother–infant research informs mother–infant treatment. Psychoanal Study Child 60:7–46
Belsky J (1984) The determinants of parenting: a process model. Child Dev 55:83–96
Berling LJ (2007) Interventions to enhance early attachments: the state of the field today. In: Berlin LJ, Ziv Y, Amaya-Jackson L, Greenberg MT (eds) Enhancing early attachments: theory, research, intervention and policy. Part1: theoretical and research bases for interventions to enhance early attachments. Guilford, New York, pp 3–33
Bowlby J (1980) Attachment and Loss: volume III: loss, sadness and depression. The Hogarth Press and the Institute of Psycho-Analysis, London
Buist A, Minto B, Szego K, Samhuel M, Shawyer L, O’Connor L (2004) Mother-Baby Psychiatric Units in Australia - The Victorian Experience. Arch Womens Ment Health 7(1):81–87
Buist A, Barnett B, Milgrom J, Pope S, Condon J, Ellwood D, Boyce P, Austin M-P, Hayes B (2002) To screen or not to screen—that is the question in perinatal depression. Med J Aust(7/10/02 Issue): S101-S105
Buist A, Austin M, Hayes B, Speelman C, Bilszta J, Gemmill A, Brooks J, Ellwood D, Milgrom J (2008) Postnatal mental health of women giving birth in Australia 2002–2004: findings from the beyondblue National Postnatal Depression Program. Aust N Z J Psychiatry 42:66–73
Buultjens M, Robinson P, Liamputtong P (2008) A holistic programme for mothers with postnatal depression: pilot study. J Adv Nurs 63(2):181–188
Crockenberg S, Leerkes E (2003) Parental acceptance, postpartum depression and maternal sensitivity: mediating and moderating processes. J Fam Psychol 17(1):80–93
De Wolff M, van IJzendoorn M (1997) Senitivity and attachment: a meta-analysis of parental antecedents of infant attachment. Child Dev 68:571–591
Dennis C (2004) Treatment of postpartum depression: part 2. A clinical review of nonbiological interventions. J Clin Psychiatry 69(9):1252–1264
Dennis C, Hodnett E (2007) Psychosocial and psychological interventions for treating postpartum depression. Cochrane Database Syst Rev (4):CD006116
Dennis C, Stewart D (2004) Treatment of postpartum depression: part 1. A critical review of biological interventions. J Clin Psychiatry 65(9):1242–1251
Egeland B, Weinfield N, Bosquett M, Cheng V (2000) Remembering, repeating, and working through: lessons from attachment based interventions. In: Osofsky J, Fitzgerald H (eds) WAIMH handbook of infant mental health vol. 4. Infant mental health in groups at high risk. Wiley, New York, pp 35–98
Elgar FJ, Mills RS, McGrath PJ, Washbusch DA, Brownbridge DA (2007) Maternal and paternal depressive symptoms and chidl maladjustment: the mediating role of parental behaviour. J Abnorm Child Psychol 35:943–955
Elkin A, Gilburt H, Slade M, Lloyd-Evans B, Gregoire A, Johnson S, Howard L (2009) A national survey of psychiatric mother and baby units in England. Psychiatr Serv 60(5):629–633
Field T, Sandberg D, Garcia R, Vaga Lahr N, Goldstein S, Guy L (1985) Prenatal problems, postpartum depression and early mother infant interactions. Dev Psychopathol 12:1152–1156
Forman D, O’Hara M, Stuart S, Gorman L, Larsen K, Coy K (2007) Effective treatment for postpartum depression is not sufficient to improve the developing mother–child relationship. Dev Psychopathol 19:585–602
Glangeaud-Freudenthal N, Sutter A, Thieulin A, Dagens-Lafont V, Zimmermann M, Debourg A, Massari B, Cazas O, Cammas R, Rainelli C, Poinso F, Maron M, Nezelof S, Ancel P, Khoshnood B (2011) Inpatient mother-and-child postpartum psychiatric care: factors associated with improvement in maternal mental health. Europ Psychiatry 26(4):215–223
Goodman S, Gotlib I (1999) Risk for psychpathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychol Rev 106:458–490
Holmes J (2004) Disorganized attachment and borderline personality disorder: a clinical perspective. Attach Hum Dev 6(2):181–190
Juffer F, Bakermans-Kranenburg M, van Ijzendoorn M (2005) The importance of parenting in the development of disorganized attachment: evidence from a preventive intervention study in adoptive families. J Child Psychol Psychiatry 46(3):263–274
Juffer F, van Ijzendoorn M, Bakermans-Kranenburg M (2008) Attachment-based interventions in early childhood: an overview. In: Juffer F, Bakermans-Kranenburg M, van Ijzendoorn M (eds) Promoting positive parenting. Taylor and Francis, New York, pp 37–58
Kalinauskiene L, Cekuoliene D, Van IJzendoorn M, Bakermans-Kranenburg M, Juffer F, Kusakovsskaja I (2009) Supporting insensitive mothers: the Vilnius randomized control trial of video-feedback intervention to promote maternal sensitivty and infant attachment security. Child Care Health Dev 35:613–623. doi:10.111/j.1365-2214.2009.00962.x
Koren-Karie N, Oppenheim D, Dolev S, Sher E, Etzion-Carasso A (2002) Mothers’ insightfulness regarding their infants’ internal experience: relations with maternal sensitivity and infant attachment. Dev Psychol 38(4):534–542
Leahy-Warren P, McCarthy G (2007) Postnatal depression: prevalence, mothers’ perspectives, and treatments. Arch Psychiatr Nurs 21(2):91–100
Luoma I, Tamminen T, Kaukonen P, Laippala P, Puura K, Salmelin R, Almqvist F (2001) Longitudinal study of maternal depressive symptoms and child well-being. J Am Acad Child Adolesc Psychiatry 40(12):1367–1374
Marvin R, Cooper G, Hoffman K, Powell B (2002) The Circle of Security project: attachment-based intervention with caregiver–pre-school child dyads. Attach Hum Dev 4(1):107–124
Meredith P, Noller P (2003) Attachment and infant difficulties in postnatal depression. J Fam Issues 24(5):668–686
Murray L, Cooper P (1997) Postpartum depression and child development. Psychol Med 27:253–260
Nair R, Bilszta J, Sharfira N, Salam N, Buist A (2009) Review of patients admitted to a specialist inpatient parent–infant psychiatric service. Austral Psychiatry 18:567–572
Nair R, Bilszta J, Salam N, Shafira N, Buist A (2010) Client evaluation of a specialist inpatient parent–infant psychiatric service. Australas Psychiatry 18(6):573–578
Neilson-Forman D, Videbech P, Prince M, Kumar R (2000) Postpartum depression: identification of women at risk. Br J Obstet Gynaecol 107:1210–1217
O’Connor T, Heron J, Golding J, Beveridge M, Glover V, ALSPAC Study Team (2002) Maternal prenatal anxiety and children’s behavioural/emotional problems at 4 years. Br J Psychiatry 180:502–508
O’Hara M, Swain A (1996) Rates and risks of postpartum depression—a meta-analysis. Int Rev Psychiatry 8:37–54
Oppenheim D, Goldsmith D (2007) Attachment theory in clinical work with children: bridging the gap between research and practice. Guildford, New York
Pilowsky D, Wickramaratne P, Talati A, Tang M, Hughes C, Garber J, Malloy E, King C, Cerda G, Sood A, Alpert J, Trivedi M, Fava M, Rush A, Wisniewski S, Weisman M (2008) Children of depressed mothers one year after the initiation of maternal treatment: findings from the Star*D Child Study. Am J Psychiatry 165:1136–1147
Rahman A, Iqbal Z, Bunn J, Lovel H, Harrington R (2004) Impact of maternal depression on infant nutritional status and illness: a cohort study. Arch Gen Psychiatry 61:946–952
Riggs S, Jacobvitz D (2002) Expectant parents’ representations of early attachment relationships: associations with mental health and family history. J Consult Clin Psychol 70(1):195–204
Robbins Broth M, Goodman S, Hall C, Rynor L (2004) Depressed and well mothers emotion interpretation accuracy and quality of mother–infant interaction. Infancy 6:37–55
Rusconi-Serpa S, Rossignol A, McDonough S (2009) Video-feedback in parent–infant treatments. Child Adolesc Psychiatr Clin N Am 18:735–751
Shaver P, Mikulincer M (2010) New directions in attachment theory and research. J Soc Pers Relat 27(2):163–172
Simpson J, Rholes S, Campbell L, Tran S, Wilson C (2003) Adult attachment, the transition to parenthood and depressive symptoms. J Pers Soc Psychol 84(6):1172–1187
Tronick E, Als H, Adamson L, Wise S, Brazelton T (1978) The infant’s response to entrapment between contradictory messages in face-to-face interaction. J Am Acad Child Psychiatry 17(1):1–13
van Ijzendoorn M, Juffer F, Duyvesteyn M (1995) Breaking the intergenerational cycle of insecure attachment: a review of the effects of attachment-based interventions on maternal sensitivity and infant security. J Child Psychol Psychiatry 36(2):225–248
van Zeijl J, Mesman J, van IJzendoorn M, Bakermans-Kranenburg M, Juffer F, Stolk M (2006) Attachment-based intervention of enhancing sensitive discipline in mothers of 1-to-3 year-old children at risk of externalizing behaviour problems: a randomized-control trial. J Consult Clin Psychol 74(6):994–1005
Velderman M, Bakermans-Kranenburg M, Juffer F, van IJzendoorn M (2006) Effects of attachment-based interventions on maternal sensitivity and infant attachment: differential susceptibility of highly reactive infants. J Fam Psychol 20(2):266–274
Wan M, Green J (2009) The impact of maternal psychopathology on child–mother attachment. Arch Womens Ment Health 12:123–134
Ward M, Lee S, Polan H (2006) Attachment and psychopathology in a community sample. Attach Hum Dev 8(4):327–340
Weissman MM, Wickramaratne P, Nomura Y, Warner V, Pilowsky D, Verdeli H (2006) Offspring of depressed parents: 20 years later. Am J Psychiatry 163:1001–1008
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bilszta, J.L.C., Buist, A.E., Wang, F. et al. Use of video feedback intervention in an inpatient perinatal psychiatric setting to improve maternal parenting. Arch Womens Ment Health 15, 249–257 (2012). https://doi.org/10.1007/s00737-012-0283-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00737-012-0283-1