Mother-Infant Psychoanalysis Project of Stockholm (MIPPS)- Follow-up at 4½ Years (MIPPS-02)
Recruitment status was: Recruiting
|Mother-child Relationship Disturbances||Behavioral: Mother-Infant Psychoanalytic tmt Behavioral: Child Health Centre care||Early Phase 1|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||A Follow-up Study of a Randomized Controlled Trial of Mother-Infant Psychoanalytic Treatment and Treatment As Usual at Child Health Centres|
- Child functioning: Children's Global Assessment Scale [ Time Frame: At followup interview ]
- Maternal depression: Edinburgh Postnatal Depression Scale [ Time Frame: At followup interview ]
- Maternal distress: Symptom Check List - 90 [ Time Frame: At followup interview ]
- Maternal stress: Swedish Parental Stress Questionnaire [ Time Frame: At followup interview ]
- Child functioning: Ages and Stages Questionnaire:Social Emotional [ Time Frame: At followup interview ]
- Child functioning: Strengths and Difficulties Questionnaire [ Time Frame: At followup interview ]
- Child cognitive functioning: Wechsler's Preschool and Primary Scales of Intelligence [ Time Frame: At followup interview ]
- Child's social and emotional functioning: Story Stem Attachment Profile [ Time Frame: At followup interview ]
- Child's social and emotional functioning: Machover Draw-a-Person test [ Time Frame: At followup interview ]
|Study Start Date:||December 2009|
|Estimated Study Completion Date:||June 2013|
|Estimated Primary Completion Date:||June 2012 (Final data collection date for primary outcome measure)|
Active Comparator: Child Health Centre care
TAU involved scheduled health visitor calls at the local Child Health Centre (CHC), with paediatric checkups at 2 and 6 months of age. The health visitor is encouraged to promote attachment and to detect postnatal depressions. Mothers may be offered parental groups, infant massage or guidance promoting interaction, as well as appointments with a paediatrician or a child psychiatric psychologist. Additional treatment was initiated in 1/3 of the cases. This was registered at the end-point interview.
Behavioral: Child Health Centre care
Nurse calls at Child Health Centres (CHC), with regular paediatric checkups. The nurse was encouraged to promote attachment and to detect postnatal depressions. Appointments with a psychiatrist or therapist or child psychiatric psychologist was initiated in 1/3 of the cases. This was registered at the end-point interview.
Other Name: CHCC
Experimental: Mother-Infant Psychoanalytic tmt
MIP (Norman, 2001; 2004) is a psychoanalytic method adapted to the requirements of the infant as analysand in the presence of his mother. The analyst strives to recruit the baby for an emotional interchange, though this does not imply any belief that the infant understands verbal communication. The analyst addresses the baby to help him liberate emotions consolidated in symptoms such as screaming, avoiding maternal eye contact, and breast refusal. The analyst takes great care in enrolling the participant mother. This is to enhance her understanding of the baby's predicament and the nature of their relation, as well as giving her all space needed to vent her own frustration, depression and anxiety.
Behavioral: Mother-Infant Psychoanalytic tmt
Psychoanalytic sessions with mother and infant, at a median of 23 sessions 2 times weekly.
Other Name: MIP
The 71 dyads remaining from the MIPPS-01 study will be interviewed when the children have reached 4½ years, in order to evaluate the long-term intervention effects of MIP treatments delivered by psychoanalysts at the Infant Reception Service of the Swedish Psychoanalytic Society and of the usual treatments of infants and children in Sweden implying contact with nurses at Child Health Centres.
Mother-report questionnaires; the Ages and Stages Questionnaire:Social-Emotional (ASQ:SE; Squires et al., 2002), the Edinburgh Postnatal Depression Scale (EPDS; Cox et al., 1987), the Swedish Parental Questionnaire (SPSQ; Östberg et al., 1997) and the Strengths and Difficulties Questionnaire (SDQ; Goodman, 1997).
Independently rated video-taped mother-child interactions: the Emotional Availability Scale (EAS; Biringen, 1998).
Assessment of the general functioning of the child : Children's Global Assessment Scale (Shaffer et al 1983).
Assessment of the child's cognitive functioning: Wechsler Preschool and Primary Scale of Intelligence (WPPSI, Wechsler, 2005).
Assessment of the child's social and emotional functioning: Story Stem Attachment Profile (SSAP, Hodges et al., 2003). Machover Draw-a-Person Test (Blomberg & Cleve, 1997)
Please refer to this study by its ClinicalTrials.gov identifier: NCT01087112
|Contact: Per-Anders Rydelius, Professorfirstname.lastname@example.org|
|Department of Women's and Children's Health, Child and Adolescent Psychiatry Unit, Karolinska Institutet||Recruiting|
|Stockholm, Sweden, 11641|
|Contact: Björn Salomonsson, Doct.student +4686429998 email@example.com|
|Sub-Investigator: Majlis Winberg Salomonsson, M.Sci.Psych.|
|Principal Investigator:||Björn Salomonsson, MD||Department of Women's and Children's Health, Child and Adolescent Psychiatry Unit, Karolinska Institutet|
|Principal Investigator:||Majlis Winberg Salomonsson, M.Sci.Psych.||Department of Women's and Children's Health, Child and Adolescent Psychiatry Unit, Karolinska Institutet|