Conflict of interest statement: No conflicts declared.
Long-term effects of a home-visiting intervention for depressed mothers and their infants
Article first published online: 12 AUG 2010
© 2010 The Authors. Journal compilation © 2010 Association for Child and Adolescent Mental Health
Journal of Child Psychology and Psychiatry
Volume 51, Issue 10, pages 1160–1170, October 2010
How to Cite
Kersten-Alvarez, L. E., Hosman, C. M.H., Riksen-Walraven, J. M., Van Doesum, K. T.M. and Hoefnagels, C. (2010), Long-term effects of a home-visiting intervention for depressed mothers and their infants. Journal of Child Psychology and Psychiatry, 51: 1160–1170. doi: 10.1111/j.1469-7610.2010.02268.x
Clinical Trial Registry: ‘Improving positive interaction between depressed mothers and their infants: An effect study on a preventive program for mother and child’:NTR457. http://www.trialregister.nl/trialreg/admin/rctview.asp?TC = 457
- Issue published online: 14 SEP 2010
- Article first published online: 12 AUG 2010
- Manuscript accepted 1 April 2010
- Postpartum depression;
- mother–child interaction;
- early intervention;
- school-age children
Background: Whereas preventive interventions for depressed mothers and their infants have yielded positive short-term outcomes, few studies have examined their long-term effectiveness. The present follow-up of a randomised controlled trial (RCT) is one of the first to examine the longer-term effects of an intervention for mothers with postpartum depression and their infants at school-age. In early infancy, the intervention was found effective in improving mother–infant interaction and the child’s attachment to its mother.
Methods: Twenty-nine mother–child pairs who completed the intervention are compared with 29 untreated mother–child dyads as to the quality of maternal interactive behaviour and the child outcomes of attachment security to the mother, self-esteem, ego-resiliency, verbal intelligence, prosocial behaviour, school adjustment, and behaviour problems at age 5 (M = 68 months).
Results: In the total sample no lasting treatment benefits were found, but in families reporting a higher number of stressful life events, children in the intervention group had fewer externalising behaviour problems as rated by their mothers than children in the control group.
Conclusions: In the context of multiple stressful life events the intervention served as a buffer by preventing the development of externalising problems in the child. The results warrant cautious interpretation because of the relatively small sample size and differential attrition revealing the mothers that completed the follow-up assessment to have improved less on maternal sensitivity following the intervention than the mothers who did not participate in the follow-up.