Evidence map›Paper›PMID 26535951›Full record

Trial reportDevelopment and psychopathology2015

Mechanisms of change: Testing how preventative interventions impact psychological and physiological stress functioning in mothers in neglectful families.

Sheree L Toth, Melissa L Sturge-Apple, Fred A Rogosch, Dante Cicchetti

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Development and psychopathology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  6. Review
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  12. A Systematic Review of Infant Mental Health Prevention and Treatment Programs.Evidence-based practice in child and adolescent mental health · 2024
    Article
  13. Review
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  15. Article
  16. Article
  17. Transforming the paradigm of child welfare.Development and psychopathology · 2021
    Article
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  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Sheree L TothUniversity of Rochester Mt. Hope Family Center.
Melissa L Sturge-AppleUniversity of Rochester Mt. Hope Family Center.
Fred A RogoschUniversity of Rochester Mt. Hope Family Center.
Dante CicchettiUniversity of Rochester Mt. Hope Family Center.
University of Rochester · USUniversity of Minnesota · US

Funding

PREVENTIVE INTERVENTION FOR MALTREATED INFANTSR01MH054643 · NIMH · UNIVERSITY OF ROCHESTER · PI CICCHETTI, DANTE · 1998 to 2002
$2.2M
NIMH NIH HHS MH54643NIMH NIH HHS R01 MH054643
6 · The paper itself

Abstract

The present study applies a multilevel approach to an examination of the effect of two randomized preventive interventions with mothers in neglectful families who are also contending with elevated levels of impoverishment and ecological risk. Specifically, we examined how participation in either child-parent psychotherapy (CPP) or psychoeducational parenting intervention (PPI) was associated with reductions in maternal psychological parenting stress and in turn physiological stress system functioning when compared to mothers involved in standard community services as well as a demographic comparison group of nonmaltreating mothers. The resulting group sizes in the current investigation were 44 for CPP, 34 for PPI, 27 for community services, and 52 for nonmaltreating mothers. Mothers and their 13-month-old infants were randomly assigned to intervention group at baseline. Mothers completed assessments on stress within the parenting role at baseline and postintervention. Basal cortisol was sampled at postintervention and 1-year follow-up. Latent difference score analyses examined change in these constructs over time. Results suggested that mothers within the CPP intervention experienced significant declines in child-related parenting stress, while mothers in the PPI intervention reported declines in parent-related parenting stress. In turn, significant decreases in stress within the CPP mothers were further associated with adaptive basal cortisol functioning at 1-year postintervention. The results highlight the value of delineating how participation in preventive interventions aimed at ameliorating child maltreatment in neglectful families within the context of poverty may operate through improvements in psychological and physiological stress functioning. Findings are discussed with respect to the importance of multilevel assessments of intervention process and outcome.

Indexed as

AdultChild AbuseFemaleFollow-Up StudiesHumansHydrocortisoneInfantMaleMothersParentingPovertyPsychotherapyStress, PsychologicalTreatment OutcomeYoung AdultHydrocortisone

Identifiers

PMID26535951
PMCPMC4633703
OpenAlexW2413314947

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.