Evidence map›Paper›PMID 27575343›Full record

ArticleAttachment & human development2016

Mothering from the Inside Out: results of a pilot study testing a mentalization-based therapy for mothers enrolled in mental health services.

Nancy E Suchman, Monica R Ordway, Lourdes de Las Heras, Thomas J McMahon

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase I
In one paragraph

Article in Attachment & human development, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01872585 (Feasibility Study of a Mentalization-based Parenting Program for Female Caregivers Involved in Mental Health Services.), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 3% 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.

NCT01872585 early_phase1completednot on this map

Feasibility Study of a Mentalization-based Parenting Program for Female Caregivers Involved in Mental Health Services.

TypeinterventionalSponsorYale UniversityRan2012 to 2014Enrolled18ConditionsMental IllnessArmsMentalization based therapy
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

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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.

Nancy E Suchmana Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA.
Monica R Ordwayc Yale University School of Nursing , New Haven , CT , USA.
Lourdes de Las Herasd Columbia School of Social Work, Columbia University , New York , NY , USA.
Thomas J McMahona Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA.
Yale University · USColumbia University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
Fostering Mothers'Emotionally-Responsive ParentingR01DA017294 · NIDA · YALE UNIVERSITY · PI MCMAHON, THOMAS J · 2004 to 2019
$6.0M
Research Training: Self and Family ManagementT32NR008346 · NINR · YALE UNIVERSITY · PI GREY, MARGARET · 2003 to 2018
$4.7M
Parenting Intervention Development and Assessment with Substance Abusing MothersK02DA023504 · NIDA · YALE UNIVERSITY · PI SUCHMAN, NANCY E · 2008 to 2012
$907k
NCATS NIH HHS KL2 TR001862NCATS NIH HHS UL1 TR001863NIDA NIH HHS K02 DA023504NIDA NIH HHS R01 DA017294NINR NIH HHS T32 NR008346
6 · The paper itself

Abstract

Mothers who are involved with mental health services (for themselves or their children) rarely receive adequate support for their role as parents. Mental illness in a parent or child often exacerbates the challenges of managing psychological distress that is germane to the parenting roll. Mentalization-based approaches to psychotherapy for parents have the potential to address challenges of emotional regulation in parents by supporting their capacity to recognize and modulate negative affect during stressful parenting situations. In this study, we piloted Mothering from the Inside Out (MIO) with 17 mothers receiving services at a community-based mental health clinic. MIO is a 12-week, mentalization-based parenting intervention that demonstrated efficacy in two previous randomized controlled trials with substance using mothers. In this study, we were interested in determining whether community-based clinicians could deliver MIO with sustained fidelity. We were also interested in examining the preliminary feasibility, acceptability and efficacy of MIO when delivered by clinicians in a community mental health center. Finally, we were interested in replicating prior tests of the proposed treatment mechanisms. Treatment outcomes included maternal reflective functioning, psychiatric and parenting stress, and mother-child interaction quality. Our findings indicated that MIO was feasible and acceptable when delivered in the community-based setting and that all maternal indices improved. However, no improvement in mother-child interaction quality was found, possibly because of insufficient time for these changes to consolidate.

Indexed as

Object AttachmentAdolescentAdultChildCommunity Mental Health ServicesFemaleHumansMaleMental DisordersMiddle AgedMother-Child RelationsMothersParentingPilot ProjectsPsychotherapySocioeconomic FactorsattachmentinterventionMental illnessmentalizationparenting

Identifiers

PMID27575343
PMCPMC5102065
OpenAlexW2517646586

What OpenQuestion holds

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Registered trials

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.