Trial reportDevelopment and psychopathology2017
Mothering From the Inside Out: Results of a second randomized clinical trial testing a mentalization-based intervention for mothers in addiction treatment.
Trial report in Development and psychopathology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 77 papers, 6 of them syntheses that pooled 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.
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.
Fostering Mothers' Emotionally-Responsive Parenting
RCT of FIND Video Coaching Intervention for Caregivers Facing Economic Adversity
A Scaleable Video Coaching Intervention for Opioid-using Mothers
Who cites it
77 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Effects of integrated programs for substance-involved mothers on infant and child development outcomes: A systematic review and meta-analysis.Infant mental health journal · 2025Pooled it
- Routinely used interventions to improve attachment in infants and young children: a national survey and two systematic reviews.Health technology assessment (Winchester, England) · 2023Pooled it
- Pooled it
- A Systematic Review Focusing on Psychotherapeutic Interventions that Impact Parental Psychopathology, Child Psychopathology and Parenting Behavior.Clinical child and family psychology review · 2021Pooled it
- Effectiveness of psychosocial interventions for reducing parental substance misuse.The Cochrane database of systematic reviews · 2021Pooled it
- Parenting outcomes of parenting interventions in integrated substance-use treatment programs: A systematic review.Journal of substance abuse treatment · 2018Pooled it
- Mothering from the Inside Out: Results of a community-based randomized efficacy trial testing a mentalization-based parenting intervention for mothers with addictions.Infant mental health journal · 2023Trial
- Impacts of the Attachment and Child Health (ATTACHInternational journal of environmental research and public health · 2023Trial
- Examining Mothers' Childhood Maltreatment History, Parental Reflective Functioning, and the Long-Term Effects of the Minding the Baby® Home Visiting Intervention.Child maltreatment · 2022Trial
- Can addiction counselors be trained to deliver Mothering from the Inside Out, a mentalization-based parenting therapy, with fidelity? Results from a community-based randomized efficacy trial.Attachment & human development · 2020Trial
- A randomized pilot trial of two parenting interventions for fathers in residential substance use disorder treatment.Journal of substance abuse treatment · 2019Trial
- Does improvement in maternal attachment representations predict greater maternal sensitivity, child attachment security and lower rates of relapse to substance use? A second test of Mothering from the Inside Out treatment mechanisms.Journal of substance abuse treatment · 2018Trial
- Maternal PTSD and Depression as Predictors of Child Internalizing and Externalizing Symptoms: The Mediating Roles of Parenting Stress and Maternal Mentalization.Healthcare (Basel, Switzerland) · 2026Article
- Article
- In-Session Predictors of Treatment Outcome for Intimate Partner Violence: An Examination of Fathers for Change and Treatment as Usual.Traumatology · 2026Article
- Components of Family-Focused Interventions that Have Common Impacts Across Parental Domestic Violence and Abuse, Mental Ill-Health, and Substance Misuse: An Intervention Components Analysis.Journal of prevention (2022) · 2026Article
- Maternal prenatal mental health and substance Use: a review of prevalence, mechanisms, outcomes, and interventions.Frontiers in global women's health · 2026Review
- Integrating a Brief Behavioral Intervention Into Case Management for Mothers With Perinatal Substance Use Disorder: Nonrandomized Pilot Feasibility Study.JMIR formative research · 2025Article
- Home-based family recovery supports: Feasibility, acceptability, and adoption of training home visitors in "Mothering from the Inside Out".Infant mental health journal · 2025Article
- Observational Video Study of Maternal Sleep During the 24 Hours Before Hospital Discharge After Childbirth.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2025Observational
17 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Mothers with histories of alcohol and drug addiction have shown greater difficulty parenting young children than mothers with no history of substance misuse. This study was the second randomized clinical trial testing the efficacy of Mothering From the Inside Out (MIO), a 12-week mentalization-based individual therapy designed to address psychological deficits commonly associated with chronic substance use that also interfere with the capacity to parent young children. Eighty-seven mothers caring for a child between 11 and 60 months of age were randomly assigned to receive 12 sessions of MIO versus 12 sessions of parent education (PE), a psychoeducation active control comparison. Maternal reflective functioning, representations of caregiving, mother-child interaction quality, and child attachment were evaluated at baseline and posttreatment and 3-month follow-up. Mother-child interaction quality was assessed again at 12-month follow-up. In comparison with PE mothers, MIO mothers demonstrated a higher capacity for reflective functioning and representational coherence at posttreatment and 3-month follow-up. At 12-month follow-up, compared to PE cohorts, MIO mothers demonstrated greater sensitivity, their children showed greater involvement, and MIO dyads showed greater reciprocity. As addiction severity increased, MIO also appeared to serve as a protective factor for maternal reflective functioning, quality of mother-child interactions, and child attachment status. Results demonstrate the promise of mentalization-based interventions provided concomitant with addiction treatment for mothers and their young children.
Indexed as
Identifiers
What OpenQuestion holds
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.