Trial reportJournal of substance abuse treatment2018
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.
Trial report in Journal of substance abuse treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01240993 (Fostering Mothers' Emotionally-Responsive Parenting), which is not on this map. Cited by 26 papers, 1 of them a synthesis 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
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Parental Reflective Functioning and Its Association With Parenting Behaviors in Infancy and Early Childhood: A Systematic Review.Frontiers in psychology · 2022Pooled it
- Maternal Area of Residence and Outcomes for Mother-Infant Dyads with Perinatal Opioid Exposure.American journal of perinatology · 2026Trial
- 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
- Childhood Trauma and Aggression: The Role of Epistemic Trust.Journal of child & adolescent trauma · 2026Article
- Mapping the Adolescent Mind: Profiles of Reflective Functioning and Epistemic Trust in Adolescent Psychopathology.Journal of adolescence · 2026Article
- The impact of Maternal Mentalizing on Racial Trauma and Substance Use Risk for Black Mothers in the United States.Journal of racial and ethnic health disparities · 2025Article
- Early relational origins of Theory of Mind: A two-study replication.Journal of child psychology and psychiatry, and allied disciplines · 2025Article
- Parenting Among Women in Methadone Treatment: Contributions of Mental Health Problems and Violence Exposure.Child psychiatry and human development · 2024Article
- Childhood adversity and adolescent acting-out behaviors: the mediating role of mentalizing difficulties and epistemic vigilance.European child & adolescent psychiatry · 2024Article
- Parental Reflective Capacities: A Scoping Review of Mindful Parenting and Parental Reflective Functioning.Mindfulness · 2024Article
- The Impact of COVID on Early Intervention Parenting Support for Mothers in Recovery from Substance Use Disorder.Journal of child and family studies · 2024Article
- Exploring and Deepening the Facets of Mentalizing: The Integration of Network and Factorial Analysis Approaches to Verify the Psychometric Properties of the Multidimensional Mentalizing Questionnaire (MMQ).International journal of environmental research and public health · 2023Article
- Qualitative description of outreach and engagement in perinatal substance treatment in Finland.Substance abuse treatment, prevention, and policy · 2023Article
- Mother-infant interaction context matters for verbal and non-verbal parental mentalization: an initial portrait of associations between parental embodied mentalizing, mind-mindedness, and maternal characteristics in a structured and unstructured context.Frontiers in psychology · 2023Article
- Using community-based participatory methods to design a digital intervention for mothers with substance use disorders: Qualitative results from focus group discussions.Perspectives in psychiatric care · 2022Article
- Advancing the RDoC initiative through the assessment of caregiver social processes.Development and psychopathology · 2021Article
- Adverse childhood experiences among females in substance use treatment and their children: A pilot study.Preventive medicine reports · 2021Article
- The Stimulant Crisis Intertwined With the Opioid Crisis: A Compassionate Response for Dyadic Health and Well-Being.American journal of public health · 2021Article
- Maternal History of Adverse Experiences and Posttraumatic Stress Disorder Symptoms Impact Toddlers' Early Socioemotional Wellbeing: The Benefits of Infant Mental Health-Home Visiting.Frontiers in psychology · 2021Article
- Mothering from the Inside Out: Addressing the Intersection of Addiction, Adversity, and Attachment with Evidence-Based Parenting Intervention.Current addiction reports · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
In this study, we replicated a rigorous test of the proposed mechanisms of change associated with Mothering from the Inside out (MIO), an evidence-based parenting therapy that aims to enhance maternal reflective functioning and mental representations of caregiving in mothers enrolled in addiction treatment and caring for young children. First, using data from 84 mothers who enrolled in our second randomized controlled trial, we examined whether therapist fidelity to core MIO treatment components predicted improvement in maternal reflective functioning and mental representations of caregiving, even after taking fidelity to non-MIO components into account. Next, we examined whether improvement in directly targeted outcomes (e.g., maternal mentalizing and mental representations of caregiving) led to improvements in the indirectly targeted outcome of maternal caregiving sensitivity, even after controlling for other plausible competing mechanisms (e.g., improvement in maternal psychiatric distress and substance use). Third, we examined whether improvement in targeted parenting outcomes (e.g., maternal mentalizing, mental representations of caregiving and caregiving sensitivity) was associated in improvement in child attachment status, even after controlling for competing mechanisms (e.g., improvement in maternal psychiatric distress and substance use). Finally, we examined whether improvement in maternal mentalizing and caregiving representations was associated with a reduction in relapse to substance use. Support was found for the first three tests of mechanisms but not the fourth. Implications for future research and intervention development are discussed.
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.