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Examining Maternal Depression and Attachment Insecurity as Moderators of the Impacts of Home Visiting for At-Risk Mothers and Infants

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Title: Examining Maternal Depression and Attachment Insecurity as Moderators of the Impacts of Home Visiting for At-Risk Mothers and Infants
Language: English
Authors: Duggan, Anne K., Berlin, Lisa J., Cassidy, Jude, Burrell, Lori, Tandon, S. Darius
Source: Journal of Consulting and Clinical Psychology. 2009 77(4):788-799.
Availability: American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
Peer Reviewed: Y
Page Count: 12
Publication Date: 2009
Document Type: Journal Articles
Reports - Research
Descriptors: Community Services, Home Visits, At Risk Persons, Mothers, Depression (Psychology), Child Abuse, Infants, Security (Psychology), Trust (Psychology), Program Effectiveness, Attachment Behavior
Geographic Terms: Alaska
DOI: 10.1037/a0015709
ISSN: 0022-006X
Abstract: Home visiting programs for at-risk mothers and their infants have proliferated nationally in recent years, yet experimental studies of home visiting have yielded mixed findings. One promising strategy for explicating the effects of early home visiting is to examine moderators of program impacts. This study assessed the roles of maternal depression and attachment insecurity as moderators of the impacts of Healthy Families Alaska home visiting services for at-risk mothers and their infants. At-risk families (N = 325) were randomly assigned to home visiting or community services as usual (n = 162 and 163, respectively). Maternal depression and attachment insecurity (attachment anxiety and discomfort with trust/dependence) were measured at baseline. Maternal psychosocial and parenting outcomes were measured when children were 2 years old via maternal self-report, observation, and review of substantiated reports of child maltreatment. Maternal depression and attachment insecurity interacted in their moderation of program impacts. For several outcomes, home visiting impacts were greatest for nondepressed mothers with moderate-to-high discomfort with trust/dependence and for depressed mothers with low discomfort with trust/dependence. Implications for practice and policy are discussed. (Contains 3 tables and 1 figure.)
Abstractor: As Provided
Number of References: 51
Entry Date: 2009
Accession Number: EJ849388
Database: ERIC
FullText Text:
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  Data: Examining Maternal Depression and Attachment Insecurity as Moderators of the Impacts of Home Visiting for At-Risk Mothers and Infants
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  Data: <searchLink fieldCode="AR" term="%22Duggan%2C+Anne+K%2E%22">Duggan, Anne K.</searchLink><br /><searchLink fieldCode="AR" term="%22Berlin%2C+Lisa+J%2E%22">Berlin, Lisa J.</searchLink><br /><searchLink fieldCode="AR" term="%22Cassidy%2C+Jude%22">Cassidy, Jude</searchLink><br /><searchLink fieldCode="AR" term="%22Burrell%2C+Lori%22">Burrell, Lori</searchLink><br /><searchLink fieldCode="AR" term="%22Tandon%2C+S%2E+Darius%22">Tandon, S. Darius</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Consulting+and+Clinical+Psychology%22"><i>Journal of Consulting and Clinical Psychology</i></searchLink>. 2009 77(4):788-799.
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  Data: American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
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  Data: <searchLink fieldCode="DE" term="%22Community+Services%22">Community Services</searchLink><br /><searchLink fieldCode="DE" term="%22Home+Visits%22">Home Visits</searchLink><br /><searchLink fieldCode="DE" term="%22At+Risk+Persons%22">At Risk Persons</searchLink><br /><searchLink fieldCode="DE" term="%22Mothers%22">Mothers</searchLink><br /><searchLink fieldCode="DE" term="%22Depression+%28Psychology%29%22">Depression (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Child+Abuse%22">Child Abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Infants%22">Infants</searchLink><br /><searchLink fieldCode="DE" term="%22Security+%28Psychology%29%22">Security (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Trust+%28Psychology%29%22">Trust (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Effectiveness%22">Program Effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Attachment+Behavior%22">Attachment Behavior</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Alaska%22">Alaska</searchLink>
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  Data: 10.1037/a0015709
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  Data: 0022-006X
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Home visiting programs for at-risk mothers and their infants have proliferated nationally in recent years, yet experimental studies of home visiting have yielded mixed findings. One promising strategy for explicating the effects of early home visiting is to examine moderators of program impacts. This study assessed the roles of maternal depression and attachment insecurity as moderators of the impacts of Healthy Families Alaska home visiting services for at-risk mothers and their infants. At-risk families (N = 325) were randomly assigned to home visiting or community services as usual (n = 162 and 163, respectively). Maternal depression and attachment insecurity (attachment anxiety and discomfort with trust/dependence) were measured at baseline. Maternal psychosocial and parenting outcomes were measured when children were 2 years old via maternal self-report, observation, and review of substantiated reports of child maltreatment. Maternal depression and attachment insecurity interacted in their moderation of program impacts. For several outcomes, home visiting impacts were greatest for nondepressed mothers with moderate-to-high discomfort with trust/dependence and for depressed mothers with low discomfort with trust/dependence. Implications for practice and policy are discussed. (Contains 3 tables and 1 figure.)
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PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ849388
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        Value: 10.1037/a0015709
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 788
    Subjects:
      – SubjectFull: Community Services
        Type: general
      – SubjectFull: Home Visits
        Type: general
      – SubjectFull: At Risk Persons
        Type: general
      – SubjectFull: Mothers
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      – SubjectFull: Depression (Psychology)
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      – SubjectFull: Child Abuse
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      – SubjectFull: Infants
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      – SubjectFull: Security (Psychology)
        Type: general
      – SubjectFull: Trust (Psychology)
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      – SubjectFull: Program Effectiveness
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      – SubjectFull: Attachment Behavior
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      – SubjectFull: Alaska
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      – TitleFull: Examining Maternal Depression and Attachment Insecurity as Moderators of the Impacts of Home Visiting for At-Risk Mothers and Infants
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