Erschienen in:
01.04.2014 | Original Article
Long-term efficacy of an attachment-based parental training program for single mothers and their children: a randomized controlled trial
verfasst von:
Lonja Weihrauch, Ralf Schäfer, Matthias Franz
Erschienen in:
Journal of Public Health
|
Ausgabe 2/2014
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Abstract
Objective
Single mothers suffer more frequently from chronic diseases, depression, and elevated stress level. Their children display adaptation and behavior problems more often than children of dual-parent families. To prevent these risks, a parental training program (PALME) for single mothers and their preschool children was developed. The concept of PALME is based on attachment theory and psychodynamic-interactional approaches.
Subject and methods
The efficacy of the program was evaluated in a randomized control intervention study with 58 single mothers. Outcomes from the revised version of the Symptom Checklist SCL-90-R, SF-12 Health Survey, Psychogenic Impairment Score (BSS), Scales on the Experience of Emotions (SEE) and Strengths and Difficulties Questionnaire SDQ were compared at baseline (t1), post-treatment (t2), and 6 months follow-up (t3) for statistical and clinical significance. Per-protocol analyses of variance were used to examine intervention effects.
Results
Statistically significant group x time interaction effects in favor of the intervention group indicated intervention effects on the mothers’ psychological symptom load GSI score of SCL-90 R, depression, psychological well-being and psychogenic impairment. Some aspects of maternal emotional competence and behavioral problems of their children improved only in the short term.
Conclusion
The results suggest that PALME is an effective prevention program for the reduction of maternal depression and psychological symptom load and the improvement of well-being among single mothers.