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Belt RH, Flykt M, Punamäki RL, et al. Psychotherapy groups and individual support to enhance mental health and early dyadic interaction among drug-abusing mothers. Infant Ment Health J. 2012;33(5):520-534doi: 10.1002/imhj.21348.
Belt, R. H., Flykt, M., Punamäki, R. L., Pajulo, M., Posa, T., & Tamminen, T. (2012). Psychotherapy groups and individual support to enhance mental health and early dyadic interaction among drug-abusing mothers. Infant mental health journal, 33(5), 520-534. https://doi.org/10.1002/imhj.21348
Belt, Ritva H, et al. "Psychotherapy groups and individual support to enhance mental health and early dyadic interaction among drug-abusing mothers." Infant mental health journal vol. 33,5 (2012): 520-534. doi: https://doi.org/10.1002/imhj.21348
Belt RH, Flykt M, Punamäki RL, Pajulo M, Posa T, Tamminen T. Psychotherapy groups and individual support to enhance mental health and early dyadic interaction among drug-abusing mothers. Infant Ment Health J. 2012 Sep;33(5):520-534. doi: 10.1002/imhj.21348. Epub 2012 Jun 25. PMID: 28520270.
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Infant Ment Health J. 2012 Sep;33(5):520-534. doi: 10.1002/imhj.21348. Epub 2012 Jun 25.

Psychotherapy groups and individual support to enhance mental health and early dyadic interaction among drug-abusing mothers.

Infant mental health journal

Ritva H Belt, Marjo Flykt, Raija-Leena Punamäki, Marjukka Pajulo, Tiina Posa, Tuula Tamminen

Affiliations

  1. University of Tampere and Tampere City Child Welfare.
  2. University of Tampere.
  3. University of Turku.
  4. Terveystalo Lahti, Finland.

PMID: 28520270 DOI: 10.1002/imhj.21348

Abstract

The purpose of this controlled study was to examine the outcome of psychodynamic mother-infant group psychotherapy (PGT) outpatient intervention for drug-abusing perinatal mother-infant dyads. PGT comprised 20 to 24 weekly 3-hr sessions with 3 to 5 months of follow-up. A comparison intervention group was formed of mothers participating in individually tailored psychosocial support (PSS) lasting, on average, 12 months and providing mother-infant support and practical counseling. We hypothesized that positive changes would occur in maternal drug abuse, mental health, and mother-infant interaction, especially in the PGT group due to its more intensive therapeutic focus. Participants were 26 drug-abusing dyads in PGT, 25 in PSS, and 50 dyads in a non-drug-abusing comparison group. Assessments were pre-intervention and at 4 and 12 months' follow-up, including maternal depressive symptoms and mother-child interaction assessed by the Emotional Availability Scales (EA). As hypothesized, in dyadic interaction maternal hostility decreased significantly in the PGT group, and intrusiveness decreased in both intervention groups, but especially in the PTG group. However, both interventions showed a general improvement in the quality of mother-infant interaction. They also succeeded in sustaining high maternal abstinence, treatment retention, and alleviating depressive symptoms. The findings are discussed in relation to preventing negative transgenerational interaction patterns in the high-risk dyads.

Copyright © 2012 Michigan Association for Infant Mental Health.

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