This study presents effects of adding Circle of Security-Parenting (COS-P) to an already established comprehensive therapeutic model for early parent-child intervention in three Swedish infant mental health (IMH) clinics. Parents' internal representations and quality of parent-infant interaction were studied in a clinical sample comprised of 52 parent-infant dyads randomly allocated to two comparable groups. One group consisted of 28 dyads receiving treatment as usual (TAU) supplemented with COS-P in a small group format, and another group of 24 dyads receiving TAU only. Assessments were made at baseline (T1), 6 months after inclusion (T2) and 12 months after inclusion (T3). Changes over time were explored in 42 dyads. In the COS-P group, the proportion of balanced representations, as assessed with Working Model of the Child Interview (WMCI), significantly increased between T1 and T3. Further, the proportion of emotionally available interactions, as assessed with Emotional Availability scales (EA), significantly increased over time in the COS-P group. Improvements in the TAU-group were close to significant. Limitations of the study are mainly related to the small sample size. Strength is the real world character of the study, where COS-P was implemented in a clinical context not otherwise adapted to research. We conclude by discussing the value of supplementing TAU with COS-P in IMH treatment.

Artikeln bygger pa data hamtade fran en svensk effektstudie av Trygghetscirkeln. Utvarderingar gjorda av gruppledare och 25 foraldrar presenteras tillsammans med forandringar av foraldrars inre rep ...

Infant Mental Health JournalVolume 37, Issue 5 p. 523-524 COMMENTARY DIAGNOSTIC CLASSIFICATION OF MENTAL HEALTH AND DEVELOPMENTAL DISORDERS OF INFANCY AND EARLY CHILDHOOD (DC:0-5): IMPLEMENTATION CONSIDERATIONS AND CLINICAL REMARKS Pia Risholm Mothander, Corresponding Author Pia Risholm Mothander prm@psychology.su.se Stockholm University, SwedenDirect correspondence to: Pia Risholm Mothander, Dept of Psychology, Stockholm University, 106 91 Stockholm, Sweden; e-mail: prm@psychology.su.seSearch for more papers by this author Pia Risholm Mothander, Corresponding Author Pia Risholm Mothander prm@psychology.su.se Stockholm University, SwedenDirect correspondence to: Pia Risholm Mothander, Dept of Psychology, Stockholm University, 106 91 Stockholm, Sweden; e-mail: prm@psychology.su.seSearch for more papers by this author First published: 02 September 2016 https://doi.org/10.1002/imhj.21593Citations: 6Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article.Citing Literature Volume37, Issue5Special Issue: New Approaches to Classifying Disorders of Infancy and Early ChildhoodSeptember/October 2016Pages 523-524 RelatedInformation

Projektet avsag att prova ett anknytningsbaserat foraldrastodsprogram, Trygghetscirkeln (COS-P), vars mal ar att hjalpa foraldrar att na fordjupad forstaelse for barns behov av kanslomassigt stod f ...

Using a novel approach to assess attachment to therapist from patient narratives (Patient Attachment to Therapist Rating Scale; PAT-RS), we investigated the relationships between secure attachment to therapist, patient-rated alliance, and outcome in a sample of 70 young adults treated with psychoanalytic psychotherapy. A series of linear mixed-effects models, controlling for length of therapy and therapist effects, indicated that secure attachment to therapist at termination was associated with improvement in symptoms, global functioning, and interpersonal problems. After controlling for the alliance, these relationships were maintained in terms of symptoms and global functioning. Further, for the follow-up period, we found a suppression effect indicating that secure attachment to therapist predicted continued improvement in global functioning, whereas the alliance predicted deterioration when both variables were modeled together. Although limited by the correlational design, this study suggests that the development of a secure attachment to therapist is associated with treatment gains as well as predictive of posttreatment improvement in functioning. Future research should investigate the temporal development of attachment to therapist and its interaction with alliance and outcome more closely. To ensure differentiation from patient-rated alliance, observer-based measurement of attachment to therapist should be considered.

This cross-sectional study investigated associations between perceived parental rearing, attachment, and social anxiety. 510 Chinese middle school students, aged 12 to 20 years, completed a set of questionnaires including “Egna Minnen Beträffande Uppfostran” for Children (EMBU-C), Inventory for Parent and Peer Attachment (IPPA) and Social Anxiety Scale for Adolescents (SAS-A). The results showed that intercorrelations between adolescents’ rated attachment to parents were stronger than betweenparental and peer attachment. Girls scored higher on attachment to mother and peer than boys. Lack of parental rejection and presence of emotional warmth were strongly related to parental attachment. The rated level of total anxiety was not related to gender or age, but it was lower than what has earlier been reported from China. Perceived rejection from fathers and mothers’ as well as attachment to peer and mother acted as predictors; together they explained 19% of the variance in social anxiety.

Objective: To report on the development and initial psychometric properties of a new rating scale for patent-therapist attachment. Method: Seventy interviews from the Young Adult Psychotherapy Project (YAPP) were rated. Results: Excellent internal consistency (Cronbach's > .90) was observed for all four subscales (Security, Deactivation, Hyperactivation, and Disorganization). Three subscales showed good inter-rater reliability (ICC > .60), while one (Hyperactivation) had poor (ICC < .40). Correlations with measures of alliance, mental representations, and symptom distress support the construct validity of the reliable subscales. Exploratory factor analysis indicated three underlying factors explaining 82% of the variance. Conclusions: The Patient Attachment to Therapist Rating Scale is a promising approach for assessing the quality of attachment to therapist from patient narratives. Future development should focus on improving the discrimination of the insecure subscales.

Children with language impairment (LI) and children with typical development (TD) were assessed by their respective parents using The MacArthur Communicative Development Inventories (Swedish version SECDI) and Greenspan Socio Emotional Growth Chart (GSEGC). The aim was to investigate socio-emotional and language development in children with LI and TD with respect to possible differential patterns and relations between the groups. The results highlight a clear association between language and socio-emotional development. Children with LI were rated similar to young language-matched children with TD, but significantly lower relative to age-matched TD children, particularly concerning symbolic stages of development: the use of linguistic symbols as well as related areas such as symbol play and symbolic mental ability. The results are discussed in light of presumable background factors and possible consequences for children or sub-groups of children with LI.

For a oke var forstaelse av de symptomene pa mistilpasning og emosjonelle problemer vi moter hos de yngste barna, har det lenge vaert et behov for a utvikle spesielle kartleggingsverktoy og diagnostiske beskrivelser. Det diagnostiske kartleggingssystemet «Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood» (DC: 0–3) er utviklet spesielt for a fange opp problemer hos de minste barna, det vil si fra fodselen og opp til firearsalderen, og gir en referanseramme for a kunne forsta og utveksle kunnskap om disse vanskene. I dette kapittelet ser vi pa begrunnelsene for a ha et eget kartleggings- og diagnosesystem for de yngste barna. Vi gar igjennom oppbyggingen av DC 0–3 R (revidert utgave kom i 2005) og tar for oss kartleggingsverktoy som vi mener bor brukes for a kvalitetssikre de diagnostiske vurderingene og de behandlingsplanene som legges ved hjelp av systemet. Kartleggings- og diagnostiseringsprosessen belyses ved et klinisk eksempel. Til slutt tar vi for oss noen erfaringer fra bruk av systemet.

Background: The parental functioning and its influence upon infant mental health development have been extensively studied but there are few clinical studies investigating less severe psychiatric problems among mothers and fathers in the same family. Aim: This study focuses on the emotional well-being of mothers' and fathers' who bring their infants to an Infant Mental Health Clinic. Methods: The studied sample is comprised of 63 families with 0-47-month-old infants where the mothers completed the Center for Epidemiological Study-Depression Scale (CES-D), including 43 families in which the CES-D was completed by both parents. In 44 families, the mothers also filled in the Swedish Parental Stress Questionnaire (SPSQ), including 32 where the SPSQ was completed by both parents. The children were independently classified with the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC 0-3). Results: Altogether, 54% of the mothers and 11% of the fathers reported depressive symptoms above the CES-D clinical cut-off. Self-rated depressive symptoms and parental stress were strongly related. The mothers' self-rated depressive symptoms were associated with the severity of their infant's problems, but the association was not specific to the DC 0-3 Axis I classification. The mothers' stress level was marginally related to DC 0-3 Axis II relationship classification. Conclusion: The results indicate that the inclusion of systematic parental self-ratings in infant mental health assessments could add clinical information facilitating the planning of family oriented interventions.

This paper presents the results of a study where disorders were diagnosed using the Diagnostic Classification of Mental Health and the Developmental Disorders of Infancy and Early Childhood (DC: 0–3) at Nic Waals Institute (NWI), in Oslo, Norway. During a three-year period 138 children under four who were referred to a parent-infant clinic, and were assessed and independently classified using both the DC: 0–3 and the ICD-10 systems. Fifty nine per cent of the children received a DC 0–3, Axis I classification. Regulatory disorders, disorders of affect and traumatic stress disorders were the most common diagnoses. Forty eight per cent received a DC: 0–3 Axis II classification of relationship disorder and 27 % received classifications in both DC: 0–3 Axes I and II.

OBJECTIVE: The Stockholm Neonatal Project is a prospective longitudinal study of children born prematurely in 1988-93, with very low birth weight ( 1 SD below the controls on tests of visuo-spatial ability, executive functions, and speed, whereas no systematic group differences have been observed in the verbal domain. According to self-reports from SDQ and YSR/CBCL, the preterm group has a higher incidence of peer problems and lower self-rated competence than controls, a picture that is supported by the parental reports. Qualitative data indicate that the preterm group may be less socially active and more home-bound. When controlling for overall cognitive functioning, most group differences in socio-emotional adjustment disappear, although parents of prematurely born adolescents still tend to report more concerns. CONCLUSIONS: Our findings suggest that socio-emotional adjustment may be closely linked to long-term neuropsychological outcome in adolescents with a history of premature birth.

Characteristics of children with no Axis 1 diagnosis in the DC 0-3 system. This investigation forms part of a more extensive Norwegian study of the diagnostic system DC:0-3. 75 children aged 0-4 years participated in the investigation. Of these, 45 received an axis 1 diagnosis. Our aim was to establish whether children with and without a primary diagnosis differ in regard to age, gender, maternal age, living conditions, parents' educational status, relational difficulties and maternal depression. No significant differences were found between the groups. However, the investigation did find that mothers of children with no primary diagnosis displayed a significantly higher level of depression than mothers of children with a primary diagnosis. The authors discuss these results and the implications they might have for clinical practice.

The study focuses on Infant Mental Health data from an outpatient psychiatric clinic using the "Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood" (DC 0-3) and parental questionnaires, CBCL and ITSC. In total, 138 infants (aged 0-3) went through the diagnostic procedure. Sixty-eight per cent were diagnosed within Axis I, with regulatory disorder, disorder of affect and traumatic stress disorder being the most frequent diagnoses. In addition, 48% were classified as having a relationship disorder according to Axis II, with an additional 40% being considered to be at risk of developing a relationship disorder. The mothers' and fathers' ratings of their children's externalized and sensitivity problems were in agreement with the clinicians, but the ratings of internalized problems as well as relationship problems presented a more complex pattern.