A mother-child video-feedback intervention on mentalization in mothers affected by peripartum depression. A randomized controlled trial

Anno
2021
Proponente Renata Tambelli - Professore Ordinario
Sottosettore ERC del proponente del progetto
SH4_3
Componenti gruppo di ricerca
Componente Categoria
Esterina Pascale Componenti strutturati del gruppo di ricerca / Structured participants in the research project
Manuela Tomai Componenti strutturati del gruppo di ricerca / Structured participants in the research project
Francesco Gazzillo Componenti strutturati del gruppo di ricerca / Structured participants in the research project
Giulia Ballarotto Dottorando/Assegnista/Specializzando componente non strutturato del gruppo di ricerca / PhD/Assegnista/Specializzando member non structured of the research group
Alessia Renzi Dottorando/Assegnista/Specializzando componente non strutturato del gruppo di ricerca / PhD/Assegnista/Specializzando member non structured of the research group
Francesco Carmelo Giovanni Cardona Componenti strutturati del gruppo di ricerca / Structured participants in the research project
Componente Qualifica Struttura Categoria
Giuseppe Ducci Psichiatra Direttore DSM ASL RM1 Altro personale aggregato Sapienza o esterni, titolari di borse di studio di ricerca / Other aggregate personnel Sapienza or other institution, holders of research scholarships
Luca Cerniglia Professore Associato Uninettuno Altro personale aggregato Sapienza o esterni, titolari di borse di studio di ricerca / Other aggregate personnel Sapienza or other institution, holders of research scholarships
Nicoletta Giacchetti Psichiatra Dirigente Medico Policlinico Umberto I Altro personale aggregato Sapienza o esterni, titolari di borse di studio di ricerca / Other aggregate personnel Sapienza or other institution, holders of research scholarships
David Oppenheim Professore Ordinario Department of Psychology, University of Haifa, Israel Altro personale aggregato Sapienza o esterni, titolari di borse di studio di ricerca / Other aggregate personnel Sapienza or other institution, holders of research scholarships
Nina Koren-Karie Professore Ordinario School of Social Work, University of Haifa, Israel Altro personale aggregato Sapienza o esterni, titolari di borse di studio di ricerca / Other aggregate personnel Sapienza or other institution, holders of research scholarships
Abstract

The perinatal period it is characterized by numerous changes, that prepare the mothers to accurately perceive and interpret the emotional underpinnings of the infant's behavior. These abilities are sustained by mothers' parental reflective functioning, the mothers' capacity to recognize and reflect upon their own and their child's mental states. Among risk factors that may impair parental reflective functioning, research has paid attention to the role of maternal depression. Several authors have highlighted the importance to improve parental reflective functioning through mentalization-based interventions (MBIs). Despite a large amount of studies on MBIs, very few randomized controlled trials have assessed the longitudinal follow-up outcomes. The present research project is a randomized controlled trial that aims to prove the efficacy of an MBI on mothers with maternal peripartum depression. N = 100 mothers diagnosed with maternal peripartum depression will be recruited. Mothers will be randomly assigned to two conditions: (1) MBI (2) Supportive counseling. This longitudinal research, organized in 5 phases, will be carried out between the 7th month of pregnancy at the 12th month after childbirth. The interventions will be conducted from 3 to 9 months of the child. The project will entail the pre and postnatal assessment of depression, psychopathological profile, perceived social support, resilience, reflective functioning, attachment models, maternal representations, mother-child interactions, as well as the measurement of hair cortisol on both mothers and children. The outcomes of the intervention will be assessed at the child's 12 months in terms of maternal mentalization, mother-child interactions, and child emotional and behavioral functioning. We expect that, in the post-intervention, the MBI will increase: parental reflective functioning and maternal sensitivity, the quality of mother-child relationship, and their psychobiological response to stress.

ERC
SH4_3, SH4_2, LS5_8
Keywords:
PSICOLOGIA CLINICA, GENITORIALITA', NEUROSCIENZE, BIOLOGIA MOLECOLARE E INTERAZIONI, PSICODIAGNOSI

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