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‘What support would you find helpful?’ The relationship between treatment expectations, therapeutic engagement and clinical outcomes in parent-infant psychotherapy

Ransley, R; Sleed, M; Baradon, T; Fonagy, P; (2019) ‘What support would you find helpful?’ The relationship between treatment expectations, therapeutic engagement and clinical outcomes in parent-infant psychotherapy. Infant Mental Health Journal , 40 (4) pp. 557-572. 10.1002/imhj.21787.

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Abstract

The aim of this study was to investigate the impact of pre-treatment expectations on clinical outcomes and engagement in Parent-Infant Psychotherapy (PIP). Sixty-one mothers who were experiencing mental health difficulties and who were receiving PIP with their young infants participated in the study. A mixed-methodology was used to examine participants’ expectations through transformation content analysis of pre-treatment interviews; recurring themes were classified and quantified. Further statistical analyses explored relationships between the quantified themes of parental expectations and clinical outcomes and engagement in treatment. No significant correlation was found between expectations and engagement. One of the six clinical outcomes significantly correlated with parental expectations. Improved reflective functioning (RF) was predicted by participants describing expectations of wanting to improve their parent-infant relationship through the treatment, and expressing concerns about discussing their past experiences. These two expectations predicted improvements in RF independently and when combined. These results indicate that PIP may be more effective for some mothers than others and that assessing future clients’ expectations before beginning PIP may be beneficial.

Type: Article
Title: ‘What support would you find helpful?’ The relationship between treatment expectations, therapeutic engagement and clinical outcomes in parent-infant psychotherapy
DOI: 10.1002/imhj.21787
Publisher version: https://doi.org/10.1002/imhj.21787
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: parent-infant psychotherapy, attachment-based intervention, early intervention, engagement, expectations
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10062575
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