Randomized controlled trials (RCTs) demonstrate efficacy of parent–infant psychotherapy, but its applicability and effectiveness in public health care are less known. The method followed is Naturalistic study evaluating Short‐term Psychodynamic Infant–Parent Interventions at Child Health Centers (SPIPIC) in Stockholm, Sweden. One hundred distressed mothers with infants were recruited by supervised nurses. Six therapists provided 4.3 therapy sessions on average (SD = 3.3). Sessions typically included the mothers, often with the baby present, while fathers rarely attended sessions. The Edinburgh Postnatal Depression Scale (EPDS) and the Ages and Stages Questionnaire: Social–Emotional (ASQ: SE) were distributed at baseline and at 3 and 9 months later. Data from a nonclinical group were collected simultaneously to provide norm data. Multilevel growth models on the mothers’ questionnaire scores showed significant decreases over time on both measures. Nine months after baseline, 50% achieved a reliable change on the EPDS and 14% on the ASQ: SE. Prepost effect‐sizes (d) were 0.70 and 0.40 for EPDS and ASQ: SE, figures that are comparable to results of other controlled studies. Psychotherapists integrated with public health care seem to achieve good results when supporting distressed mothers with brief interventions in the postnatal period. SPIPIC needs to be compared with other modalities and organizational frameworks.

中文翻译：

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儿童健康中心的短期心理动力学婴儿-父母干预：父母抑郁症和婴儿社会情绪功能的结果

随机对照试验 (RCT) 证明了亲子心理治疗的有效性，但其在公共卫生保健中的适用性和有效性鲜为人知。采用的方法是评估瑞典斯德哥尔摩儿童健康中心 (SPIPIC) 的短期心理动力学婴幼儿干预的自然主义研究。受监督的护士招募了 100 名有婴儿的痛苦母亲。六名治疗师平均提供 4.3 次治疗（SD = 3.3）。会议通常包括母亲，通常有婴儿在场，而父亲很少参加会议。爱丁堡产后抑郁量表 (EPDS) 和年龄和阶段问卷：社会-情绪 (ASQ: SE) 在基线以及 3 个月和 9 个月后分发。同时收集来自非临床组的数据以提供规范数据。母亲问卷分数的多级增长模型显示，随着时间的推移，这两项指标都显着下降。基线 9 个月后，50% 的 EPDS 和 14% 的 ASQ：SE 实现了可靠的变化。事前效应量（d ) EPDS 和 ASQ: SE 分别为 0.70 和 0.40，这些数字与其他对照研究的结果相当。与公共卫生保健相结合的心理治疗师在支持痛苦的母亲并在产后进行短暂干预时似乎取得了良好的效果。SPIPIC 需要与其他模式和组织框架进行比较。