ABSTRACT

This study examined changes in parental reflective functioning (PRF) among mothers enrolled in Infant Mental Health-Home Visiting (IMH-HV) and explored whether parental risk, treatment dosage or therapist experience predicted change in PRF. Participants included 75 mothers and their children who were enrolled in IMH-HV delivered by Community Mental Health therapists. Results indicated significant improvements in PRF from baseline to 12-months. Maternal demographic and psychosocial risk, therapist experience and treatment dosage were not directly associated with changes in PRF. However, Mothers who received more treatment sessions from therapists with six or more years of experience demonstrated the greatest improvements in PRF, while mothers who received more treatment sessions from therapists who had been practicing IMH for less than 15 months showed a decline in PRF. Therapists working with very high-risk families may need specific training and ongoing reflective supervision over a period of years to promote improvement in PRF.

摘要

这项研究检查了参加婴儿心理健康家访 (IMH-HV) 的母亲的父母反思功能 (PRF) 的变化，并探讨了父母风险、治疗剂量或治疗师经验是否可以预测 PRF 的变化。参与者包括 75 名母亲及其子女，他们参加了由社区心理健康治疗师提供的 IMH-HV。结果表明 PRF 从基线到 12 个月有显着改善。产妇人口统计学和社会心理风险、治疗师经验和治疗剂量与 PRF 的变化没有直接关系。然而，从具有六年或以上经验的治疗师那里接受更多治疗的母亲表现出 PRF 的最大改善，而那些接受 IMH 少于 15 个月的治疗师治疗的母亲则表现出 PRF 下降。与高危家庭一起工作的治疗师可能需要经过多年的专门培训和持续的反思监督，以促进 PRF 的改善。