The evidence-base for psychodynamic interventions with children under 5 years of age and their caregivers: A systematic review and meta-analysis

The evidence-base for psychodynamic interventions with children under 5 years of age and their caregivers: A systematic review and meta-analysis

Authors
Sleed, M. Li, E. T. Vainieri, I. Midgley, N.
Year
2023
Journal
Journal of Infant, Child & Adolescent Psychotherapy
Volume
Pages
No Pagination Specified
ABSTRACT Experiences in the first years of life can shape a range of outcomes throughout the lifespan. Effective early interventions have the potential to offset negative outcomes associated with early adversity. A broad range of psychodynamic interventions are available to children under five and their caregivers but there is a lack of research synthesizing the current evidence for their effectiveness. This paper presents a systematic review and meta-analysis of the evidence for the effectiveness of psychodynamic interventions for children under 5 years of age and their caregivers. Following a systematic search of 10 databases and screening for eligibility, 77 papers were included in the review. Most studies reported positive outcomes on a range of parent and infant domains. The meta-analyses of controlled studies found significant effects of psychodynamic interventions compared to control conditions on parental reflective functioning, maternal depression, infant behavior, and infant attachment. No significant differences between psychodynamic and control interventions were found for parental stress, and parent-infant interactions. Very few studies were rated as good quality and further high-quality research is needed. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

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Type of intervention

Early Intervention

Treatment and Child Welfare Interventions

Topic

Parenting Skills

Interaction

Attachment

Mentalization

Parental Stress

Postpartum Depression

Intervention

Psychological Treatments

Parent Guidance / Therapy

The organization of interventions

Home-based Interventions

Age group

Infants and Toddlers (0-2 years)

Preschool Aged Children (3-5 years)

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