Group Intervention for Imprisoned Mother-Infant Dyads: Effects on Mother's Depression and on Children's Development

Authors

DOI:

https://doi.org/10.21615/cesp.13.3.13

Keywords:

Maternal Depression, Mothers in Prison, Prisons, Children’s Socio-Emotional Development, Group Interventions, Mothers, Pregnancy, Prison, Group Therapy

Abstract

Women may frequently present depressive symptomatology during the peripartum period, it impacts negatively child development and may show an increase when motherhood takes place in prison contexts. Furthermore, the negative effects of maternal depression on children’s development have been demonstrated by research findings. Aim: To evaluate the effect of two group interventions for pregnant women and mother-infant dyads with children under 2 years of age, on maternal depressive symptomatology and on the children’s development. Method: The sample considered 60 incarcerated women from Chilean prisons all over the country; 30 pregnant women and 30 mothers with children under 2 years of age.

Multilevel regression analysis for repeated measures were performed for maternal symptomatology (BDI) in both groups and for children’s development (ASQ-SE) in the dyad’s group. Results: It was observed Significant reductions in the depressive symptomatology frequencies in the pregnant women (b=-3.60, t(29)=-2.66, p=.031) and in the mothers who participated in the dyad’s intervention group (b=-0.1499, t(93)=-5.3, p=<.001), as well as a reduction in child social-emotional development difficulties (b=-15.26, t(18)=-4.107, p=.001). Conclusion: The discussion section addresses the relevance of providing psychological support to imprisoned mother/child dyads, to treat maternal depression and to promote a healthy development of the children who grow up in prison contexts.

Downloads

Download data is not yet available.

Author Biographies

Marcia Olhaberry Huber, Pontificia Universidad Católica de Chile

Profesora Asistente, Escuela de Psicología, Pontificia Universidad católica de Chile

Marta Escobar Venegas, University College London

Child & Adolescent Psychotherapist in Doctoral Training. University College London, British Psychotherapy Foundation, Londres, Reino Unido.

Camila Maluenda Contreras, Gendarmería de Chile.

Psicóloga, Gendarmería de Chile.

References

Agnafors, S., Sydsjö, G., & Svedin, C. G. (2013). Symptoms of depression postpartum and 12 years later-associations to child mental health at 12 years of age. Maternal and Child Health Journal, 17, 405-414. https://doi:10.1007/s10995-012-0985-z

Barlow, J,. Bennett, C., Midgley, N., Larkin, S., & Wei, Y. (2015). Parent‐infant psychotherapy for improving parental and infant mental health. Cochrane Database of Systematic Reviews, 1 (CD010534). https://doi.org/10.1002/14651858.CD010534.pub2

Beck, A., Ward, C., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571. https://doi.org/10.1001/archpsyc.1961.01710120031004

Bowlby, J. (1988). Una base segura. Buenos Aires: Paidós.

Cooper, P., Murray, L., & Halligan, S. (2011). Tratamiento y depresión postparto. En Tremblay RE, Barr RG, Peters RDeV, & Boivin M., (eds.) Enciclopedia sobre Desarrollo de la Primera Infancia [en línea]. Montreal, Quebec: Centre of Excellence for Early Childhood Development, 1-6. Recuperado de http://www.child-encyclopedia.com/documents/Cooper-Murray-HalliganANGxp.pdf.

Birmingham, L., Coulson, D., Mullee, M., Kamal, M., & Gregoire, A. (2006). The mental health of women in prison mother and baby units. Journal of Forensic Psychiatry & Psychology, 17(3), 393–404. https://doi.org/10.1080/14789940600738442

Byrne, M., Goshin, L., & Joestl, S. (2010). Intergenerational transmission of attachment for infants raised in a prison nursery. Attachment and Human Development, 12(4), 375–393. https://doi.org/10.1080/14616730903417011

Chen, Y., Lai, Y., & Lin, C. (2013). The impact of prison adjustment among women offenders: A taiwanese perspective. The Prison Journal, 94, 7–29. https://doi.org/10.1177/0032885513512083

Clark, R., Tluczek, A., & Wenzel, A. (2003). Psychotherapy for postpartum depression: A preliminary report. American Journal of Orthopsychiatry,73, 441-454.

Dolan, R., Birmingham, L., Mullee, M., & Gregoire, A. (2013). The mental health of imprisoned mothers of young children: A follow-up study. Journal of Forensic Psychiatry & Psychology, 24(4), 421–439. https://doi.org/10.1080/14789949.2013.818161

Esposito, M. (2015). Women in prison: unhealthy lives and denied well-being between loneliness and seclusion. Crime, Law and Social Change, 63(3–4), 137–158. https://doi.org/10.1007/s10611-015-9561-y

Field, T. (2011). Prenatal depression effects on development. Infant Behavior and Development, 34, 1-14. https://doi.org/10.1016/j.infbeh.2010.09.008

Gendarmería de Chile. (2015a). Informe de prevalencia de violencia de género en la población penal femenina de Chile. Recuperado de https://html.gendarmeria.gob.cl/doc/vgenero.pdf

Gendarmería de Chile. (2015b). Instrucciones técnicas operativas. Programa de atención para mujeres embarazadas y con hijos/as lactantes. Informe interno de Gendarmeria de Chile. Sin publicar.

Gendarmería de Chile. (2017a). Unidad de Estadística. Recuperado de: https://html.gendarmeria.gob.cl/doc/estadisticas/BoletinEstadistico_Gendarmeria2.pdf

Gendarmería de Chile. (2017b). Orientaciones técnicas específicas. Modalidad residencias de protección para lactantes de madres internas en recintos penitenciarios. Recuperado de https://www.sename.cl/wsename/otros/proteccion/Residencias%20Lactantes%20Madres%20Recluidas.pdf

Hahn-Holbrook, J., Cornwell-Hinrichs, T., & Anaya, I. (2018). Economic and health predictors of national postpartum depression prevalence: A systematic review, meta-analysis, and meta-regression of 291 Studies from 56 countries. Frontiers in Psychiatry, 8, 248. https://doi.org/103389/fpsyt.2017.00248

Huynh-Nhu, L., Perry, D., Genovez, M., & Cardeli, E. (2013). In their own voices: Latinas’ experiences with a randomized controlled trial. Qualitative Health Research, 23, 834-846. https://doi.org/10.1177/1049732313482591

Kamptner, L., Teyber, F., Rockwood, N., & Drzewiecki, D. (2017). Evaluating the efficacy of an attachment-informed psychotherapeutic program for incarcerated parents. Journal of Prison Education and Reentry, 4(2), 62-81. https://dx.doi.org/ 10.15845/jper.v4i2.1058

Ko, J., Rockhill, K., Tong, V., Morrow, B., & Farr, S. (2017). Trends in postpartum depressive symptoms- 27 States, 2004, 2008, and 2012. Morbidity and Mortality Weekly Report, 66(6), 153-158. http://dx.doi.org/10.15585/mmwr.mm6606a1

Koutra, K., Vassilaki, M., Georgiou, V., Koutis, A., Bitsios, P., Chatzi, L., & Kogevinas, M. (2014). Antenatal maternal mental health as determinant of postpartum depression in a population based mother-child cohort (Rhea Study) in Crete, Greece. Social Psychiatry and Psychiatric Epidemiology, 49(5), 711-721. https://doi.org/10.1007/s00127-013-0758-z

Kozinsky, Z., Dudas, R., Devosa, I., Csatordai, S., Tóth, E., Szabó, D., … Pal, A. (2012). Can a brief anterpartum preventive group intervention help reduce postpartum depressive symptomatology? Psychotherapy and Psychosomatics, 81, 98-107. https://doi.org/10.1159/000330035

Lara, M., Navarro, C., & Navarrete, L. (2010). Outcome results of a psycho-educational intervention in pregnancy to prevent PPD: A randomized control trial. Journal of Affective Disorders, 122, 109-117. https://doi.org/10.1016/j.jad.2009.06.024

Loper, A., Carlson, L., Levitt, L., & Scheffel, K. (2009). Parenting stress, alliance, child contact, and adjustment of imprisoned mothers and fathers. Journal of Offender Rehabilitation, 48(6), 483–503. https://doi.org/10.1080/10509670903081300

Loper, A. B., & Tuerk, E. H. (2011). Improving the Emotional Adjustment and Communication Patterns of Incarcerated Mothers: Effectiveness of a Prison Parenting Intervention. Journal of Child and Family Studies, 20(1), 89–101. https://doi.org/10.1007/s10826-010-9381-8

Macaria, G.H., Gallardo, A., Iñiguez, G., & Weisstaub, G. (2019). Desarrollo psicomotor y cortisol salival en niños que viven juntos a sus madres privadas de libertad. Revista Chilena de Pediatría, 90(3), 275-282. https://doi.org/10.32641/rchped.v90i3.690

Milgrom, J., Schembri, C., Ericksen, J., Ross, J., & Gemmill, A. (2011). Towards parenthood: An antenatal intervention to reduce depression, anxiety and parenting difficulties. Journal of Affective Disorders, 130, 385- 394. https://doi.org/10.1016/j.jad.2010.10.045

Ministerio de Justicia y Derechos Humanos. (2017). La política de la reinserción social en Chile: Estado actual y proyecciones. Recuperado de http://www.reinsercionsocial.gob.cl/media/2015/11/documento-reinsercin-baja.pdf

Morrell, J. (2006). Review of interventions to prevent or treat postnatal depression. Clinical Effectiveness in Nursing, 952, 135-161. https://doi.org/10.1016/j.cein.2006.11.006

Mulcahy, R., Reay, R., Wilkinson, R., & Owen, C. (2009). A randomized control trial for the effectiveness of group interpersonal psychotherapy for postnatal depression. Archives of Women’s Mental Health, 13, 125-139. https://doi.org/10.1007/s00737-009-0101-6

Muñoz, R., Le, H., Ippen, C., Díaz, M., Urizar, G., Soto, K., … Lieberman, A. (2007). Prevention of postpartum depression in low-income women: Development of the mamás y bebés/mothers and babies course. Cognitive and Behavioral Practice, 14, 70-83. https://doi.org/10.1016/j.cbpra.2006.04.021

Miller, A. L., Perryman, J., Markovitz, L., Franzen, S., Cochran, S., & Brown, S. (2013). Strengthening incarcerated families: Evaluating a pilot program for children of incarcerated parents and their caregivers. Family Relations, 62(4), 584–596. https://doi.org/10.1111/fare.12029

O'Connell, N. S., Dai, L., Jiang, Y., Speiser, J. L., Ward, R., Wei, W., … Gebregziabher, M. (2017). Methods for analysis of pre-post data in clinical research: A comparison of five common methods. Journal of Biometrics & Biostatistics, 08(1), 1-8. https://dx.doi.org/10.4172%2F2155-6180.1000334

Olhaberry, M., Escobar, M., Mena, C., Santelices, P., Morales-Reyes, I., Rojas, G., & Martínez, V. (2015). Intervención grupal para reducir la sintomatología depresiva y promover la sensibilidad materna en embarazadas chilenas. Revista SUMA Psicológica, 22, 93-101. https://doi.org/10.1016/j.sumpsi.2015.08.002

Olhaberry, M., León, M.J., Seguel, M., & Mena, C. (2015). Video-feddback intervention in mother-baby dyads with depressive symptomatology and relationship difficulties. Research in Psychotherapy: Psychopathology, Process and Outcome, 18(2), 82-92. https://doi.org/10.4081/ripppo.2015.177

Peugh, J. L. (2010). A practical guide to multilevel modeling. Journal of School Psychology, 48(1), 85–112. https://doi:10.1016/j.jsp.2009.09.002

Pilowsky, D., Wickramaratne, P., Talati, A., Tang, M., Hughes, C., Garber, J., ... Weissman, M. (2008). Children of depressed mothers 1 year after the initiation of maternal treatment: findings from the STAR* D-Child Study. American Journal of Psychiatry, 165(9), 1136-1147. https://doi.org/10.1176/appi.ajp.2008.07081286

Podestá, L., Alarcón, A. M., Muñoz, S., Legüe, M., Bustos, L., & Barría, M. (2013). Alteración del desarrollo psicomotor en hijos de mujeres con depresión posparto de la ciudad de Valdivia-Chile. Revista Médica de Chile, 141, 464-470. https://dx.doi.org/10.4067/S0034-98872013000400007

Rahman, A., Malik, A., Sikander, S., Roberts, C., & Creed, F. (2008). Cognitive behavior therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: A cluster-randomised controlled trial. The Lancet, 372, 902-909. https://doi.org/10.1016/S0140-6736(08)61400-2

Santelices, M., Guzmán, M., Aracena, M., Farkas, C., Armijo, I., Pérez-Salas, C., & Borghini, A. (2010). Promoting secure attachment: Evaluation of the effectiveness of an early intervention pilot programme with mother-infant dyads in Santiago, Chile. Child, Care, Health and Development, 37(2), 203-2010. https://doi.org/10.1111/j.1365-2214.2010.01161.x

Squires, J., Bricker, D., Heo, K., & Twombly, E. (2002). Ages & Stages Questionnaires: Social - Emotional. A parent-completed, child-monitoring system for social-emotional behaviors. Baltimore: Brookes.

Squires, J., Bricker, D., & Twombly, E. (2003). The ASQ: SE user’s guide for the ages & stages questionnaires, social-emotional: A parent completed, child-monitoring system for social-emotional behaviors. Baltimore, MD: Brookes.

Stern, D. (1985). El mundo interpersonal del infante. Una perspectiva desde el psicoanálisis y la psicología evolutiva. Buenos Aires: Paidós.

Svanberg , P., Mennet, L., & Spieker, S. (2010). Promoting a secure attachment: A primary prevention practice model. Clinical Child Psychology and Psychiatry, 15, 363-378. https://doi.org/10.1177/1359104510367584

Sleed, M., Baradon, T., & Fonagy, P. (2013). New Beginnings for mothers and babies in prison: A cluster randomized controlled trial. Attachment & Human Development, 15(4), 349–367. https://doi.org/10.1080/14616734.2013.782651

Tandon, S., Perry, D., Mendelson, T., Kemp, K., & Leis, J. (2011). Preventing perinatal depression in low-income home visiting clients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 79, 707-712. https://doi.org/10.1037/a0024895

Tremblay, M. D., & Sutherland, J. E. (2017). The Effectiveness of Parenting Programs for Incarcerated Mothers: A Systematic Review. Journal of Child and Family Studies, 26(12), 3247–3265. https://doi.org/10.1007/s10826-017-0900-8

Walmsley, R. (2005). World Prison Population List (sixth edition), 1–6. Recuperado de https://www.apcca.org/uploads/10th_Edition_2013.pdf

Walmsley, R. (2015). World Female Imprisonment List Women and girls in penal institutions, including pre-trial detainees/remand prisoners. Institute for Criminal Policy Research, 1–13. Recuperado de http://www.prisonstudies.org/news/more-700000-women-and-girls-are-prison-around-world-new-report-shows

Windham Stewart, P. (2016). Creating mother and baby therapy groups in prison: emotional valuation. Psychoanalytic Psychotherapy, 30(2), 152–163. https://doi.org/10.1080/02668734.2016.1167769

Woody, C.A., Ferrari, A.J., Siskind, D.J., Whiteford, H.A., & Harris, M.G. (2017). A systematic review and meta-regression of the prevalence and incidence of perinatal depression. Journal of Affective Disorders, 219, 86-92. http://dx.doi.org/10.1016/j.jad.2017.05.003

Published

2020-11-24

How to Cite

Olhaberry Huber, M., Escobar Venegas, M., & Contreras, C. M. (2020). Group Intervention for Imprisoned Mother-Infant Dyads: Effects on Mother’s Depression and on Children’s Development. CES Psicología, 13(3), 222–238. https://doi.org/10.21615/cesp.13.3.13

Issue

Section

Evaluación y/o Desarrollo de Intervenciones
QR Code
Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views

Some similar items: