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Bozicevic L, Lucas C, Magai DN, Ooi Y, Maliwichi L, Sharp H, Gladstone M. Evaluating caregiver-child interactions in low- and middle-income countries: a systematic review of tools and methods. J Reprod Infant Psychol 2024:1-36. [PMID: 38441002 DOI: 10.1080/02646838.2024.2321615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Accepted: 02/16/2024] [Indexed: 03/06/2024]
Abstract
AIMS/BACKGROUND The United Nations Sustainable Development Goals (SDGs) has placed emphasis on improving early child development globally. This is supported through the Nurturing Care Framework which includes responsive caregiving. To evaluate responsive caregiving, tools to assess quality of caregiver-child interactions are used, however there is little information on how they are currently employed and/or adapted particularly in low- and middle-income countries (LMICs) where children have a greater risk of adverse outcomes. The aim of this review is to provide a comprehensive guide on methodologies used to evaluate caregiver-child interaction - including their feasibility and cultural adaptation. DESIGN/METHODS We conducted a systematic review of studies over 20years in LMICs which assessed caregiver-child interactions. Characteristics of each tool, their validity (assessed with COSMIN Risk of Bias checklist), and the quality of the study (Mixed Methods Appraisal Tool) are reported. RESULTS We identified 59 studies using 34 tools across 20 different LMICs. Most tools (86.5%) employed video-recorded observations of caregiver-child interactions at home (e.g. Ainsworth's Sensitivity Scale, OMI) or in the laboratory (e.g. PICCOLO) with a few conducting direct observations in the field (e.g. OMCI, HOME); 13.5% were self-reported. Tools varied in methodology with limited or no mention of validity and reliability. Most tools are developed in Western countries and have not been culturally validated for use in LMIC settings. CONCLUSION There are limited caregiver-child interaction measures used in LMIC settings, with only some locally validated locally. Future studies should aim to ensure better validity, applicability and feasibility of caregiver-child interaction tools for global settings.
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Affiliation(s)
- L Bozicevic
- Department of Primary Care & Mental Health, Institute of Population Health, University of Liverpool, Liverpool, UK
| | - C Lucas
- Department of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK
| | - D N Magai
- Department of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK
| | - Y Ooi
- Department of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK
| | - L Maliwichi
- Department of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK
- Department of Psychology and Medical Humanities, School of Humanities and Social Sciences, University of Malawi, Blantyre, Malawi
| | - H Sharp
- Department of Primary Care & Mental Health, Institute of Population Health, University of Liverpool, Liverpool, UK
| | - M Gladstone
- Department of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK
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Fonagy P, Campbell C, Luyten P. Attachment, Mentalizing and Trauma: Then (1992) and Now (2022). Brain Sci 2023; 13:brainsci13030459. [PMID: 36979268 PMCID: PMC10046260 DOI: 10.3390/brainsci13030459] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Revised: 02/28/2023] [Accepted: 03/02/2023] [Indexed: 03/11/2023] Open
Abstract
This article reviews the current status of research on the relationship between attachment and trauma in developmental psychopathology. Beginning with a review of the major issues and the state-of-the-art in relation to current thinking in the field of attachment about the impact of trauma and the inter-generational transmission of trauma, the review then considers recent neurobiological work on mentalizing and trauma and suggests areas of new development and implications for clinical practice.
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Affiliation(s)
- Peter Fonagy
- Research Department of Clinical, Educational and Health Psychology, University College London, London WC1E 6BT, UK
- Correspondence:
| | - Chloe Campbell
- Research Department of Clinical, Educational and Health Psychology, University College London, London WC1E 6BT, UK
| | - Patrick Luyten
- Research Department of Clinical, Educational and Health Psychology, University College London, London WC1E 6BT, UK
- Faculty of Psychology and Educational Sciences, KU Leuven, B-3000 Leuven, Belgium
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Holla C, Bozicevic L, Sharp H, Chandra PS. The feasibility of using videos to assess maternal sensitivity in low income urban settings in India - The researcher's perspective. Asian J Psychiatr 2021; 61:102672. [PMID: 34020321 DOI: 10.1016/j.ajp.2021.102672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Revised: 03/14/2021] [Accepted: 05/05/2021] [Indexed: 11/20/2022]
Abstract
Maternal sensitivity is one of the parenting dimensions associated with optimal child outcomes. Video-recording mother-child interactions is an objective and methodologically accurate way to assess maternal sensitivity. This research method is widely used in Western settings, but data is lacking in low-and-middle-income countries. We present findings drawn from the Bangalore Child Health and Development Study on the feasibility of video-recording interactions in low income home settings in India. Cultural, personal and practical advantages reported by researchers and strategies implemented to overcome barriers are described in the present letter to inform researchers who intend to use this method in non-Western populations.
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Affiliation(s)
- Chaithra Holla
- Department of Psychiatric Social Work, National Institute of Mental Health and Neurosciences, Bangalore, India.
| | - Laura Bozicevic
- Faculty of Health and Life Sciences, University of Liverpool, UK.
| | - Helen Sharp
- Faculty of Health and Life Sciences, University of Liverpool, UK.
| | - Prabha S Chandra
- National Institute of Mental Health and Neurosciences, Bangalore, India.
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Buisman RSM, Bakermans-Kranenburg MJ, Pittner K, Compier-de Block LHCG, van den Berg LJM, van IJzendoorn MH, Tollenaar MS, Elzinga BM, Lindenberg J, Alink LRA. Parents' experiences of childhood abuse and neglect are differentially associated with behavioral and autonomic responses to their offspring. Dev Psychobiol 2019; 61:888-902. [PMID: 30727029 PMCID: PMC6766986 DOI: 10.1002/dev.21822] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Revised: 11/01/2018] [Accepted: 12/03/2018] [Indexed: 12/03/2022]
Abstract
Although childhood maltreatment has been shown to compromise adaptive parental behavior, little is known what happens in terms of physiological regulation when parents with a history of childhood maltreatment interact with their offspring. Using a sample of 229 parents (131 women), the present study examined whether childhood maltreatment experiences are associated with parents’ behavioral and autonomic responses while resolving conflict with their offspring. Self‐reported experienced child maltreatment was measured using a questionnaire assessing abuse and neglect. Parents (Mage = 52.7 years, rangeage = 26.6–88.4 years) and their offspring (Mage = 24.6 years, rangeage = 7.5–65.6 years) participated in a videotaped parent–offspring conflict interaction task. Parental warmth, negativity, and emotional support were coded. In addition, their pre‐ejection period and respiratory sinus arrhythmia were measured as indicators of underlying sympathetic and parasympathetic nervous system reactivity, respectively. Findings demonstrated that experiences of abuse and neglect were associated with behavioral and physiological responses in different ways. Separating these two types of maltreatment in research and in clinical practice might be important.
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Affiliation(s)
- Renate S M Buisman
- Centre for Forensic Family and Youth Care Studies, Leiden University, Leiden, The Netherlands
| | - Marian J Bakermans-Kranenburg
- Leiden Institute for Brain and Cognition (LIBC), Leiden University, Leiden, The Netherlands.,Clinical Child & Family Studies, VU University Amsterdam, Amsterdam, The Netherlands.,Primary Care Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK
| | - Katharina Pittner
- Centre for Forensic Family and Youth Care Studies, Leiden University, Leiden, The Netherlands.,Leiden Institute for Brain and Cognition (LIBC), Leiden University, Leiden, The Netherlands
| | - Laura H C G Compier-de Block
- Centre for Forensic Family and Youth Care Studies, Leiden University, Leiden, The Netherlands.,Leiden Institute for Brain and Cognition (LIBC), Leiden University, Leiden, The Netherlands
| | - Lisa J M van den Berg
- Leiden Institute for Brain and Cognition (LIBC), Leiden University, Leiden, The Netherlands.,Institute of Psychology, Clinical Psychology Unit, Leiden University, Leiden, The Netherlands
| | - Marinus H van IJzendoorn
- Primary Care Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK.,Department of Psychology, Education and Child Studies, Erasmus University Rotterdam, Rotterdam, The Netherlands
| | - Marieke S Tollenaar
- Leiden Institute for Brain and Cognition (LIBC), Leiden University, Leiden, The Netherlands.,Institute of Psychology, Clinical Psychology Unit, Leiden University, Leiden, The Netherlands
| | - Bernet M Elzinga
- Leiden Institute for Brain and Cognition (LIBC), Leiden University, Leiden, The Netherlands.,Institute of Psychology, Clinical Psychology Unit, Leiden University, Leiden, The Netherlands
| | | | - Lenneke R A Alink
- Centre for Forensic Family and Youth Care Studies, Leiden University, Leiden, The Netherlands.,Leiden Institute for Brain and Cognition (LIBC), Leiden University, Leiden, The Netherlands
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