Cited by 264Maternal Mental Health During Pregnancy and PostpartumChild and Adolescent Psychosocial and Emotional DevelopmentFamily Dynamics and Relationships

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Group-based parent training programmes for improving parental psychosocial health

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Barlow, Jane, Smailagic, Nadja, Huband, Nick, Roloff, Verena, Bennett, Cathy·2012·Cochrane Database of Systematic Reviews

DOI 10.1002/14651858.cd002020.pub3PMC PMC10898322

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Abstract

BACKGROUND: Parental psychosocial health can have a significant effect on the parent-child relationship, with consequences for the later psychological health of the child. Parenting programmes have been shown to have an impact on the emotional and behavioural adjustment of children, but there have been no reviews to date of their impact on parental psychosocial wellbeing. OBJECTIVES: To address whether group-based parenting programmes are effective in improving parental psychosocial wellbeing (for example, anxiety, depression, guilt, confidence). SEARCH METHODS: We searched the following databases on 5 December 2011: CENTRAL (2011, Issue 4), MEDLINE (1950 to November 2011), EMBASE (1980 to week 48, 2011), BIOSIS (1970 to 2 December 2011), CINAHL (1982 to November 2011), PsycINFO (1970 to November week 5, 2011), ERIC (1966 to November 2011), Sociological Abstracts (1952 to November 2011), Social Science Citation Index (1970 to 2 December 2011), metaRegister of Controlled Trials (5 December 2011), NSPCC Library (5 December 2011). We searched ASSIA (1980 to current) on 10 November 2012 and the National Research Register was last searched in 2005. SELECTION CRITERIA: We included randomised controlled trials that compared a group-based parenting programme with a control condition and used at least one standardised measure of parental psychosocial health. Control conditions could be waiting-list, no treatment, treatment as usual or a placebo. DATA COLLECTION AND ANALYSIS: At least two review authors extracted data independently and assessed the risk of bias in each study. We examined the studies for any information on adverse effects. We contacted authors where information was missing from trial reports. We standardised the treatment effect for each outcome in each study by dividing the mean difference in post-intervention scores between the intervention and control groups by the pooled standard deviation. MAIN RESULTS: We included 48 studies that involved 4937 participants and covered three types of programme: behavioural, cognitive-behavioural and multimodal. Overall, we found that group-based parenting programmes led to statistically significant short-term improvements in depression (standardised mean difference (SMD) -0.17, 95% confidence interval (CI) -0.28 to -0.07), anxiety (SMD -0.22, 95% CI -0.43 to -0.01), stress (SMD -0.29, 95% CI -0.42 to -0.15), anger (SMD -0.60, 95% CI -1.00 to -0.20), guilt (SMD -0.79, 95% CI -1.18 to -0.41), confidence (SMD -0.34, 95% CI -0.51 to -0.17) and satisfaction with the partner relationship (SMD -0.28, 95% CI -0.47 to -0.09). However, only stress and confidence continued to be statistically significant at six month follow-up, and none were significant at one year. There was no evidence of any effect on self-esteem (SMD -0.01, 95% CI -0.45 to 0.42). None of the trials reported on aggression or adverse effects.The limited data that explicitly focused on outcomes for fathers showed a statistically significant short-term improvement in paternal stress (SMD -0.43, 95% CI -0.79 to -0.06). We were unable to combine data for other outcomes and individual study results were inconclusive in terms of any effect on depressive symptoms, confidence or partner satisfaction. AUTHORS' CONCLUSIONS: The findings of this review support the use of parenting programmes to improve the short-term psychosocial wellbeing of parents. Further input may be required to ensure that these results are maintained. More research is needed that explicitly addresses the benefits for fathers, and that examines the comparative effectiveness of different types of programme along with the mechanisms by which such programmes bring about improvements in parental psychosocial functioning.

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Authors: Barlow, J., Smailagic, N., Huband, N., Roloff, V., & Bennett, C.
Affiliations: University of Warwick (GB)
University of Cambridge (GB)
University of Nottingham (GB)
MRC Biostatistics Unit (GB)
University of Plymouth (GB)
ORCID: Barlow, Jane
Bennett, Cathy
Venue: Cochrane Database of Systematic Reviews
Publisher: John Wiley & Sons, Ltd
Published: 2012-06-13
Issue: 5
Pages: CD002020-CD002020
ISSN: 1361-6137 (ISSN-L)
DOI: 10.1002/14651858.cd002020.pub3
PMC: PMC10898322
OpenAlex: W1951736428
Cited by: 262
References: 221
Citations by year: 2026: 6 · 2025: 6 · 2024: 15 · 2023: 7 · 2022: 11 · 2021: 32 · 2020: 20 · 2019: 23 · 2018: 33 · 2017: 27 · 2016: 31 · 2015: 19 · 2014: 18 · 2013: 12 · 2012: 1
Type: reference entry
Language: en
Update notices: new_version (2014-05-17)
Open access: green
www.ncbi.nlm.nih.gov
Locations: Cochrane Database of Systematic Reviews (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Apollo (University of Cambridge) (submittedVersion)
Apollo
Funders: Queen's University Belfast
University of Bristol
Queen's University
Medical Research Council
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Social Sciences › Demography › Family Dynamics and Relationships
Keywords: parental depression, parental anxiety, guilt, parental confidence, parent-child relationship, parenting support, child mental health, risk of bias, adverse effects, cost-effectiveness, cost-benefit analysis, cost-utility analysis, cost-effectiveness acceptability
MeSH terms: Anxiety, Depression, Emotions, Female, Humans, Maternal Behavior, Maternal Welfare, Mother-Child Relations, Parents, Paternal Behavior, Self Concept, Program Evaluation, Randomized Controlled Trials as Topic, Parenting

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Group-based parent training programmes for improving parental psychosocial health

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