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

The DOI matches its Crossref record; 226 of the 226 references it cites were found in a registry or an index.

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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Research works printed but not linked: 20

  1. Chronis A The addition of the "coping with depression course" to behavioral parent training for mothers of children with attention deficit hyperactivity disorder Dissertation Abstracts International 2003 3907 1760
  2. Farrar, 2005, The Effect of a Cognitively Based Parent Training Intervention on Parental Stress
  3. Feliciana, 2005, The Impact of Participation in a Parent Training Program on Maternal Sense of Competency and Stress in Urban African-American Mothers
  4. Sirbu, 1978, Primary prevention: teaching parents behavioral child rearing skills, Family Therapy, 5, 163
  5. Wang, 2005, Effects of a Parent Training Program for Teaching Children with Autism in the People's Republic of China (PhD thesis)
  6. Bogle, 2007, Evaluation of a Brief Group Parent Training Intervention in the Context of an After-School Program for Middle-School Students
  7. Chacko, 2006, Treatment for Single-Mothers of Children Diagnosed with ADHD: A Comparison between a Traditional and an Enhanced Behavioral Parenting Program
  8. Cummings, 2000, Parent training: A Program for Parents of Two- and Three-year-olds (PhD thesis)
  9. Davidson, 2011, A Parent Training Program for Caucasian and Latino Parents of Children with Developmental Delays or Behavioral Difficulties (Psy D dissertation)
  10. Kiebert, 2005, The Effect of Parenthood Education on Self-efficacy, Parent Effectiveness, and the Parent-Child Relationship in an Alternative High School Student Population
  11. Lamb K Addressing the challenges of parenting: parent training with parents of children with ADHD Dissertation Abstracts International 2007 36450
  12. Olivares, 1997, Video paper on the training of mothers: a comparative study, Psicologia Conductual, 5, 237
  13. Openden, 2005, Pivotal Response Treatment for Multiple Families of Children with Autism: Probable Efficacy and Effectiveness of a Group Parent Education Workshop
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  15. Steiman, 2005, Parent training with children with conduct problems: the role of the marital relationship and parental adjustment
  16. Trost, 2007, The Healthy Image Partnership (HIP) parents program: the role of parental involvement in eating disorder prevention (PhD Thesis)
  17. Shribman, 2009, Healthy Child Programme: Pregnancy and the First Five Years of Life
  18. McGuinn, 2003, Adolescents' perceptions of typical inter-parental conflict and quality of parenting: a path to depression and aggression
  19. Patterson, 1992, Antisocial Boys
  20. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration Review Manager (RevMan) 2011

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Metadata

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
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
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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