Cited by 170Maternal Mental Health During Pregnancy and PostpartumChild and Adolescent Psychosocial and Emotional DevelopmentAttachment and Relationship Dynamics

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Mom Power: preliminary outcomes of a group intervention to improve mental health and parenting among high-risk mothers

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Muzik, Maria, Rosenblum, Katherine L., Alfafara, Emily A., Schuster, Melisa M., Miller, Nicole M., Waddell, Rachel M., Kohler, Emily Stanton·2015·Archives of Women s Mental Health

DOI 10.1007/s00737-014-0490-zPMC PMC4439267

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Abstract

Maternal psychopathology and traumatic life experiences may adversely impact family functioning, the quality of the parent-child relationship and the attachment bond, placing the child's early social-emotional development at risk. Attachment-based parenting interventions may be particularly useful in decreasing negative outcomes for children exposed to risk contexts, yet high risk families frequently do not engage in programs to address mental health and/or parenting needs. This study evaluated the effects of Mom Power (MP), a 13-session parenting and self-care skills group program for high-risk mothers and their young children (age <6 years old), focused on enhancing mothers' mental health, parenting competence, and engagement in treatment. Mothers were referred from community health providers for a phase 1 trial to assess feasibility, acceptability, and pilot outcomes. At baseline, many reported several identified risk factors, including trauma exposure, psychopathology, poverty, and single parenthood. Ninety-nine mother-child pairs were initially recruited into the MP program with 68 women completing and providing pre- and post-self-report measures assessing demographics and trauma history (pre-assessment only), maternal mental health (depression and post-traumatic stress disorder (PTSD)), parenting, and intervention satisfaction. Results indicate that MP participation was associated with reduction in depression, PTSD, and caregiving helplessness. A dose response relationship was evident in that, despite baseline equivalence, women who attended ≥70 % of the 10 groups (completers; N = 68) improved on parenting and mental health outcomes, in contrast to non-completers (N = 12). Effects were most pronounced for women with a mental health diagnosis at baseline. The intervention was perceived as helpful and user-friendly. Results indicate that MP is feasible, acceptable, and holds promise for improving maternal mental health and parenting competence among high-risk dyads. Further research is warranted to evaluate the efficacy of MP using randomized controlled designs.

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Menke, R. A., Swanson, L. M., Erickson, N. L., Raglan, G. B., Thompson, S., Bullard, K. H., Rosenblum, K. L., Lopez, J. P., & Muzik, M. (2018) · Archives of Women s Mental Health · doi:10.1007/s00737-018-0914-2 · Cited by 19
Parenting and Mental Health needs of Young, Maltreated parents: implications for Prevention of intergenerational child maltreatment
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“, depression and posttraumatic stress disorder [PTSD]), parenting stress, and parenting helplessness (Bohr & BinNoon, 2014; Jacobs et al., 2016; Muzik et al., 2015; Rosenblum et al., 2017).”
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Group interventions for mental health and parenting in parents with adverse childhood experiences: A systematic review and meta‐analysis
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The parental brain, perinatal mental illness, and treatment: A review of key structural and functional changes
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Course of Illness and Treatment Updates for Bipolar Disorder in the Perinatal Period
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Promoting Attachment Through Healing (PATH): Results of a retrospective feasibility study providing trauma‐and‐violence‐informed care to pregnant women
Mantler, T., Jackson, K. T., Walsh, E. J., Jackson, B., Baer, J., Davidson, C. A., Shillington, K. J., & Parkinson, S. (2021) · Journal of Advanced Nursing · doi:10.1111/jan.15117 · Cited by 15
COVID-19’s shadow on families: A structural equation model of parental stress, family relationships, and child wellbeing
von Suchodoletz, A., Bélanger, J. J., Bryan, C., Ali, R., & Nuaimi, S. R. A. (2023) · PLoS ONE · doi:10.1371/journal.pone.0292292 · Cited by 13
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Perinatal depression prevention through the mother-infant dyad: The role of maternal childhood maltreatment
Berry, O. O., Babineau, V., Lee, S., Feng, T., Scorza, P., Werner, E. A., & Monk, C. E. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.04.068 · Cited by 15
Childhood Maltreatment and Motherhood: Implications for Maternal Well-Being and Mothering
Morelen, D. M., Rosenblum, K. L., & Muzik, M. (2017) · Integrating psychiatry and primary care · doi:10.1007/978-3-319-65724-0_2 · Cited by 12
Validation of vulnerability markers of dysfunctions in the socioemotional development of infants
da Silva, D. I., de Mello, D. F., Takahashi, R. F., Hollist, C. S., Mazza, V. D. A., & Veríssimo, M. D. L. Ó. R. (2018) · Revista Latino-Americana de Enfermagem · doi:10.1590/1518-8345.2736.3087 · Cited by 12
“With respect to the marker “presence of instability in family relations,” which did not reach the minimum consensus, the judges’ suggestions were pertinent because negative experiences might lead to vulnerabilities in caregivers, limit childcare support, and lead to neglect and exposure of the child to dangerous situa…”
Background
School age effects of Minding the Baby—An attachment-based home-visiting intervention—On parenting and child behaviors – ERRATUM
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Breaking the cycle: A systematic review of intergenerational transmission of child maltreatment and preventive parenting interventions
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THE IMPACT OF COMMUNITY VIOLENCE, PERSONAL VICTIMIZATION, AND PATERNAL SUPPORT ON MATERNAL HARSH PARENTING
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Mothers with a history of trauma and their children: a systematic review of treatment interventions
van Ee, E., & Meuleman, E. M. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1293005 · Cited by 11
Breaking the cycle of intergenerational trauma: Evaluating the impact of parental adverse childhood experiences on parenting group outcomes using a mixed-methods approach
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Beyond Reactive Attachment Disorder
Boris, N. W., & Renk, K. (2017) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2017.03.003 · Cited by 10
“Mom Power, a 13-session multifamily intervention meant to address the mental health and parenting competence of high-risk mothers who have experienced trauma and who are experiencing psychological symptoms, such as posttraumatic stress disorder or depression, is another promising intervention.(84) This family group in…”
Background
Disparities in Utilization and Delivery Outcomes for Women with Perinatal Mood and Anxiety Disorders
Zivin, K., & Courant, A. (2024) · Journal of Psychiatry and Brain Science · doi:10.20900/jpbs.20240003 · Cited by 12
DYSFUNCTIONS IN THE SOCIO EMOTIONAL DEVELOPMENT OF INFANTS AND ITS RELATED FACTORS: AN INTEGRATIVE REVIEW
da Silva, D. I., de Mello, D. F., Mazza, V. D. A., Toriyama, Á. T. M., & Veríssimo, M. D. L. Ó. R. (2019) · Texto & Contexto - Enfermagem · doi:10.1590/1980-265x-tce-2017-0370 · Cited by 9
Interventions from pregnancy to two years after birth for parents experiencing complex post-traumatic stress disorder and/or with childhood experience of maltreatment
Jones, K., Freijah, I., Brennan, S., McKenzie, J. E., Bright, T. M., Fiolet, R., Kamitsis, I., Reid, C. J., Davis, E. C., Andrews, S., et al. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd014874.pub2 · Cited by 11
A mixed methods study to understand perinatal mental healthcare referral decisions among midwives and health visitors in the UK
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“Observing women’s parenting in their own environment supports a holistic approach to care and also consider the long-term impact of mental ill-health on infants (35).”
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Early Maternal-Efficacy and Competence in First-Time, Low-Income Mothers
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“Examples include SafeCare (Gershater-Molko et al., 2003) and Mom Power (Muzik et al., 2015), which utilize interventions such as Parent–Child Interaction Therapy (PCIT; Drewes et al., 2011) and Dialectical Behavior Therapy for Children (DBT-C; Perepletchikova et al., 2011) to equip both mothers and…”
Background
Interventions during pregnancy or up to two years after birth for parents who are experiencing complex trauma or have experienced maltreatment in their childhood (or both) to improve parenting capacity or socio-emotional well-being
Reid, C. J., McKenzie, J. E., Brennan, S., Bennetts, S. K., Clark, Y., Mensah, F. K., Hokke, S., Ralph, N., Brown, S., Gee, G., et al. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd014874 · Cited by 7
Mom Power: A Parenting Group Intervention for Mothers with Trauma Histories
Lawler, J. M., Rosenblum, K. L., Schuster, M., & Muzik, M. (2017) · Integrating psychiatry and primary care · doi:10.1007/978-3-319-65724-0_11 · Cited by 8
When I Became a Refugee, This Became My Refuge: A Proposal for Implementing a Two-Generation Intervention Using Yoga and Narrative to Promote Mental Health in Syrian Refugee Caregivers and School Readiness in Their Preschool Children
Goodman, G., & Goodman, V. D. (2019) · Journal of Infant Child and Adolescent Psychotherapy · doi:10.1080/15289168.2019.1680939 · Cited by 9
“The literature on trauma supports the idea that movement-based activities can be important for caregivers in reducing the impact of trauma (Edgar-Bailey & Kress, 2010; Hopwood & Schutte, 2017; Javnbakht, Kenari, & Ghasemi, 2009; Muzik et al., 2015).”
Background
A Pilot Study Evaluation of a Parent Group for Survivors of Intimate Partner Violence
Renner, L. M., Driessen, M. C., & Lewis-Dmello, A. (2019) · Journal of Family Violence · doi:10.1007/s10896-019-00118-3 · Cited by 12
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Study protocol: randomized controlled trial of manualized components in home visitation to reduce mothers’ risk for child maltreatment
de Wit, M., Leijten, P. H. O., van der Put, C. E., Asscher, J. J., Bouwmeester-Landweer, M. B. R., & Deković, M. (2020) · BMC Public Health · doi:10.1186/s12889-020-8237-4 · Cited by 8
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Middleton, G., Matvienko‐Sikar, K., Briley, A. L., Dutch, D. C., Morgillo, S., Anderson, J., Schranz, N. K., Margrie, F., Kirby, R., Golley, R. K., et al. (2025) · Midwifery · doi:10.1016/j.midw.2025.104296 · Cited by 7
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Aylward, P., & Williams, A. S. (2023) · Frontiers in Global Women s Health · doi:10.3389/fgwh.2022.1039527 · Cited by 11
“The inclusion of direct standardized observations of the quality of the parenting interaction also answers the call to implement measures of parenting quality which are not wholly reliant on mothers’ self reports (85) and for studies that treat depressed mothers to include measures that address benefits for children (…”
Background
Randomized pilot trial of the “Mom Power” trauma- and attachment-informed multi-family group intervention in treating and preventing postpartum symptoms of depression among a health disparity sample
Jester, J. M., Riggs, J. L., Menke, R. A., Alfafara, E. A., Issa, M., Muzik, M., & Rosenblum, K. L. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1048511 · Cited by 9
“Phase I pilot trial of the Mom Power intervention demonstrated reductions in depression symptoms and probable depression diagnosis (18), with mothers who completed the intervention (i.”
BackgroundMethodInfluential
MIXED‐METHODS EVALUATION OF PARTICIPANT RECRUITMENT AND RETENTION IN THE MOM POWER PARENTING INTERVENTION PROGRAM
Andrew, L. M., Dayton, C. J., Lawler, J. M., Kirk, R., Alfafara, E. A., Schuster, M., Miller, N., Ribaudo, J., Rosenblum, K. L., & Muzik, M. (2017) · Infant Mental Health Journal · doi:10.1002/imhj.21652 · Cited by 8
Informal support and obligation contribute to fewer child behavior problems over time
Radey, M. D., Ledermann, T., & McWey, L. M. (2022) · Family Relations · doi:10.1111/fare.12659 · Cited by 6
Ensuring the fit of an evidence‐based curriculum for high‐risk Latina young mothers using implementation science
Youn, S. J., Silvan, Y. A., Baldwin, M., Chablani‐Medley, A., Patrick, K. A., Shtasel, D. L., & Marques, L. M. (2020) · Journal of Community Psychology · doi:10.1002/jcop.22321 · Cited by 6
The Association Between Exposure to Maternal Depression During Year 2 of a Child’s Life and Future Child Problem Behavior
Guerrero, N., Gangnon, R. E., Curtis, M. A., Valdez, C. R., Ehrenthal, D. B., & Jacobs, E. A. (2020) · Maternal and Child Health Journal · doi:10.1007/s10995-020-03040-z · Cited by 6
University-Community Partnerships to Support Responsive Caregiving: The Hearts and Minds on Babies Implementation Story
Stacks, A. M., Halquist, K., Barron, C. C., Brophy‐Herb, H. E., Muzik, M., Rosenblum, K. L., & Vallotton, C. D. (2023) · Early Childhood Education Journal · doi:10.1007/s10643-022-01440-0 · Cited by 6
“Critical to the delivery of Strong Roots™ programs is how caregivers experience the program facilitators as a secure base and safe haven and have the felt experience of being held in mind, thereby supporting their capacity to offer the same for children (Muzik et al., 2015).”
Effects of Stress and Nativity on Maternal Antenatal Substance Use and Postnatal Mental Disorders
Park, S., Ji, Y., Hong, X., ZUCKERMAN, B. S., Wang, X., & Surkan, P. J. (2021) · Journal of Women s Health · doi:10.1089/jwh.2021.0016 · Cited by 6
“38 Similar interventions may be helpful in decreasing stress levels for unmarried mothers in our sample, thereby reducing the risk of CMDs.”
Maternal representations of their children in relation to feeding beliefs and practices among low-income mothers of young children
Leung, C. Y. Y., Miller, A. L., Lumeng, J. C., Kaciroti, N., & Rosenblum, K. L. (2015) · Appetite · doi:10.1016/j.appet.2015.06.021 · Cited by 6
“Furthermore, interventions to promote positive early parenting in high-risk samples can improve key features of maternal representations (Muzik et al., 2015).”
Background
Parenting in the context of trauma: Dyadic interventions for trauma-exposed parents and their young children
Julian, M. M., Muzik, M., & Rosenblum, K. L. (2018) · Integrating Psychiatry and Primary Care · doi:10.1007/978-3-319-65724-0_9 · Cited by 5
Self-citation
Perinatal Psychotherapy Use and Costs Before and After Federally Mandated Health Insurance Coverage
Zivin, K., Zhang, X., Tilea, A. M., Hall, S. V., Admon, L. K., Vance, A. J., & Dalton, V. K. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.26802 · Cited by 5
Therapeutic Interventions for Trauma-exposed Infants, Young Children, and Their Caregivers
Willheim, E., & Schechter, D. S. (2024) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2024.08.005 · Cited by 7
The Effects of a Relationship-Focused Professional Development Intervention on Infant and Toddler Teachers’ Mindfulness-Based Strategies for Coping
Brophy‐Herb, H. E., Stacks, A. M., Frosch, C. A., Brincks, A. M., Cook, J. L., Vallotton, C. D., Perkins, H. A., Kim, L., Carson, R. L., Muzik, M., et al. (2022) · Early Childhood Education Journal · doi:10.1007/s10643-022-01416-0 · Cited by 6
“HMB was adapted from Mom Power (Muzik et al., 2015; Rosenblum et al., 2018), an evidence-based, multifamily parenting and mental health intervention rooted in attachment theory, trauma-informed practice, self-compassion, and relational empathy.”
A narrative review on emerging issues about war-related trauma in perinatal women: good practice for assessment, prevention, and treatment
Muñoz, M. D. L. F. R., Chrzan‐Dętkoś, M., Uka, A., García-López, H. S., Bina, R., & Le, H. (2024) · Archives of Women s Mental Health · doi:10.1007/s00737-024-01537-y · Cited by 8
Stress-Sensitive Parental Brain Systems Regulate Emotion Response and Motivate Sensitive Child Care
Swain, J. E. (2017) · Springer eBooks · doi:10.1007/978-3-319-65077-7_14 · Cited by 5
Promoting Early Relationships in Infancy and Early Parenthood: Integrating Social and Emotional Policy, Practice, and Research
Weatherston, D. J., & Rosenblum, K. L. (2018) · Springer eBooks · doi:10.1007/978-3-030-03110-7_14 · Cited by 5

Authors: Muzik, M., Rosenblum, K. L., Alfafara, E. A., Schuster, M. M., Miller, N. M., Waddell, R. M., & Kohler, E. S.
Affiliations: University of Michigan (US)
Pine Rest Christian Mental Health Services (US)
Corresponding author: Muzik, Maria
Rosenblum, Katherine L.
ORCID: Muzik, Maria
Rosenblum, Katherine L.
Miller, Nicole M.
Waddell, Rachel M.
Venue: Archives of Women s Mental Health
Publisher: Springer Science and Business Media LLC
Published: 2015-01-11
Volume: 18
Issue: 3
Pages: 507-521
ISSN: 1434-1816 (ISSN-L)
1435-1102
DOI: 10.1007/s00737-014-0490-z
PMC: PMC4439267
OpenAlex: W2031292658
Cited by: 170
References: 96
Citations by year: 2026: 5 · 2025: 13 · 2024: 17 · 2023: 23 · 2022: 14 · 2021: 20 · 2020: 12 · 2019: 14 · 2018: 14 · 2017: 25 · 2016: 8 · 2015: 4
FWCI: 18.23
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Archives of Women s Mental Health (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (UL1TR000433)
National Institute of Mental Health (K23MH080147)
National Center for Research Resources (UL1RR024986)
National Center for Advancing Translational Sciences
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 › Psychology › Social Psychology › Attachment and Relationship Dynamics
Keywords: high-risk mothers, maternal mental health, parenting support, group intervention, maternal depression, post-traumatic stress disorder, trauma exposure, parenting competence, treatment engagement, feasibility and acceptability, single parenthood, poverty, early childhood
MeSH terms: Adult, Child, Preschool, Depression, Female, Humans, Infant, Maternal Behavior, Maternal Welfare, Mothers, Object Attachment, Parent-Child Relations, Patient Acceptance of Health Care, Psychotherapy, Group, Socioeconomic Factors, Stress Disorders, Post-Traumatic, Parenting, Treatment Outcome

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Mom Power: preliminary outcomes of a group intervention to improve mental health and parenting among high-risk mothers

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