Improving Maternal Representations in High-Risk Mothers: A Randomized, Controlled Trial of the Mom Power Parenting Intervention
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A key mechanism of risk transmission between maternal risk and child outcomes are the mother's representations. The current study examined the effects of an attachment-based, trauma-informed parenting intervention, the Mom Power (MP) program, in optimizing maternal representations of high-risk mothers utilizing a randomized, controlled trial design (NCT01554215). High-risk mothers were recruited from low-income community locations and randomized to either the MP Intervention (n = 42) or a control condition (n = 33) in a parallel design. Maternal representations were assessed before and after the intervention using the Working Model of the Child Interview. The proportion of women with balanced (secure) representations increased in the MP group but not in the control group. Parenting Reflectivity for mothers in the treatment group significantly increased, with no change in the control condition. Participation in the MP program was associated with improvements in a key indicator of the security of the parent-child relationship: mothers' representations of their children.
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Prevention and treatment approaches tend to span multiple levels, including trauma-focused therapy, attachment and relationship-based interventions, and broader strategies that support regulation through sleep, stress management, and health behaviors.
“Prevention and treatment approaches therefore tend to span multiple levels, including trauma-focused therapy, attachment and relationship-based interventions, and broader strategies that support regulation through sleep, stress management, and health behaviors (19, 125–135).”
From Epigenetic changes associated with multi-generational trauma: characterization, mechanisms, and therapeutics (2026) · cites this paper as [131]
The Mom Power Intervention section describes an approach combining attachment-based parenting, parent–child relationship work, mental-health support, and stress-reduction skills. It does not describe trauma-focused therapy or strategies involving sleep and health behaviors; its evidence is also specific to high-risk mothers rather than prevention and treatment approaches generally. No page number is available in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredStructured, relationship-centered programs can improve caregiving functioning and child emotional outcomes in families affected by intergenerational trauma.
“These findings indicate that structured, relationship-centered programs can improve caregiving functioning and child emotional outcomes in families affected by intergenerational trauma (125, 130, 131).”
From Epigenetic changes associated with multi-generational trauma: characterization, mechanisms, and therapeutics (2026) · cites this paper as [131]
The Discussion (page unavailable) reports that the structured, attachment-based Mom Power program improved maternal representations and other parenting indicators among high-risk mothers. It explicitly says future research should test whether those changes lead to improved child social-emotional outcomes; this study does not establish that part of the claim. (LLM, conf=0.90)
Experimental — accuracy not yet measuredThe Mom Power program has been associated with reductions in maternal depression and PTSD symptoms and improvements in attachment-related outcomes.
“The Mom Power program, integrating clinician-guided self-care, social support, and parenting skills, has been associated with reductions in maternal depression and PTSD symptoms and improvements in attachment-related outcomes (131).”
From Epigenetic changes associated with multi-generational trauma: characterization, mechanisms, and therapeutics (2026) · cites this paper as [131]
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Gray, S. A. O., Moberg, S. A., Obus, E. A., Parker, V., Rosenblum, K. L., Muzik, M., Zeanah, C. H., & Drury, S. S. (2022) · Journal of Infant Child and Adolescent Psychotherapy · doi:10.1080/15289168.2022.2045464 · Cited by 7 · see citing works
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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 · see citing works
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Lenain, C., & Taylor, B. L. (2022) · Child & Family Social Work · doi:10.1111/cfs.12987 · Cited by 3 · see citing works
Meijer, L., Thomaes, K., Blankers, M., Deković, M., Franz, M. R., Kleber, R. J., van de Putte, E. M., van Ee, E., Camisasca, E., Fredman, S. J., et al. (2025) · European Journal of Psychotraumatology · doi:10.1080/20008066.2025.2538907 · Cited by 3 · see citing works
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Trauma, Stress, and Post-Traumatic Stress Disorder (PTSD) in Perinatal Period
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“These fi ndings indicate that structured, relationship-centered programs can improve caregiving functioning and child emotional outcomes in families affected by intergenerational trauma (125, 130, 131).”
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Self-citationImpact of Parental Representations and Related Parenting Behavior On Children
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Mom Power via Telemental Health
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Secondary Maltreatment Prevention Programs: A Systematic Review
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- Authors
- Rosenblum, K., Lawler, J., Alfafara, E., Miller, N., Schuster, M., & Muzik, M.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Muzik, Maria
- Venue
- Child Psychiatry & Human Development
- Published
- 2017-09-21
- Volume
- 49
- Issue
- 3
- Pages
- 372-384
- ISSN
- 0009-398X (ISSN-L)
- 1573-3327
- PMC
- PMC5862741
- OpenAlex
- W2756835414
- Cited by
- 54
- References
- 81
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 9 · 2023: 9 · 2022: 9 · 2021: 7 · 2020: 5 · 2019: 2 · 2018: 1 · 2017: 4
- FWCI
- 3.08
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Child Psychiatry & Human Development (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- State of Michigan Department of Community Health (F023865-2009, F029321-2010)
- Michigan Institute for Clinical and Health Research (US) (UL1RR024986-2010)
- RWJ Scholars Program (N012918-2010)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- maternal representations, high-risk mothers, trauma-informed interventions, secure attachment, risk transmission, low-income mothers, parent-child relationship
- MeSH terms
- Adult, Child, Preschool, Female, Humans, Infant, Mother-Child Relations, Mothers, Object Attachment, Poverty, Parenting, Young Adult
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