Cited by 167Attachment and Relationship DynamicsChild and Adolescent Psychosocial and Emotional DevelopmentEarly Childhood Education and Development

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Circle of Security–Parenting: A randomized controlled trial in Head Start

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Cassidy, Jude, Brett, Bonnie E., Gross, Jacquelyn T., Stern, Jessica A., Martin, David R., Mohr, Jonathan J., Woodhouse, Susan S.·2017·Development and Psychopathology

DOI 10.1017/s0954579417000244PMC PMC5543687

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Abstract

Although evidence shows that attachment insecurity and disorganization increase risk for the development of psychopathology (Fearon, Bakermans-Kranenburg, van IJzendoorn, Lapsley, & Roisman, 2010; Groh, Roisman, van IJzendoorn, Bakermans-Kranenburg, & Fearon, 2012), implementation challenges have precluded dissemination of attachment interventions on the broad scale at which they are needed. The Circle of Security–Parenting Intervention (COS-P; Cooper, Hoffman, & Powell, 2009), designed with broad implementation in mind, addresses this gap by training community service providers to use a manualized, video-based program to help caregivers provide a secure base and a safe haven for their children. The present study is a randomized controlled trial of COS-P in a low-income sample of Head Start enrolled children and their mothers. Mothers ( N = 141; 75 intervention, 66 waitlist control) completed a baseline assessment and returned with their children after the 10-week intervention for the outcome assessment, which included the Strange Situation. Intent to treat analyses revealed a main effect for maternal response to child distress, with mothers assigned to COS-P reporting fewer unsupportive (but not more supportive) responses to distress than control group mothers, and a main effect for one dimension of child executive functioning (inhibitory control but not cognitive flexibility when maternal age and marital status were controlled), with intervention group children showing greater control. There were, however, no main effects of intervention for child attachment or behavior problems. Exploratory follow-up analyses suggested intervention effects were moderated by maternal attachment style or depressive symptoms, with moderated intervention effects emerging for child attachment security and disorganization, but not avoidance; for inhibitory control but not cognitive flexibility; and for child internalizing but not externalizing behavior problems. This initial randomized controlled trial of the efficacy of COS-P sets the stage for further exploration of “what works for whom” in attachment intervention.

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Additional file 5 of The COSI trial: a study protocol for a multi-centre, randomised controlled trial to explore the clinical and cost-effectiveness of the Circle of Security-Parenting Intervention in community perinatal mental health services in England
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Additional file 2 of The COSI trial: a study protocol for a multi-centre, randomised controlled trial to explore the clinical and cost-effectiveness of the Circle of Security-Parenting Intervention in community perinatal mental health services in England
Rosan, C., Dijk, K. A.-V., Darwin, Z. J., Babalis, D. S., Cornelius, V., Phillips, R., Richards, L., Wright, H., Pilling, S., Fearon, P. R. M., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22620721
Additional file 6 of The COSI trial: a study protocol for a multi-centre, randomised controlled trial to explore the clinical and cost-effectiveness of the Circle of Security-Parenting Intervention in community perinatal mental health services in England
Rosan, C., Dijk, K. A.-V., Darwin, Z. J., Babalis, D. S., Cornelius, V., Phillips, R., Richards, L., Wright, H., Pilling, S., Fearon, P. R. M., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22620733
Additional file 7 of The COSI trial: a study protocol for a multi-centre, randomised controlled trial to explore the clinical and cost-effectiveness of the Circle of Security-Parenting Intervention in community perinatal mental health services in England
Rosan, C., Dijk, K. A.-V., Darwin, Z. J., Babalis, D. S., Cornelius, V., Phillips, R., Richards, L., Wright, H., Pilling, S., Fearon, P. R. M., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22620736
Additional file 1 of The COSI trial: a study protocol for a multi-centre, randomised controlled trial to explore the clinical and cost-effectiveness of the Circle of Security-Parenting Intervention in community perinatal mental health services in England
Rosan, C., Dijk, K. A.-V., Darwin, Z. J., Babalis, D. S., Cornelius, V., Phillips, R., Richards, L., Wright, H., Pilling, S., Fearon, P. R. M., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22620718
Additional file 4 of The COSI trial: a study protocol for a multi-centre, randomised controlled trial to explore the clinical and cost-effectiveness of the Circle of Security-Parenting Intervention in community perinatal mental health services in England
Rosan, C., Dijk, K. A.-V., Darwin, Z. J., Babalis, D. S., Cornelius, V., Phillips, R., Richards, L., Wright, H., Pilling, S., Fearon, P. R. M., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22620727
Additional file 3 of The COSI trial: a study protocol for a multi-centre, randomised controlled trial to explore the clinical and cost-effectiveness of the Circle of Security-Parenting Intervention in community perinatal mental health services in England
Rosan, C., Dijk, K. A.-V., Darwin, Z. J., Babalis, D. S., Cornelius, V., Phillips, R., Richards, L., Wright, H., Pilling, S., Fearon, P. R. M., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22620724
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Authors: Cassidy, J., Brett, B. E., Gross, J. T., Stern, J. A., Martin, D. R., Mohr, J. J., & Woodhouse, S. S.
Affiliations: University of Maryland, College Park (US)
Lehigh University (US)
Corresponding author: Cassidy, Jude
ORCID: Cassidy, Jude
Brett, Bonnie E.
Gross, Jacquelyn T.
Stern, Jessica A.
Mohr, Jonathan J.
Woodhouse, Susan S.
Venue: Development and Psychopathology
Publisher: Cambridge University Press (CUP)
Published: 2017-04-12
Volume: 29
Issue: 2
Pages: 651-673
ISSN: 0954-5794 (ISSN-L)
1469-2198
DOI: 10.1017/s0954579417000244
PMC: PMC5543687
OpenAlex: W2606645606
Cited by: 167
References: 128
Citations by year: 2026: 10 · 2025: 22 · 2024: 16 · 2023: 27 · 2022: 20 · 2021: 27 · 2020: 17 · 2019: 14 · 2018: 5 · 2017: 9
FWCI: 17.61
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Development and Psychopathology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
University Libraries (University of Maryland) (submittedVersion)
Digital Repository at the University of Maryland (University of Maryland College Park)
Funders: Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD068594)
Topics: Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Social Sciences › Education › Early Childhood Education and Development
Keywords: Circle of Security Parenting, attachment-based intervention, attachment security, disorganized attachment, attachment avoidance, maternal care, inhibitory control, cognitive flexibility, child behavior problems, internalizing problems, maternal depressive symptoms, maternal attachment style, low-income children, Head Start, community service providers, intervention dissemination
MeSH terms: Problem Behavior, Child Behavior, Child, Preschool, Depression, Female, Humans, Male, Mothers, Object Attachment, Psychotherapy, Parenting, Outcome Assessment, Health Care, Early Intervention, Educational, Executive Function

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

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Circle of Security–Parenting: A randomized controlled trial in Head Start

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