The DOI matches its Crossref record; 129 of the 129 references it cites were found in a registry or an index.
Circle of Security–Parenting: A randomized controlled trial in Head Start
Open accessAbstract
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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“These are important findings because COS-P is a program that has been widely disseminated but not been extensively researched, and of the studies conducted to date, results have been mixed [18, 74, 95].”
From Optimizing parenting and child outcomes following parent–child interaction therapy – toddler: a randomized controlled trial (2024) · cites this paper as [18]
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Cited by
Sorted by citations
Erickson, N. L., Julian, M. M., & Muzik, M. (2019) · International Review of Psychiatry · doi:10.1080/09540261.2018.1563529 · Cited by 182
Slade, A., Holland, M. L., Ordway, M. R., Carlson, E. A., Jeon, S., Close, N., Mayes, L. C., & Sadler, L. S. (2020) · Development and Psychopathology · doi:10.1017/s0954579418001463 · Cited by 170
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Self-citation
Metadata
- 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
- 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
- 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
- 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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