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Cited by 68Child Welfare and AdoptionAttachment and Relationship DynamicsChild Abuse and Trauma

Randomized control trial report on the effectiveness of Group Attachment-Based Intervention (GABI©): Improvements in the parent–child relationship not seen in the control group

Steele, Howard, Murphy, Anne, Bonuck, Karen, Meissner, Paul, Steele, Miriam·2019·Development and Psychopathology
DOI 10.1017/s0954579418001621
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Abstract

This paper reports on a randomized control trial involving children less than 3 years old and their mothers who were regarded at risk of maltreating their children by referral agencies. Mothers' risk status derived from a heavy trauma burden (average exposure over the first 18 years of their lives to 10 possible adverse childhood experiences [ACEs] was >5), mental health challenges (15%-28% had experienced a prior psychiatric hospitalization), and prior removal of a child to foster care (20%). Mothers were randomly assigned to either a widely used parenting class known as Systematic Training for Effective Parenting (STEP) or the Group Attachment-Based Intervention (GABI), a multifamily 26-week treatment. The resulting mother-child pairs available for consideration in this baseline versus end-of-treatment report were 35 families in the STEP arm and 43 families in the GABI arm. The focus of this paper is the outcome measure of observed parent-child relationship assessed with the Coding of Interactive Behavior (Feldman, 1998) collected at baseline and end of treatment. In comparison to STEP, results indicated that GABI was linked to significant improvements in maternal supportive presence and dyadic reciprocity, and significant declines in maternal hostility and dyadic constriction (proxies for risk of child maltreatment). These medium-to large-sized effects remained significant even after controlling for mothers' prior ACEs in analysis of covariance procedures. In addition, two small interaction effects of ACEs by treatment type were found, underlining the need for, and value of, treatments that are sensitive to parents' traumatic histories.

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Authors
Steele, H., Murphy, A., Bonuck, K., Meissner, P., & Steele, M.
Affiliations
  • The New School (US)
  • Albert Einstein College of Medicine (US)
  • Montefiore Medical Center (US)
Corresponding author
Steele, Howard
ORCID
Venue
Development and Psychopathology
Publisher
Cambridge University Press (CUP)
Published
2019-02
Volume
31
Issue
1
Pages
203-217
ISSN
  • 0954-5794 (ISSN-L)
  • 1469-2198
DOI
10.1017/s0954579418001621
OpenAlex
W2911984033
Cited by
65
References
54
Citations by year
2026: 5 · 2025: 8 · 2024: 8 · 2023: 7 · 2022: 16 · 2021: 10 · 2020: 9 · 2019: 2
FWCI
16.18
Type
journal article
Language
en
Open access
closed
Licence
www.cambridge.org/core/terms (unspecified, 12 d)
Locations
  • Development and Psychopathology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Safety Research › Child Welfare and Adoption
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords
parent-child relationship, child abuse prevention, adverse childhood experiences, dyadic reciprocity, maternal hostility, early childhood, parenting support
MeSH terms
Adverse Childhood Experiences, Child Abuse, Child, Preschool, Female, Humans, Male, Mother-Child Relations, Mothers, Object Attachment, Outcome and Process Assessment, Health Care, Psychotherapy, Group, Risk Factors, Child of Impaired Parents, Parenting

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