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New beginnings for mothers and babies in prison: a cluster randomized controlled trial.
Open accessAbstract
Mothers in prison represent a high-risk parenting population. New Beginnings is an attachment-based group intervention designed specifically for mothers and babies in prison. This cluster randomized trial examined the outcomes for 88 mothers and babies participating in the New Beginnings program and 75 dyads residing in prisons where the intervention did not take place. Outcomes were measured in terms of parental reflective functioning, the quality of parent-infant interaction, maternal depression, and maternal representations. Mothers in the control group deteriorated in their level of reflective functioning and behavioral interaction with their babies over time, whereas the mothers in the intervention group did not. There were no significant group effects on levels of maternal depression or mothers' self-reported representations of their babies over time. An attachment-based intervention may mitigate some of the risks to the quality of the parent-infant relationship for these dyads.
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“A following study (Sleed et al., 2013) used a cluster randomized controlled trial to test the efficacy of the New Beginnings; a group of mothers in prisons where group-intervention was provided was compared to a group of mothers residing in prisons where New Beginnings was not available.”
From Mentalizing makes parenting work: a review about parental reflective functioning and clinical interventions to improve it (2017) · cites this paper as Sleed et al., 2013
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“Results revealed that only mothers who took part in the group interventions showed a statistically significant improvement in reflective functioning, whereas mothers who did not receive the New Beginnings intervention showed a significant decrease in mentalizing both themselves as parents and their child.”
From Mentalizing makes parenting work: a review about parental reflective functioning and clinical interventions to improve it (2017) · cites this paper as Sleed et al., 2013
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“Mothers in the New Beginnings Program also showed some improvements in their interaction with the child, but the degree of change in reflective functioning did not significantly correlate with the degree of change in the mother-child interaction.”
From Mentalizing makes parenting work: a review about parental reflective functioning and clinical interventions to improve it (2017) · cites this paper as Sleed et al., 2013
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Cited by
Sorted by citations
Camoirano, A. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00014 · Cited by 356
Parental Reflective Functioning: Theory, Research, and Clinical Applications
Luyten, P., Nijssens, L., Fonagy, P., & Mayes, L. C. (2017) · The Psychoanalytic Study of the Child · doi:10.1080/00797308.2016.1277901 · Cited by 283
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“Yet, the finding that the New Beginnings program, also mentalization based (Sleed et al., 2013), similarly had no significant effects on maternal depression, suggested that improving mentalization and attachment may not necessarily mitigate depression.”
BackgroundYoon, I. A., Slade, K., & Fazel, S. (2017) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000214 · Cited by 167
“…and ‘lock-downs’ (Messina et al., 2010), high attrition rates (Bradley & Follingstad, 2003; Gussak, 2009; Lanza et al., 2014; Loper & Tuerk, 2011; Sleed et al., 2013; Zlotnick, 2002) partly attributable to scheduling changes (Cole et al., 2007; Loper & Tuerk, 2011) and inmate infractions that…”
InfluentialFonagy, P., Sleed, M., & Baradon, T. (2016) · Infant Mental Health Journal · doi:10.1002/imhj.21553 · Cited by 124
“Thus, the RF measure may be insensitive to treatment change in samples of distressed mothers seeking emotional support, in contrast to high-risk samples of mothers who idealize their baby and the mother–infant relationship and tend to have very concrete representations (Sleed et al., 2013).”
Self-citation
Metadata
- Authors
- Sleed, M., Baradon, T., & Fonagy, P.
- Affiliations
- Anna Freud Centre (GB)
- Corresponding author
- Sleed, Michelle
- Venue
- Attachment & Human Development
- Publisher
- Informa UK Limited
- Published
- 2013-04-04
- Volume
- 15
- Issue
- 4
- Pages
- 349-367
- ISSN
- 1461-6734 (ISSN-L)
- 1469-2988
- PMC
- PMC4066926
- OpenAlex
- W1975890655
- Cited by
- 132
- References
- 53
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 16 · 2023: 14 · 2022: 13 · 2021: 16 · 2020: 14 · 2019: 15 · 2018: 11 · 2017: 10 · 2016: 4 · 2015: 7 · 2014: 3
- FWCI
- 7.48
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Attachment & Human Development (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- National Institute for Health and Care Research (NF-SI-0510-10228)
- Topics
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- incarcerated mothers, parent-infant relationship, attachment-based intervention, parental reflective functioning, parent-infant interaction, maternal depression, maternal representations, group intervention
- MeSH terms
- Adolescent, Adult, Female, United Kingdom, Humans, Infant, Infant, Newborn, Mother-Child Relations, Mothers, Object Attachment, Prisoners, Cluster Analysis, Qualitative Research, Young Adult
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