Cochrane · systematic review · CD010534

Parent‐infant psychotherapy for improving parental and infant mental health

Barlow, J, Bennett, C, Midgley, N, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 50%Low 6 · 50%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Parent‐infant psychotherapy versus control for improving parental and infant mental health: parent mental health and infant attachment

Population: participants with improving parental and infant mental health
6 questions
OutcomeEffectEvidenceStatus / GRADE
Parent mental health meta‐analysis: depression (dichotomous data) ‐ post‐intervention Number depressed
Parent‐infant psychotherapy vs control
RR 0.74 [0.52, 1.04]3 studies · 278 participantsLow
Downgraded: risk of bias, imprecision
Parent mental health meta‐analysis: depression (continuous data) ‐ post‐intervention Validated assessment scales for depression, lower scores are less depressed
Parent‐infant psychotherapy vs control
no estimate extracted4 studies · 356 participantsLow
Downgraded: risk of bias, imprecision
Infant attachment categories meta‐analysis: post‐intervention ‐ attachment category (SSP) secure Ainsworth Strange Situation
Parent‐infant psychotherapy vs control
RR 8.93 [1.25, 63.7]2 studies · 168 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Infant attachment categories meta‐analysis: post‐intervention ‐ attachment category (SSP) disorganised Ainsworth Strange Situation
Parent‐infant psychotherapy vs control
RR 0.32 [0.17, 0.58]2 studies · 168 participantsLow
Downgraded: risk of bias, imprecision
Infant attachment categories meta‐analysis:
Parent‐infant psychotherapy vs control
RR 3.3 [1.82, 6]2 studies · 129 participantsLow
Downgraded: risk of bias, imprecision
Infant attachment categories meta‐analysis:
Parent‐infant psychotherapy vs control
RR 0.8 [0.29, 2.19]2 studies · 129 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency

Parent‐infant psychotherapy versus other (psychoeducational) parenting intervention: parent mental health and infant attachment

Population: participants with improving parental and infant mental health
6 questions
OutcomeEffectEvidenceStatus / GRADE
Parent mental health meta‐analysis: depression continuous data ‐ post‐intervention Validated assessment scales for depression, lower scores are less depressed
Parent‐infant psychotherapy vs other (psychoeducational) parenting intervention: parent mental health and infant attachment
no estimate extracted2 studies · 172 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Parent mental health meta‐analysis: depression continuous data ‐
Parent‐infant psychotherapy vs other (psychoeducational) parenting intervention: parent mental health and infant attachment
no estimate extracted2 studies · 160 participantsLow
Downgraded: risk of bias, imprecision
Infant attachment categories meta‐analysis: post‐intervention ‐ attachment category secure Ainsworth Strange Situation
Parent‐infant psychotherapy vs other (psychoeducational) parenting intervention: parent mental health and infant attachment
RR 0.83 [0.32, 2.13]2 studies · 102 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Infant attachment categories meta‐analysis: post‐intervention ‐ attachment category disorganised Ainsworth Strange Situation
Parent‐infant psychotherapy vs other (psychoeducational) parenting intervention: parent mental health and infant attachment
RR 0.79 [0.34, 1.82]1 study · 36 participantsLow
Downgraded: risk of bias, imprecision
Infant attachment categories meta‐analysis:
Parent‐infant psychotherapy vs other (psychoeducational) parenting intervention: parent mental health and infant attachment
RR 1.61 [0.83, 3.12]2 studies · 136 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Infant attachment categories meta‐analysis:
Parent‐infant psychotherapy vs other (psychoeducational) parenting intervention: parent mental health and infant attachment
RR 0.82 [0.3, 2.22]2 studies · 136 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency