Efficacy of parent-infant psychotherapy compared to care as usual in children with regulatory disorders in clinical and outpatient settings: study protocol of a randomised controlled trial as part of the SKKIPPI project

BMC Psychiatry

Mona Katharina Sprengeler¹  Franziska Schlensog-Schuster¹  Kai von Klitzing¹  Petra Vienhues²  Julia Fricke³  Thomas Reinhold³  Anne Berghöfer³  Stephanie Roll³  Thomas Keil⁴  Christiane Ludwig-Körner⁵  Melanie Eckert⁵  Gabriele Koch⁵  Janna Mattheß⁵  Katharina Richter⁶  Lars Kuchinke⁷ 

[1] Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Liebigstrasse 20a, 04103, Leipzig, Germany;Fachklinik für Psychiatrie, Psychosomatik und Psychotherapie, DIAKO Nordfriesland, Flensburg, Germany;Institute of Social Medicine, Epidemiology, and Health Economics, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany;Institute of Social Medicine, Epidemiology, and Health Economics, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany;Institute for Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany;State Institute of Health, Bavarian Health and Food Safety Authority, Bad Kissingen, Germany;International Psychoanalytic University Berlin, Berlin, Germany;International Psychoanalytic University Berlin, Berlin, Germany;Institute of Social Medicine, Epidemiology, and Health Economics, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany;Psychological Methods and Evaluation, International Psychoanalytic University Berlin, Berlin, Germany;

关键词: Mental health;    Clinical assessment;    Focus-based psychodynamic intervention;    Manualised short-term psychotherapy;    Early childhood;    Maternal sensitivity;    Infant psychopathology;   

DOI  :  10.1186/s12888-021-03112-6

来源: Springer

【 摘 要 】

BackgroundThe first years of life are a significant period for child development, when children are particularly sensitive and prone to crises. This early phase lays the foundation for healthy growth. Clinical assessment of psychological symptoms in early infancy and adequate treatment are both important in improving the diagnostic outcome and preventing later long-term developmental consequences. The most common psychological problems in the first 3 years of life are regulatory disorders. The aim of this trial is to investigate the efficacy of Parent-Infant Psychotherapy (PIP) for infants and young children (aged 0–36 months, diagnosed with at least one regulatory disorder) and their mothers, compared to care as usual (CAU).MethodsIn this open multicentre randomised controlled trial, 160 mother-infant dyads are randomised to receive PIP or CAU for 6 weeks of intervention in clinical or outpatient (including home treatment) settings. The primary outcome is the maternal sensitivity (sensitivity scale of the Emotional Availability Scales (EAS)) after 6 weeks. Secondary outcomes include assessment of interaction, mental health problems, attachment, development, psychological factors, treatment adherence, health care system utilisation, and costs, after 6 weeks and 12 months.DiscussionThis study will evaluate whether a manualised focus-based short-term psychodynamic psychotherapeutic intervention in mother-child dyads improves the care situation for families of children diagnosed with regulatory disorders, and helps prevent long-term psychopathologies. Assessment of the intervention in different settings will support the development of more tailored interventions for affected infants and their mothers.Trial registrationGerman Clinical Trial Register, ID: DRKS00017008. Registered 03/20/2019.

【 授权许可】

CC BY