Intervención con video-feedback (VIPP-SD) para fomentar la sensibilidad materna en un contexto peruano de vulnerabilidad socioeconómica
DOI:
https://doi.org/10.18800/psico.202601.009Palabras clave:
intervención basada en apego, VIPP-SD, sensibilidad materna, alianza terapéutica, compromiso con la intervenciónResumen
Este estudio busca describir los aspectos clínicos que favorecieron la eficacia de la intervención “Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline” (VIPP-SD) en el caso de una díada de NSE bajo de Lima-Perú. La díada estuvo conformada por la madre de 37 años y su niño de 17 meses, quienes vivían en un contexto de alto riesgo. Se midieron los resultados de la intervención en la sensibilidad materna mediante el Maternal Behaviour Q-Set 3.1. La madre pasó de tener un nivel de sensibilidad de -.53, previo a la intervención, a .78 posterior a esta. La significancia estadística y relevancia clínica de este cambio fue corroborada mediante el indicador RCI y el análisis de indicadores de cambio terapéutico propuestos por Krause et al. (2006). Se discuten las acciones que sirvieron para afianzar la alianza terapéutica y mantener el compromiso de la madre en la intervención.
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Ainsworth, M. D. S., Bell, S. M., & Staton, D. J. (1974). Infant-mother attachment and social development: “Socialization” as a product of reciprocal responsiveness to signals. En M. P. M. Richards (Ed.), The integration of a child in the social world (pp. 99–135). Cambridge University Press.
Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., & Juffer, F. (2003). Less is more: Meta-analyses of sensitivity and attachment interventions in early childhood. Psychological Bulletin, 129(2), 195–215. http://doi.org/10.1037/0033-2909.129.2.195
Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., & Kroonenberg, P. M. (2004). Differences in attachment security between African-American and White children: Ethnicity or socioeconomic status? Infant Behavior and Development, 27(3), 417–433. https://doi.org/10.1016/j.infbeh.2004.02.002
Barone, L., Carone, N., Salazar-Jimenez, J. G., & Ortiz Muñoz, J. A. (2021). Enhancing food habits via sensitivity in rural low-SES mothers of children aged 1-3 living in Colombia: A randomized controlled trial using video-feedback intervention. Attachment & Human Development, 23(6), 831–852. https://doi.org/10.1080/14616734.2020.1784243
Bárrig-Jó, P. Nóblega, M., & Ugarte, A. (2020). Evidencias de Validez Convergente y de Criterio del Maternal Behavior Q-Sort (MBQS) 3.1 en Madres Peruanas. Revista Iberoamericana de Diagnóstico y Evaluación, 3, 117 - 128.
Behrens, K. Y., Hart, S. L., & Parker, A. C. (2012). Maternal sensitivity: Evidence of stability across time, contexts, and measurement instruments. Infant and Child Development, 21(4), 348–355. https://doi.org/10.1002/icd.1747
Berlin, L. J., Zeanah, C. H., & Lieberman, A. F. (2016). Prevention and intervention programs to support early attachment security. A move to the level of the community. En J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (3ra ed., pp. 739–758). The Guilford Press.
Bowlby, J. (1969). El vínculo afectivo. Paidós.
Bowlby, J. (1979). Vínculos afectivos: Formación, desarrollo y pérdida. Morata.
Bowlby, J. (1980). La pérdida afectiva. Paidós.
Bowlby, J. (1988). A secure base. Parent-child attachment and healthy human development. Routledge.
Butler, J., Gregg, L., Calam, R., & Wittkowski, A. (2020). Parents’ perceptions and experiences of parenting programmes: A systematic review and metasynthesis of the qualitative literature. Clinical Child and Family Psychology Review, 23(2), 176–204. https://doi.org/10.1007/s10567-019-00307-y
Carrillo-Larco, R. M., Guzmán-Vilca, W. C., León-Velarde, F., Bernabe-Ortiz, A., Jimenez, M. M., Penny, M. E., Gianella, C., Leguía, M., Tsukayama, P., Hartinger, S. M., Lescano, A. G., Cuba-Fuentes, M. S., Cutipé, Y., Diez-Canseco, F., Mendoza, W., Ugarte-Gil, C., Valdivia-Gago, A., Zavaleta-Cortijo, C., & Miranda, J. J. (2022). Peru – Progress in health and sciences in 200 years of independence. The Lancet Regional Health - Americas, 7, 100148. https://doi.org/10.1016/j.lana.2021.100148
Chacko, A., Jensen, S. A., Lowry, L. S., Cornwell, M., Chimklis, A., Chan, E., Lee, D., & Pulgarin, B. (2016). Engagement in behavioral parent training: Review of the literature and implications for practice. Clinical Child and Family Psychology Review, 19(3), 204–215. https://doi.org/10.1007/s10567-016-0205-2
Colonnesi, C., Draijer, E. M., Stams, G. J., Van der Bruggen, C. O., Bögels, S. M., & Noom, M. J. (2011). The relation between insecure attachment and child anxiety: A meta-analytic review. Journal of Clinical Child & Adolescent Psychology, 40(4), 630–645. https://doi.org/10.1080/15374416.2011.581623
Conde, G., Nóblega, M., Mendoza, C., Nuñez Del Prado, J., & Bárrig, P. (2017, 6-8 de abril). Maternal sensitivity, attachment and socioemotional competence of preschoolers from low socioeconomic status from Lima, Peru [Presentación de póster]. Society for Research in Child Development Biennial Meeting, Austin, Texas, USA. https://doi.org/10.13140/RG.2.2.36335.43685
Coo, S., Somerville, S., Matacz, R., & Byrne, S. (2018). Development and preliminary evaluation of a group intervention targeting maternal mental health and mother-infant interactions: a combined qualitative and case series report. Journal of Reproductive and Infant Psychology, 36(3), 327–343. https://doi.org/10.1080/02646838.2018.1443435
Emmen, R. A. G., Malda, M., Mesman, J., van IJzendoorn, M. H., Prevoo, M. J., & Yeniad, N. (2013). Socioeconomic status and parenting in ethnic minority families: Testing a minority family stress model. Journal of Family Psychology, 27(6), 896–904. https://doi.org/10.1037/a0034693
Euser, S., Vrijhof, C. I., van den Bulk, B. G., Vermeulen, R., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2021). Video-feedback promotes sensitive limit-setting in parents of twin preschoolers: A randomized controlled trial. BMC Psychology, 9(1), 46. https://doi.org/10.1186/s40359-021-00548-z
Fourment, K., Nóblega, M., Conde, G., Núñez, J., & Mesman, J. (2021). Maternal sensitivity in rural Andean and Amazonian Peru. Attachment & Human Development, 23(2), 134–149. https://doi.org/10.1080/14616734.2020.1828515
Fourment, K., Nóblega, M., & Mesman, J. (2022). Attachment theory's core hypotheses in rural Andean Peru. Attachment & Human Development, 24(5), 605–623. https://doi.org/10.1080/14616734.2022.2060272
Fraiberg, S., Adelson, E., & Shapiro, V. (1975). Ghosts in the nursery. A psychoanalytic approach to the problems of impaired infant-mother relationships. Journal of the American Academy of Child Psychiatry, 14(3), 387–421. https://doi.org/10.1016/s0002-7138(09)61442-4
Fundación Baltazar y Nicolas, Pontificia Universidad Católica del Perú, & Copera Infancia. (2022). Perú: Situación de la primera infancia y estado emocional de sus cuidadores en tiempos de pandemia. Resultados de la evaluación continua del impacto de la COVID-19 - Séptima ronda. https://fundacionbaltazarynicolas.org/wp-content/uploads/2022/04/ECIC-19-1.pdf
Gerber, D., Santelices, M. P., Gallardo, A. M., & Mata, C. (2022). Efectividad de una intervención de video-feedback grupal en respuesta sensible de cuidadores de residencias. Terapia Psicológica, 40(2), 213–230. https://doi.org/10.4067/S0718-48082022000200213
Greenberg, L. S., & Paivio, S. C. (1997). Working with emotions in psychotherapy. The Guilford Press.
Grossman, K., Grossman, K., Kindler, H., & Zimmermann, P. (2008). A wider view of attachment and exploration: The influence of mothers and fathers on the development of psychological security from infancy to young adulthood. En J. Cassidy & P. Shaver (Eds.). Handbook of attachment: Theory, research, and clinical applications (2da ed., pp. 857–879). The Guilford Press.
Instituto Nacional de Estadística e Informática. (2017). Encuesta Nacional de Hogares sobre Condiciones de Vida y Pobreza 2016. http://webinei.inei.gob.pe/anda_inei/index.php/catalog/543
Instituto Nacional de Estadística e Informática. (2021). Desarrollo infantil temprano en niñas y niños menores de 6 años. ENDES 2020. https://www.gob.pe/institucion/inei/informes-publicaciones/3296681-desarrollo-infantil-temprano-en-ninas-y-ninos-memores-de-6-anos-de-edad-endes-2020
Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12–19. https://doi.org/10.1037//0022-006x.59.1.12
Juffer, F., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2005). The importance of parenting in the development of disorganized attachment: Evidence from a preventive intervention study in adoptive families. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 46(3), 263–274. https://doi.org/10.1111/j.1469-7610.2004.00353.x
Juffer, F., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (Eds.). (2008). Promoting positive parenting: An attachment-based intervention. Lawrence Erlbaum Associates.
Juffer, F., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2015). Manual Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD) (version 3.0). Leiden University.
Juffer, F., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2017a). Pairing attachment theory and social learning theory in video-feedback intervention to promote positive parenting. Current Opinion in Psychology, 15, 189–194. https://doi.org/10.1016/j.copsyc.2017.03.012
Juffer, F., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2017b). Video-feedback Intervention to promote positive parenting and sensitive discipline (VIPP-SD): Development and meta-analytical evidence of its effectiveness. En H. Steele & M. Steele (Eds.), Handbook of attachment-based interventions (pp. 1–26). The Guilford Press.
Juffer, F., & Bakermans-Kranenburg, M. J. (2018). Working with Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD): A case study. Journal of Clinical Psychology, 74, 1346–1357. https://doi.org/10.1002/jclp.22645
Juffer, F., Bakermans?Kranenburg, M. J., & van Ijzendoorn, M. H. (2018). Video?feedback intervention to promote positive parenting and sensitive discipline: Development and meta?analytic evidence for its effectiveness. En H. Steele & M. Steele (Eds.), Handbook of attachment-based interventions (pp. 1–26). The Guilford Press.
Jukes, L. M., Di Folco, S., Kearney, L., & Sawrikar, V. (2024). Barriers and facilitators to engaging mothers and fathers in family-based interventions: A qualitative systematic review. Child Psychiatry and Human Development, 55(1), 137–151. https://doi.org/10.1007/s10578-022-01389-6
Kalinauskiene, L., Cekuoliene, D., van Ijzendoorn, M. H., Bakermans-Kranenburg, M. J., Juffer, F., & Kusakovskaja, I. (2009). Supporting insensitive mothers: The Vilnius randomized control trial of video-feedback intervention to promote maternal sensitivity and infant attachment security. Child: Care, Health and Development, 35(5), 613–623. https://doi.org/10.1111/j.1365-2214.2009.00962.x
Kennedy, H., Ball, K., & Barlow, J. (2017). How does video interaction guidance contribute to infant and parental mental health and well-being? Clinical Child Psychology and Psychiatry, 22(3), 500–517. https://doi.org/10.1177/1359104517704026
Knafo, H., Murphy, A., Steele, H., & Steele, M. (2018). Treating disorganized attachment in the Group Attachment-Based Intervention (GABI©): A case study. Journal of Clinical Psychology, 74(8), 1370–1382. https://doi.org/10.1002/jclp.22647
Koerting, J., Smith, E., Knowles, M. M., Latter, S., Elsey, H., McCann, D. C., Thompson, M., & Sonuga-Barke, E. J. (2013). Barriers to, and facilitators of, parenting programmes for childhood behaviour problems: A qualitative synthesis of studies of parents’ and professionals’ perceptions. European Child & Adolescent Psychiatry, 22(11), 653–670. https://doi.org/10.1007/s00787-013-0401-2
Krause, M., Parra, de la Parra, G., Arístegui, R., Dagnino, P., Tomicic, A., Valdés, N., Vilches, O., Echávarri, O., Ben-Dov, P., Reyes, L., Altimir, C., & Ramírez, I. (2006). Indicadores genéricos de cambio en el proceso psicoterapéutico. Revista Latinoamericana de Psicología, 38(2), 299–325.
Lieberman, A. F., Padrón, E., van Horn, P., & Harris, W. W. (2005). Angels in the nursery: The intergenerational transmission of benevolent parental influences. Infant Mental Health Journal, 26(6), 504–520. https://doi.org/10.1002/imhj.20071
Lucassen, N., Tharner, A., van IJzendoorn, M. H., Bakermans-Kranenburg, M. J., Volling, B. L., Verhulst, F. C., Tiemeier, H., & Lambregtse-van den Berg, M. P. (2011). The association between paternal sensitivity and infant-father attachment security: A meta-analysis of three decades of research. Journal of Family Psychology, 25(6), 686–992. https://doi.org/10.1037/a0025855
Maza, B. (2009). Psicoanálisis y precariedad: La experiencia en un barrio marginal de Lima. En B. Maza (Ed.), La Casa de la Familia, Una contribución psicoanalítica a la salud pública en el Perú (pp. 21–36). Editorial Universidad Nacional Mayor de San Marcos.
Mesman, J. (2010). Maternal responsiveness to infants: Comparing micro-and macro-level measures. Attachment & Human Development, 12(1), 143–149. https://doi.org/10.1080/14616730903484763
Mesman, J., & Emmen, R. A. (2013). Mary Ainsworth's legacy: A systematic review of observational instruments measuring parental sensitivity. Attachment & Human Development, 15(5-6), 485–506. https://doi.org/10.1080/14616734.2013.820900
Mesman, J., Stolk, M., van Zeijl, J., Alink, L., Juffer, F., Bakermans-Kranenburg, M., van IJzerdoorn, M., & Koot, H. (2008). Extending the video-feedback intervention to sensitive discipline: The early prevention of antisocial behavior. En F. Juffer, M. Bakermans-Kranenburg, & M. van IJzerdoorn (Eds.), Promoting positive parenting. An attachment-based intervention (pp. 171–192). Taylor & Francis.
Mesman, J., Van IJzendoorn, M. H., & Bakermans-Kranenburg, M. J. (2012). Unequal in opportunity, equal in process: Parental sensitivity promotes positive child development in ethnic minority families. Child Development Perspectives, 6(3), 239–250. https://doi.org/10.1111/j.1750-8606.2011.00223.x
Morley, T. E., & Moran, G. (2011). The origins of cognitive vulnerability in early childhood: Mechanisms linking early attachment to later depression. Clinical Psychology Review, 31(7), 1071–1082. https://doi.org/10.1016/j.cpr.2011.06.006
Moss, E., Dubois-Comtois, K., Cyr, C., Tarabulsy, G. M., St-Laurent, D., & Bernier, A. (2011). Efficacy of a home-visiting intervention aimed at improving maternal sensitivity, child attachment, and behavioral outcomes for maltreated children: A randomized control trial. Development and Psychopathology, 23(1), 195–210. https://doi.org/10.1017/S0954579410000738
Mytton, J., Ingram, J., Manns, S., & Thomas, J. (2014). Facilitators and barriers to engagement in parenting programs: A qualitative systematic review. Health Education & Behavior, 41(2), 127–137. https://doi.org/10.1177/1090198113485755
Negrão, M., Pereira, M., Soares, I., & Mesman, J. (2014). Enhancing positive parent-child interactions and family functioning in a poverty sample: A randomized control trial. Attachment & Human Development, 16(4), 315–328. https://doi.org/10.1080/14616734.2014.912485
Nóblega, , M., Bárrig-Jó, P., Conde, L. G., Núñez del Prado, J. V., Carbonell, O. A., Gonzalez, E., Sasson, E., & Weigensberg de Perkal, A.(2016). Cuidado materno y seguridad del apego antes del primer año de vida. Universitas Psychologica, 15, 245-260.
Nóblega, M., Bárrig-Jó, P., & Fourment, K. (2019). Maternal care and attachment security in preschool children. Psicologia: Teoria e Pesquisa, 35.
Nóblega, M., Fourment, K. G., Núñez del Prado, J., Bárrig-Jó, P., Conde, L. G., & Marinelli, F. (2018). Randomized control trial of video-feedback intervention to promote positive parenting in Lima, Peru: A pilot study. Psychology Research, 8, 214 - 223.
Nock, M. K., & Ferriter, C. (2005). Parent management of attendance and adherence in child and adolescent therapy: A conceptual and empirical review. Clinical Child and Family Psychology Review, 8(2), 149–166. https://doi.org/10.1007/s10567-005-4753-0
O’Farrelly, C., Barker, B., Watt, H., Babalis, D., Bakermans-Kranenburg, M., Byford, S., Ganguli, P., Grimås, E., Iles, J., Mattock, H., McGinley, J., Phillips, C., Ryan, R., Scott, S., Smith, J., Stein, A., Stevens, E., van IJzendoorn, M., Warwick, J., & Ramchandani, P. (2021). A video-feedback parenting intervention to prevent enduring behaviour problems in at-risk children aged 12-36 months: The Healthy Start, Happy Start RCT. Health Technology Assessment, 25(29), 1–84. https://doi.org/10.3310/hta25290
Olhaberry, M., Escobar, M., Mena, C., Santelices, M. P., Morales-Reyes, I., Rojas, G., & Martínez, V. (2015). Intervención grupal para reducir la sintomatología depresiva y promover la sensibilidad materna en embarazadas chilenas. Suma Psicológica, 22, 93–101. https://doi.org/10.1016/j.sumpsi.2015.08.002
Olhaberry, M., León, M. J., Seguel, M., & Mena, C. (2015). Video-feedback intervention in mother-baby dyads with depressive symptomatology and relationship difficulties. Research in Psychotherapy: Psychopathology, Process and Outcome, 18(2), 82–92. https://doi.org/10.4081/ripppo.2015.177
Olhaberry, M., León, M. J., Sieverson, C., Escobar, M., Iribarren, D., Morales-Reyes, I., Mena, C., & Leyton, F. (2019). Is it possible to improve early childhood development with a video-feedback intervention directed at the mother-father-child triad? Research in Psychotherapy: Psychopathology, Process and Outcome, 22(2), 244–255. https://doi.org/10.4081/ripppo.2019.324
Parrigon, K. S., Kerns, K. A., Abtahi, M. M., & Koehn, A. (2015). Attachment and emotion in middle childhood and adolescence. Psihologijske Teme/Psychological Topics, 24(1), 27–50.
Pederson, D. R., & Moran, G. (1995). Maternal behaviour Q-Set. En E. Waters, B. E. Vaughn, G. Posada, & K. Kondo-Ikemura (Eds.), Caregiving, cultural and cognitive perspective on secure-base behaviour and working models: New growing points of attachment theory and research. Monographs of the Society for Research in Child Development, 60(2-3, serie 244), 247–254.
Pederson, D., Moran, G., & Bento, S. (1999). Maternal Behaviour Q-Sort manual version 3.1. Department of Psychology, University of Western Ontario.
Pederson, D. R., Moran, G., Sitko, C., Campbell, K., Ghesquire, K., & Acton, H. (1990). Maternal sensitivity and the security of infant-mother attachment: A Q-sort study. Child Development, 61(6), 1974–1983. https://doi.org/10.2307/1130851
Pereira, M., Negrão, M., Soares, I., & Mesman, J. (2014). Decreasing harsh discipline in mothers at risk for maltreatment: A randomized control trial. Infant Mental Health Journal, 35(6), 604–613. https://doi.org/10.1002/imhj.21464
Phaik, L., Chong, M., Eliasa, H., & Ulia, J. (2010). Development of antisocial behaviour. Procedia - Social and Behavioral Science, 7(C), 383–388. https://doi.org/10.1016/j.sbspro.2010.10.052
Posada, G., Trumbell, J., Noblega, M., Plata, S., Peña, P., Carbonell, O. A., & Lu, T. (2016). Maternal sensitivity and child secure base use in early childhood: studies in different cultural contexts. Child Development, 87(1), 297–311. https://doi.org/10.1111/cdev.12454
Runze, J., Pappa, I., van IJzendoorn, M. H., & Bakermans-Kranenburg, M. J. (2022). Conduct problems and hair cortisol concentrations decrease in school-aged children after VIPP-SD: A randomized controlled trial in two twin cohorts. International Journal of Environmental Research and Public Health, 19(22), 15026. https://doi.org/10.3390/ijerph192215026
Santelices, M., Sieverson, C., Gómez, D., Gómez, E., Maureira, M., Pallamares, A., Gabriel, N., Vera, L., Lizana, M., & Reyes, K. (2023). Effects of a video feedback intervention on sensitivity in early childhood teachers in Chile. Early Childhood Education Journal, 51(3), 569–581. https://doi.org/10.1007/s10643-021-01293-z
Santelices, M. P., Farkas, C., & Aracena, M. (2017). Evaluation of the effectiveness of a pilot program that promotes sensitive response in the educational staff of Chilean nursery schools. Children and Youth Services Review, 75, 87–95. https://doi.org/10.1016/j.childyouth.2017.02.023
Sawyer, M. G., Reece, C. E., Sawyer, A. C., Johnson, S. E., Hiscock, H., & Lawrence, D. (2018). Access to health professionals by children and adolescents with mental disorders: Are we meeting their needs? The Australian and New Zealand Journal of Psychiatry, 52(10), 972–982. https://doi.org/10.1177/0004867418760713
Scheff, T. J., Phillips, B. E., & Kincaid, H. (2006). Goffman unbound! A new paradigm for social science (The sociological imagination). Routledge
Sieverson, C., Olhaberry, M., Duarte, J., Morán-Kneer, J., Costa, S., León, M. J., Valenzuela, S., Leyton, F., Honorato, C., & Muzard, A. (2022). Beyond the outcomes: Generic change indicators in a video-feedback intervention with a depressed mother and her baby: A single case study. Research in Psychotherapy: Psychopathology, Process and Outcome, 25(1), 11–21. https://doi.org/10.4081/ripppo.2022.584
Stein, A., Woolley, H., Senior, R., Hertzmann, L., Lovel, M., Lee, J., Cooper, S., Wheatcroft, R., Challacombe, F., Patel, P., Nicol-Harper, R., Menzes, P., Schmidt, A., Juszczak, E., & Fairburn, C. G. (2006). Treating disturbances in the relationship between mothers with bulimic eating disorders and their infants: A randomized, controlled trial of video feedback. The American Journal of Psychiatry, 163(5), 899–906. https://doi.org/10.1176/ajp.2006.163.5.899
Thompson, R. A. (2016). Early attachment and later development: Reframing the questions. En J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (3ra ed., pp. 330–348). The Guilford Press.
Tingey, R., Lambert, M., Burlingame, G., & Hansen, N. (1996). Assessing clinical significance: Proposed extensions to method. Psychotherapy Research, 6(2), 109–123. https://doi.org/10.1080/10503309612331331638
van Zeijl, J., Mesman, J., van IJzendoorn, M. H., Bakermans-Kranenburg, M. J., Juffer, F., Stolk, M. N., Koot, H. M., & Alink, L. R. A. (2006). Attachment-based intervention for enhancing sensitive discipline in mothers of 1- to 3-year-old children at risk for externalizing behavior problems: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 74(6), 994–1005. https://doi.org/10.1037/0022-006X.74.6.994
