Video-feedback intervention (VIPP-SD) to promote maternal sensitivity in a Peruvian context of socioeconomic vulnerability
DOI:
https://doi.org/10.18800/psico.202601.009Keywords:
attachment-based intervention, VIPP-SD, maternal sensitivity, therapeutic alliance, intervention engagementAbstract
This study aims to describe clinical aspects that favored the efficacy of the 'Video-feedback intervention to promote positive parenting and sensitive discipline' (VIPP-SD) in a low SES dyad from Lima-Perú. The dyad consisted of a 37-year-old mother and her 17-month-old child living in a high-risk context. The intervention’s results on maternal sensitivity were measured using the Maternal Behaviour Q-Set 3.1. The mother went from a sensitivity score of -.53 before the intervention to .78 after it. This change’s statistical significance and clinical relevance was confirmed using the RCI indicator and the analysis of therapeutic change indicators proposed by Krause et al. (2006). The strategies used to strengthen the therapeutic alliance and maintain maternal commitment to the intervention are discussed.
Downloads
References
Referencias
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
