Examining Maternal Depression and Attachment Insecurity as Moderators of the Impacts of Home Visiting for At-Risk Mothers and Infants

dc.contributor.authorDuggan, Anne K.
dc.contributor.authorBerlin, Lisa J.
dc.contributor.authorCassidy, Jude
dc.contributor.authorBurrell, Lori
dc.contributor.authorTandon, S. Darius
dc.date.accessioned2022-03-08T17:10:27Z
dc.date.available2022-03-08T17:10:27Z
dc.date.issued2009
dc.description©American Psychological Association, 2009. This paper is not the copy of record and may not exactly replicate the authoritative document published in the APA journal. The final article is available, upon publication, at: https://doi.org/10.1037/a0015709en_US
dc.description.abstractHome visiting programs for at-risk mothers and their infants have proliferated nationally in recent years, yet experimental studies of home visiting have yielded mixed findings. One promising strategy for explicating the effects of early home visiting is to examine moderators of program impacts. This study assessed the roles of maternal depression and attachment insecurity as moderators of the impacts of Healthy Families Alaska home visiting services for at-risk mothers and their infants. At-risk families (N = 325) were randomly assigned to home visiting or community services as usual (n = 162 and 163, respectively). Maternal depression and attachment insecurity (attachment anxiety and discomfort with trust/dependence) were measured at baseline. Maternal psychosocial and parenting outcomes were measured when children were 2 years old via maternal self-report, observation, and review of substantiated reports of child maltreatment. Maternal depression and attachment insecurity interacted in their moderation of program impacts. For several outcomes, home visiting impacts were greatest for nondepressed mothers with moderate-to-high discomfort with trust/dependence and for depressed mothers with low discomfort with trust/dependence. Implications for practice and policy are discussed. (APA PsycInfo Database Record (c) 2016 APA, all rights reserved)en_US
dc.description.urihttps://doi.org/10.1037/a0015709
dc.identifierhttps://doi.org/10.13016/eyu6-q4kb
dc.identifier.citationDuggan, A. K., Berlin, L. J., Cassidy, J., Burrell, L., & Tandon, S. D. (2009). Examining maternal depression and attachment insecurity as moderators of the impacts of home visiting for at-risk mothers and infants. Journal of Consulting and Clinical Psychology, 77(4), 788–799.en_US
dc.identifier.urihttp://hdl.handle.net/1903/28538
dc.language.isoen_USen_US
dc.publisherAmerican Psychological Associationen_US
dc.relation.isAvailableAtCollege of Behavioral & Social Sciencesen_us
dc.relation.isAvailableAtPsychologyen_us
dc.relation.isAvailableAtDigital Repository at the University of Marylanden_us
dc.relation.isAvailableAtUniversity of Maryland (College Park, MD)en_us
dc.titleExamining Maternal Depression and Attachment Insecurity as Moderators of the Impacts of Home Visiting for At-Risk Mothers and Infantsen_US
dc.typeArticleen_US

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