We analysed results from seven American and British studies that compared groups of mothers with and without clinically diagnosed depression, and assessed the attachment category of their infants (under 3 years) using the Strange Situation. The samples were predominantly middle‐income and free of risk factors other than maternal depression. Meta‐analysis using loglinear modelling and standardised residuals showed that the effect of depression on the distribution of infants' attachment was statistically heterogeneous. However, after removing one outlier study, the effect of depression was homogeneous across the remaining six studies. Infants of depressed mothers showed significantly reduced likelihood of secure (B) attachment and marginally raised likelihood of avoidant (A) and disorganised (D) attachment. The first two effects varied considerably in magnitude between studies, whereas the increase in disorganised attachment, from 17% to 28% on average, was consistent.
29 August 2014 in European Eating Disorders Review
Narrative therapy suggests that change happens by paying close attention in therapy to “unique outcomes,” which are narrative details outside the main story (White & Epston, 1990). In this exploratory study, unique outcomes were analyzed in five good-outcome and five poor-outcome psychotherapy cases using the Innovative Moments Coding System (Gonçalves, Matos, & Santos, 2008 Gonçalves , M. M. , Matos , M. , & Santos , A. 2008 . Innovative moments coding system. Version 7.0 . Braga, , Portugal : University of Minho . ( Available from the authors ) [Google Scholar] ). Across 127 sessions, innovative moments were coded in terms of salience and type. In accordance with the theory, results suggest that innovative moments are important to therapeutic change. Poor- and good-outcome groups have a global difference in the salience of the innovative moments. In addition, results suggest that two particular types of innovative moments are needed in narrative therapy for therapeutic change to take place: re-conceptualization and new experiences. Implications for future research using this model of analysis are discussed.
This meta-analysis was conducted to examine predictors of two indicators of inmates’ adjustment to prison life: institutional infractions and health care utilization. Focusing on male prisoners, the final data set consisted of 90 studies and produced 1,815 correlations. Predictors were grouped into personal and contextual characteristics. Regarding institutional infractions, the strongest personal predictors were prior prison misconduct, aggressiveness, impulsiveness, antisocial traits, institutional risk, and younger age. At the contextual level, higher infraction rates were observed in prisons with more gang activity, and in prisons housing more inmates and a larger proportion of maximum security inmates. Major correlates of health care utilization were prior mental health problems, older age, and physical symptoms. Moderator effects were observed for prison sample size, sample selection, length of follow-up, geographic location, and type of analysis. These findings may help to improve prison classification procedures to optimize prisoners’ management and treatment.
18 September 2007 in European Eating Disorders Review