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Toward fostering resilience on a large scale: Connecting communities of caregivers

Published online by Cambridge University Press:  13 November 2019

Suniya S. Luthar ,
Nina L. Kumar  and
Renee Benoit
Suniya S. Luthar*
Affiliation:
Department of Psychology, Arizona State University, Tempe, AZ, USA Teachers College, Columbia University, New York, NY, USA
Nina L. Kumar
Affiliation:
Authentic Connections, Cambridge, MA, USA
Renee Benoit
Affiliation:
Department of Psychology, Arizona State University, Tempe, AZ, USA
*
Author for Correspondence: Suniya S. Luthar, Department of Psychology, Arizona State University, 950 S. McAllister Ave., Tempe, AZ 85287; E-mail: SLuthar@asu.edu.
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Abstract

In interventions for at-risk children, Tom Dishion strongly exhorted programs that are short term, cost-effective, and delivered in families’ own communities, just as resilience researchers underscore the need for programs that provide ongoing support for children's primary caregivers, and are implementable on a large scale. Presented here are preliminary results on a short-term intervention for mothers, the Authentic Connections Virtual Groups. A previous randomized trial of the in-person version of this program, conducted with mothers at high risk for stress and burnout, showed significant benefits. There had been zero dropouts across the 3-month program, and participants showed significant improvements on psychological indices as well as cortisol, even 3 months after the program ended. In the present study, virtual groups were conducted with five sets of women, all white-collar professionals with highly stressful, exacting careers, and most also primary caregivers of their children. Again, there were zero dropouts. Mean satisfaction ratings were 9.6 of 10, and the Net Promoter Score (promoters vs. detractors) fell in the “world class” range. To illuminate mechanisms of change, participants’ responses to open-ended questions on the groups’ value are presented verbatim. Recurrently mentioned were the development of new, authentic connections and invaluable ongoing support. These results, with the low costs and ease of women's attendance, attest to the value of expanding offerings such as these, toward benefiting even more highly stressed mothers themselves as well as the children for whose care they are responsible.

Keywords

motherspreventionresiliencesocial supportstressInterpersonal Therapy (IPT)
Type
Special Issue Articles
Information
Development and Psychopathology , Volume 31 , Special Issue 5: Honoring the Contributions and Legacy of Thomas Dishion , December 2019 , pp. 1813 - 1825
Copyright
Copyright © Cambridge University Press 2019 

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References

Antonucci, T. C., Arouch, K. J., & Birditt, K. S. (2014). The convoy model: Explaining social relations from a multidisciplinary perspective. Gerontologist, 54, 82–92. doi:10.1093/geront/gnt118Google Scholar
Arizona PBS. (2018). Catalyst: Helping mothers through friendship. Retrieved from https://azpbs.org/catalyst/2018/05/catalyst-helping- mothers-through-friendship/.Google Scholar
Arizona Pubic Media. (2018). Connecting mothers. Retrieved from https://www.youtube.com/watch?v=P_RmMpDL9ZU.Google Scholar
Bernard, K., Simons, R., & Dozier, M. (2015). Effects of an attachment-based intervention on Child Protective Services–referred mothers' event-related potentials to children's emotions. Child Development, 86, 1673–1684. doi:10.1111/cdev.12418Google Scholar
Cicchetti, D. (1996). Child maltreatment: Implications for developmental theory and research. Human Development, 39, 18–39. doi: 10.1159/000278377Google Scholar
Cicchetti, D., & Curtis, W. J. (2006). The developing brain and neural plasticity: Implications for normality, psychopathology, and resilience. In Cicchetti, D. & Cohen, D. J. (Eds.), Developmental psychopathology: Vol. 2. Developmental neuroscience (2nd ed., pp. 1–64). Hoboken, NJ: Wiley.Google Scholar
Cicchetti, D., Rogosch, F. A., & Toth, S. L. (2006). Fostering secure attachment in infants in maltreating families through preventive interventions. Development and Psychopathology, 18, 623–649. doi:10.1017/S0954579406060329Google Scholar
Ciciolla, L., & Luthar, S. S. (2019). Invisible household labor and ramifications for adjustment: Mothers as captains of households. Sex Roles. Advance online publication. doi:10.1007/s11199-018-1001-xGoogle Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillside, NJ: Erlbaum.Google Scholar
Coley, R. L., Sims, J., Dearing, E., & Spielvogel, B. (2018). Locating economic risks for adolescent well-being: Poverty and affluence in families, schools, and neighborhoods. Child Development, 89, 360–369. doi:10.1111/cdev.12771Google Scholar
DeCastro, R., Griffith, K. A., Ubel, P. A., Stewart, A., & Jagsi, R. (2014). Mentoring and the career satisfaction of male and female academic medical faculty. Academic Medicine, 89, 301–311. doi:10.1097/ACM.0000000000000109Google Scholar
Dishion, T. J., & Mauricio, A. M. (2015). The Family Check-Up model as prevention and treatment of adolescent drug (ab)use. In Van Ryzin, M. J., Kumpfer, K. L., Fosco, G. M., & Greenberg, M. T. (Eds.). Family-based prevention programs for children and adolescents: Theory, research, and large-scale dissemination (pp. 86–127). New York: Family Press.Google Scholar
Dishion, T. J., Shaw, D., Connell, A., Gardner, F., Weaver, C., & Wilson, M. (2008). The Family Check-Up with high-risk indigent families: Preventing problem behavior by increasing parents’ positive behavior support in early childhood. Child Development, 79, 1395–1414. doi:10.1111/j.1467-8624.2008.01195.xGoogle Scholar
Dishion, T. J., & Stormshak, E. A. (2007). Intervening in children's lives: An ecological, family-centered approach to mental health care. Washington, DC: American Psychological Association.Google Scholar
Dozier, M., Albus, K., Fisher, P. A., & Sepulveda, S. (2002). Interventions for foster parents: Implications for developmental theory. Development and Psychopathology, 14, 843–860. doi:10.1017/S0954579402004091Google Scholar
Dozier, M., Peloso, E., Lewis, E., Laurenceau, J. P., & Levine, S. (2008). Effects of an attachment-based intervention on the cortisol production of infants and toddlers in foster care. Development and Psychopathology, 20, 845–859. doi:10.1017/S0954579408000400Google Scholar
Dyrbye, L. N., Shanafelt, T. D., Balch, T. D., Satele, D., Sloan, J., & Freischlag, J. (2011). Relationship between work-home comfllcts and burnout among American surgeons: A comparison by sex. Archives of Surgery, 146, 211–217. doi:10.1001/archsurg.2010.310Google Scholar
Geisz, M. B., & Nakasian, M. (2018). Adolescent wellness: Current perspectives and future opportunities in research, policy, and practice. Retrieved from https://www.rwjf.org/en/library/research/2018/06/inspiring-and-powering-the-future--a-new-view-of-adolescence.html.Google Scholar
Goodman, S. H., & Garber, J. (2017). Evidence-based interventions for depressed mothers and their young children. Child Development, 88, 368–377. doi:10.1111/cdev.12732Google Scholar
Hawton, K., Clements, A., Sakarovitch, C., Simkin, S., & Deeks, J. J. (2001). Suicide in doctors: A study of risk according to gender, seniority and specialty in medical practioners in England and Wales, 1979–1995. Journal of Epidemiology and Community Health, 55, 296–300. doi:10.1136/jech.55.5.296Google Scholar
Hochschild, A. R., & Machung, A. (1989). The second shift. New York: Avon Books.Google Scholar
Hofmann, S. G., & Hayes, S. C. (2018). The future of intervention science: Process-based therapy. Clinical Psychological Science, 7, 37–50. doi:10.1177/2167702618772296Google Scholar
Jolly, S., Griffith, K. A., DeCastro, R., Stewart, A., Ubel, P., & Jagsi, R. (2014). Gender differences in time spent on parenting and domestic responsibilities by high-achieving young physician-researchers. Annals of Internal Medicine, 160, 344–353. doi:10.7326/M13-0974Google Scholar
Kalil, A., Ryan, R., & Corey, M. (2012). Diverging destinies: Maternal education and the developmental gradient in time with children. Demography, 49, 1361–1383. doi:10.1007/s13524-012-0129-5Google Scholar
Kazdin, A. E. (2018). Developing treatments for antisocial behavior among children: Controlled trials and uncontrolled tribulations. Perspectives on Psychological Science, 13, 634–650. doi:10.1177/1745691618767880Google Scholar
Klerman, G. L., Weissman, M. M., Rounsaville, B. J., & Chevron, E. S. (1984). Interpersonal psychotherapy of depression. New York: Basis Books.Google Scholar
Leadbeater, B. J., Dishion, T., Sandler, I., Bradshaw, C. P., Dodge, K., Gottfredson, D., … Smith, E. P. (2018). Ethical challenges in promoting the implementation of preventive interventions: Report of the SPR task force. Prevention Science, 19, 853–865. doi:10.1007/s11121-018-0912-7Google Scholar
Levine, R. B., Lin, F., Kern, D. E., Wright, S. M., & Carrese, J. (2011). Stories from early-career women physicians who have left academic medicine: A qualitative study at a single institution. Academic Medicine, 86, 752–758. doi:10.1097/ACM.0b013e318217e83bGoogle Scholar
Levinson, W., Kaufman, K., Clark, B., & Tolle, S. W. (1991). Mentors and role models for women in academic medicine. Western Journal of Medicine, 154, 423.Google Scholar
Lieberman, A. F., Chu, A., Van Horn, P., & Harris, W. W. (2011). Trauma in early childhood: Empirical evidence and clinical implications. Development and Psychopathology, 23, 397–410. doi:10.1017/S0954579411000137Google Scholar
Lieberman, A. F., & Zeanah, C. H. (1999). Contributions of attachment theory to infant–parent psychotherapy and other interventions with infants and young children. In Cassidy, J. & Shaver, P. R. (Eds.), Handbook of attachment (pp. 555–574). New York: Guilford Press.Google Scholar
Lindeman, S., Laara, E., Hakko, H., & Lonnqvist, J. (1995). A systematic review on gender-specific suicide mortality in medical doctors. British Journal of Psychiatry, 168, 274–279. doi:10.1192/bjp.168.3.274Google Scholar
Lund, T. J., Dearing, E., & Zachrisson, H. D. (2017). Is affluence a risk factor for adolescents in Norway? Journal of Research on Adolescence, 27, 628–643.Google Scholar
Luthar, S. S., & Ciciolla, L. (2015). Who mothers mommy? Factors that contribute to mothers’ well-being. Developmental Psychology, 51, 1812–1823. doi:10.1037/dev0000051Google Scholar
Luthar, S. S., Crossman, E. J., & Small, P. J. (2015). Resilience and adversity. In Lerner, R. M. & Lamb, M. E. (Eds.), Handbook of child psychology and developmental science (7th ed., Vol. 3, pp. 247–286). Hoboken, NJ: WIley.Google Scholar
Luthar, S. S., Curlee, A., Tye, S. J., Engelman, J. C., & Stonnington, C. M. (2017). Fostering resilience among mothers under stress: “Authentic Connections Groups” for medical professionals. Women's Health Issues, 27, 382–390. doi:10.1016/j.whi.2017.02.007Google Scholar
Luthar, S. S., Doyle, K., Suchman, N. E., & Mayes, L. (2001). Developmental themes in women's emotional experiences of motherhood. Development and Psychopathology, 13, 165–182. doi:10.1017/S0954579401001110Google Scholar
Luthar, S. S., & Eisenberg, N. (2017). Resilient adaptation among at-risk children: Harnessing science toward maximizing salutary environments. Child Development, 88, 337–349. doi:10.1111/cdev.12737Google Scholar
Luthar, S. S., Kumar, N. L., & Zillmer, N. (In press). High Achieving Schools connote significant risks for adolescents: Problems documented, processes implicated, and directions for interventions. American Psychologist.Google Scholar
Luthar, S. S., & Suchman, N. E. (2000). Relational Psychotherapy Mothers’ Group: A developmentally informed intervention for at-risk mothers. Development and Psychopathology, 12, 235–253. doi:10.1017/S0954579400002078Google Scholar
Luthar, S. S., Suchman, N. E., & Altomare, M. (2007). Relational Psychotherapy Mothers Group: A randomized clinical trial for substance abusing mothers. Development and Psychopathology, 19, 243–261. doi:10.1017/S0954579407070137Google Scholar
Luthar, S. S., & Zelazo, L. B. (2003). Research on resilience: An integrative review. In Luthar, S. S. (Ed.), Resilience and vulnerability: Adaptation in the context of childhood adversities (pp. 510–549). New York: Cambridge University Press.Google Scholar
Luthar, S. S., & Zigler, E. (1991). Vulnerability and competence: A review of research on resilience in childhood. American Journal of Orthopsychiatry, 61, 6–22. doi:10.1037/h0079218Google Scholar
Masten, A. S. (2007). Resilience in developing systems: Progress and promise as the fourth wave rises. Development and Psychopathology, 19, 921–930. doi:10.1017/S0954579407000442Google Scholar
Masten, A. S. (2018). Resilience theory and research on children and families: Past, present, and promise. Journal of Family Theory & Review, 10, 12–31. doi:10.1111/jftr.12255Google Scholar
Masten, A. S., Best, K. M., & Garmezy, N. (1990). Resilience and development: Contributions from the study of children who overcome adversity. Development and Psychopathology, 2, 425–444. doi:10.1017/S0954579400005812Google Scholar
McMickens, C. L., Clayton, A., Rosenthal, M. S., Wallace, L. R., Howell, H. B., Bell, G. D., & Smith, M. V. (2019). A qualitative exploration of mothers’ experiences receiving mental health services in a supermarket setting. Maternal and Child Health Journal, 23, 479–485. doi:10.1007/s10995-018-2646-3Google Scholar
Medallia, . (2019). Retrieved from https://www.medallia.com/net-promoter-score/.Google Scholar
Morris, A. S., Robinson, L. R., Hays-Grudo, J., Claussen, A. H., Hartwig, S. A., & Treat, A. E. (2017). Targeting parenting in early childhood: A public health approach to improve outcomes for children living in poverty. Child Development, 88, 388–397. doi:10.1111/cdev.12743Google Scholar
National Academies of Science, Engineering and Medicine. (2019). Culture of health: Committee on community based solutions to promote health equity in the United States. Retrieved from http://www.nationalacademies.org/hmd/Activities/PublicHealth/Culture-of-Health.aspx.Google Scholar
PBS Cronkite News. (2018, April 16). Why some women under stress struggle to find a mental balance. https://www.youtube.com/watch?v=UUOigHRBJjMGoogle Scholar
PBS NewsHour. (2019). Connecting mothers. Retrieved from https://www.pbs.org/video/april-27-2019-pbs-newshour-weekend-full-episode-1556392237/.Google Scholar
Penney, A. M., Miedema, V. C., & Mazmanian, D. (2015). Intelligence and emotional disorders: Is the worrying and ruminating mind a more intelligent mind? Personality and Individual Differences, 74, 90–93. doi:10.1016/j.paid.2014.10.005Google Scholar
Pollack, E. (2018). New Cigna study reveals loneliness at epidemic levels in America. Retrieved from https://www.cigna.com/newsroom/news-releases/2018/new-cigna-study-reveals-loneliness-at-epidemic-levels-in-america.Google Scholar
Pruett, M. K., Pruett, K., Cowan, C. P., & Cowan, P. A. (2017). Enhancing father involvement in low-income families: A couples group approach to preventive intervention. Child Development, 88, 398–407. doi:10.1111/cdev.12744Google Scholar
Ramey, G., & Ramey, V. A. (2010). The rug rat race. Brookings Papers on Economic Activity, 41, 129–176. doi:10.1353/eca.2010 .0003Google Scholar
Richardson, J. T. (2011). Eta squared and partial eta squared as measures of effect size in educational research. Educational Research Review, 6, 135–147. doi:10.1016/j.edurev.2010.12.001Google Scholar
Rogers, C. R. (1961). On becoming a person: A therapist's view of psychotherapy. Boston: Houghton Mifflin.Google Scholar
Rotheram-Borus, M. J., Swendeman, D., & Chorpita, B. F. (2012). Disruptive innovations for designing and diffusing evidence-based interventions. American Psychologist, 67, 463–476. doi:10.1037/a0028180Google Scholar
Sandler, I., Ingram, A., Wolchik, S., Tein, J., & Winslow, E. (2015). Long-term effects of parenting-focused preventive interventions to promote resilience of children and adolescents. Child Development Perspectives, 9, 164–171. doi:10.1111/cdep.12126Google Scholar
Sandler, I., Wolchik, S. A., Cruden, G., Mahrer, N. E., Ahn, S., Brincks, A., & Brown, C. H. (2014). Overview of meta-analyses of the prevention of mental health, substance use, and conduct problems. Annual Review of Clinical Psychology, 10, 243–273. doi:10.1146/annurev-clinpsy-050212-185524Google Scholar
Smith, M.V., Callinan, L., Posner, C., Ciargello, M., & Holmes, S. (In press). The MOMS Partnership: Reducing maternal depressive symptoms through a place-based, community partnered approach. Health Affairs.Google Scholar
Stice, E., Shaw, H., Bohon, C., Marti, C. N., & Rohde, P. (2009). A meta-analytic review of depression prevention programs for children and adolescents: Factors that predict magnitude of intervention effects. Journal of Consulting and Clinical Psychology, 77, 486–503. doi:10.1037/a0015168Google Scholar
Taylor, Z. E., & Conger, R. D. (2017). Promoting strengths and resilience in single-mother families. Child Development, 88, 350–358. doi:10.1111/cdev.12741Google Scholar
Telis, G. (2018). Who's there to mother mommy? Far too often, no one. Retrieved from https://www.centerforhealthjournalism.org/2018/05/22/who-s-there-mother-mommy-far-too-often-no-one.Google Scholar
Toth, S. L., Gravener-Davis, J. A., Guild, D. J., & Cicchetti, D. (2013). Relational interventions for child maltreatment: Past, present, and future perspectives. Development and Psychopathology, 25(4, Pt. 2), 1601–1617. doi:10.1017/S0954579413000795Google Scholar
Toth, S. L., Rogosch, F. A., Manly, J. T., & Cicchetti, D. (2006). The efficacy of toddler-parent psychotherapy to reorganize attachment in the young offspring of mothers with major depressive disorder: A randomized preventive trial. Journal of Consulting and Clinical Psychology, 74, 1006–1016. doi:10.1037/0022-006X.74.6.1006Google Scholar
Twenge, J. M., Cooper, A. B., Joiner, T. E., Duffy, M. E., & Binau, S. G. (2019). Age, period, and cohort trends in mood disorder indicators and suicide-related outcomes in a nationally representative dataset, 2005–2017. Journal of Abnormal Psychology, 28, 185–199. doi:10.1037/abn0000410Google Scholar
Ungar, M. (2012). Researching and theorizing resilience across cultures and contexts. Preventive Medicine, 55, 387–389. doi:10.1016/j.ypmed.2012.07.021Google Scholar
Valentino, K. (2017). Relational interventions for maltreated children. Child Development, 88, 359–367. doi:10.1111/cdev.12735Google Scholar
Weisz, J. R., Kuppens, S., Ng, M. Y., Vaughn-Coaxum, R. A., Ugueto, A. M., Eckshtain, D., & Corteselli, K. A. (2019). Are psychotherapies for young people growing stronger? Tracking trends over time for youth anxiety, depression, attention-deficit/hyperactivity disorder, and conduct problems. Perspectives on Psychological Science, 14, 216–237. doi:10.1177/1745691618805436Google Scholar
Weisz, J. R., Ng, M. Y., & Bearman, S. K. (2014). Odd couple? Re-envisioning the relation between science and practice in the dissemination-implementation era. Clinical Psychological Science, 2, 58–74. doi:10.1177/2167702613501307Google Scholar
Werner, E. E. (1990). Protective factors and individual resilience. In Meisels, S. J. & Shonkoff, J. P. (Eds.), Handbook of early childhood intervention (pp. 115–134). New York: Cambridge University Press.Google Scholar
West, C. P., Dyrbye, L. N., Rabatin, J. T., Call, T. G., Davidson, J. H., Multari, A., … Shanafelt, T. D. (2014). Intervention to promote physician well-being, job satisfaction, and professionalism: A randomized clinical trial. JAMA Internal Medicine, 174, 527–533. doi:10.1001/jamainternmed.2013.14387Google Scholar
Yalom, I. D. (1995). The theory and practice of group psychotherapy. New York: Basic Books.Google Scholar
Yan, J. (2019). Good Net Promoter Score (NPS): What is it? Retrieved from https://www.questionpro.com/blog/nps-considered-good-net-promoter-score/amp/.Google Scholar
Yusuf, J. (2019). How ACEs screening can break the silence on sexual abuse. Retrieved from https://www.acesconnection.com/blog/how-aces-screening- can-break-the-silence-on-sexual-abuse.Google Scholar
Zigler, E. F., & Glick, M. (2001). A developmental approach to adult psychopathology. Hoboken, NJ: Wiley.Google Scholar