Family Intervention in the Initial Adaptation of Adoptive Families: Systematic Review

Silberfarb, Monique Schwochow; Silva, Patrícia Santos da; Frizzo, Giana Bitencourt

doi:10.1590/1413-82712023280112

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Article • Psico-USF 28 (1) • Jan-Mar 2023 • https://doi.org/10.1590/1413-82712023280112 copy

Family Intervention in the Initial Adaptation of Adoptive Families: Systematic Review

Intervenção Familiar na Adaptação Inicial das Famílias Adotivas: Revisão Sistemática

Intervención Familiar en la Adaptación Inicial de las Familias Adoptivas: Revisión Sistemática

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Considering the importance of mapping family interventions practices aimed specifically to adoption, this study sought to identify through a systematic review, how family intervention models for adoptive families are structured in initial adaptation with children from 0 to 6 years old. Four databases were consulted, which led to 9.143 results: Google Scholar (n=8.056), Science Direct (n=814), SciELO (n=43) and PsycINFO (n=230). Seven articles considered pertinent to the proposal of this study were included. As a result, it was identified that most part of the interventions were not systematically described. Although promising results were indicated, replication would not be viable due to the lack of detailing of the performed practices. There was no hegemony in the choice of intervention models. Also, it was indicated that the specificity for adoption in the interventions analyzed is not clear.

Keywords:
adoption (child); adopted children; adoptive families; family therapy; systematic review.

Id	Article title	Authors	Year	Country	Outline	Analysis	Theoretical Base
A1	Duplicity and illusion in families formed by international adoptionLoncan, A. (2004). Duplicity and illusion in families formed by international adoption. Funzione Gamma, 426, 1-9. http://www.funzionegamma.it/wp-content/uploads/01_Loncan_en.pdf http://www.funzionegamma.it/wp-content/u...	Loncan, A.	2004	France	Clinical Report	Qualitative	Psychoanalysis
A2	The importance of parenting in the development of disorganized attachment: evidence from a preventive intervention study in adoptive familiesJuffer, 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, 46(3), 263-274. https://doi.org/10.1111/j.1469-7610.2004.00353.x https://doi.org/10.1111/j.1469-7610.2004...	Juffer, F., Bakermans-Kranenburg, F. J., & Van IJzendoorn, M. H.	2005	Netherlands	Randomized intervention study	Quantitative	Attachment theory
A3	The Marte Meo method as a means of supporting new adoptive parentsOsterman, G., Möller, A., & Wirtberg, I. (2010). The Marte Meo method as a means of supporting new adoptive parents. Adoption & Fostering, 34(2), 49-57. https://doi.org/10.1177/030857591003400207 https://doi.org/10.1177/0308575910034002...	Osterman, G., Möller, A., & Wirtberg, I.	2010	Sweden	Intervention study	Qualitative	Attachment theory
A4	Parent-Child Interaction Therapy as an attachment-based intervention: Theoretical rationale and pilot data with adopted childrenAllen, B., Timmer, S. G., & Urquiza, A. J. (2014). Parent-Child Interaction Therapy as an attachment-based intervention: Theoretical rationale and pilot data with adopted children. Children and Youth Services Review, 47(3), 334-341. https://doi.org/10.1016/j.childyouth.2014.10.009 https://doi.org/10.1016/j.childyouth.201...	Allen, B., Timmer, S. G., & Urquiza, A. J.	2014	United States	Pilot Study	Quantitative	Attachment theory
A5	A proposal for a brief-term post-adoption intervention in the attachment-perspective: a single case study with a late-adopted child and his adoptive motherPace, C. S., D’Onofrio, E., Guerriero, V., & Zavattini, G. C. (2016). A proposal for a brief-term post-adoption intervention in the attachment-perspective: a single case study with a late-adopted child and his adoptive mother. Research in Psychotherapy: Psychopathology, Process and Outcome, 19(1), 31-40. https://doi.org/10.4081/ripppo.2016.197 https://doi.org/10.4081/ripppo.2016.197...	Pace, C.S., D’Onofrio, E., Guerriero, V., & Zavattini, G. C.	2016	Italy	Single case study and follow up after 7 years	Quantitative and qualitative	Attachment theory
A6	Clinical improvements in adopted children with fetal alcohol spectrum disorders through neurodevelopmentally informed clinical intervention: A pilot studyZarnegar, Z., Hambrick, E. P., Perry, B. D., Azen, S. P., & Peterson, C. (2016). Clinical improvements in adopted children with fetal alcohol spectrum disorders through neurodevelopmentally informed clinical intervention: a pilot study. Clinical child psychology and psychiatry, 21(4), 551-567. https://doi.org/10.1177/1359104516636438 https://doi.org/10.1177/1359104516636438...	Zarnegar, Z., Hambrick, E. P., Perry, B. D., Azen, S. P., & Peterson, C.	2016	United States	Pilot Study	Quantitative	Neurodevelopment
A7	Adopting Minds - a mentalization-based therapy for families in a post-adoption support service: preliminary evaluation and service user experienceMidgley, N., Alayza, A., Lawrence, H., & Bellew, R. (2018). Adopting Minds-a mentalization-based therapy for families in a post-adoption support service: preliminary evaluation and service user experience. Adoption & Fostering, 42(1), 22-37. https://doi.org/10.1177/0308575917747816 https://doi.org/10.1177/0308575917747816...	Midgley, N., Alayza, A., Lawrence, H., & Bellew, R.	2018	United Kingdom	Preliminary evaluation of an intervention	Quantitative and qualitative	Mentalization-based family therapy

Id	Participants	Demand	Intervention	Objective of the intervention	Techniques used	Location and number of meetings	Main results
A1	1 Family: parents and their adopted daughters (biological half-sisters).	Mother’s complaint of anger, frustration and fraternal rivalry presented by one daughter (identified patient).	Psychoanalytic Family Therapy.	Contribute to the redevelopment of the psychic space of the family involvement in formation.	Not informed.	Not informed.	Improvement of the symptoms of the child (identified patient); greater prominence of the sister targeted by fraternal rivalry; improvement of the bond and establishment of intimacy between family members.
A2	130 dyads (mother-baby): with first adopted child under 6 months of age.	Not informed (participants recruited through adoption agencies).	Book and video-feedback.	Improve sensitive responsiveness and promote secure attachment relationships between babies and parents and child competence.	Book with suggestions for sensitive parenting; Meetings with video-feedback.	In the family home and in the research laboratory: 5 meetings: pre- and post- tests plus 3 video-feedback interventions.	Decreased disorganized attachment rate through combined book and video-feedback intervention; improvement in maternal sensitive responsiveness.
A3	7 fathers and mothers with one adopted child aged 5 to 15 months.	General information and advice on parenting and how to come to a better understanding of your children. Moreover, more specific help on issues regarding attachment, hyperactivity or how to help your child at mealtime.	Marte Meo method: an intervention with video-feedback.	Helping parents in the needs of their child at the different stages of their development and stimulate them to modify their behavior in a way that aims to promote the development of the child.	Meetings with video-feedback.	In the family home: between 3 and 7 meetings per family (about 6 months of intervention).	The parents perceived the intervention as positive; it was observed that most parents adopt a too fast pace for the child; the fathers expressed interest in focusing on seeing the children, while the mothers were more concerned about seeing the relationship with the child.
A4	Number of families not reported: dyads or triads (85 adopted children aged 2 to 8 years old).	Children referred for treatment due to disruptive behaviors and behaviors that are difficult to manage.	Parent-child interaction therapy: an intervention in the mirror room, with hidden therapists directing parents’ actions with their children.	Increase positive parenting skills, reduce children’s behavior problems, reduce parental stress, and improve parent-child relationship.	Didactic Training; Behavior guided, through listening apparatus, by therapists.	In the outpatient clinic of a University hospital: the average number of appointments (including evaluations) was 17.26 (SD=6.7), lasting from 14 to 20 weeks.	Significant improvements in positive parenting techniques; reductions in parental stress and reductions in children’s externalizing and internalizing behaviors.
A5	1 Dyad (mother and son of 6 years).	The mother thought she was becoming more and more distant from her son.	Brief attachment-oriented clinical intervention, focused on a multi-method evaluation of attachment, relationships, and representations.	Help the mother increase her maternal sensitivity and reflect on her mental states of attachment and their influence on the mother-child relationship.	Video-feedback; feedback of the interview on attachment in adults.	In a Clinical Center: 5 visits (2 evaluations, 2 interventions and 1 feedback), plus 1 appointment for follow-up after 7 years.	Modification of the adopted child’s attachment pattern for greater security. Highlighting the importance of intervention in the first months after adoption.
A6	Number of families not reported: dyads or triads (10 adopted children, aged between 10 and 53 months).	Young children with Fetal Alcohol Syndrome Spectrum Disorder and with comorbid experiences of mistreatment or loss.	Combination of techniques: series of regulatory, somatosensory, relational and cognitive enrichments.	Help parents make decisions based on clinical knowledge of a child’s current developmental functions.	Neurosequential model of therapy; parent-child psychotherapy; conscious parental education.	In a community mental health outpatient clinic: from 24 to 48 meetings, over 6 months).	Improved scores of various measures of child development; parental care skills improved while stress decreased.
A7	36 families: dyads or triads - 32 cases with available data (59 parents and 42 children, aged 2 to 17 years old).	Referred families: social and emotional concerns, emotional regulation and challenging behavior of the child.	Systemic family therapy with adapted treatment based on mentalization.	Help build trust, improve the relationship and help parents and children understand each other.	Adaptation of mentalization-based treatment for families	In the space of a non-governmental organization (NGO): 6 meetings.	Positive results in parental mental health and self-efficacy; reports of high levels of satisfaction with therapy; helped parents in the struggles they faced, such as their children’s past experiences.

Universidade de São Francisco, Programa de Pós-Graduação Stricto Sensu em Psicologia R. Waldemar César da Silveira, 105, Vl. Cura D'Ars (SWIFT), Campinas - São Paulo, CEP 13045-510, Telefone: (19)3779-3771 - Campinas - SP - Brazil
E-mail: revistapsico@usf.edu.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Contact: Rua Ramiro Barcelos, 2600, Room 212, Santa Cecília Porto Alegre-RS, Brasil CEP: 90035-003