Kari Slinning

Regionsenter for barn og unges psykiske helse | RBUP · department of infant and young children

Background The Newborn Behaviour Observation system (NBO) is a flexible relationship-based intervention designed to sensitise parents to their newborn’s capacities, to increase parental confidence and foster the bond between parent and infant. The aim of this study was to investigate the effects of an NBO intervention on maternal confidence during...

There are many promising attachment-based interventions that are accumulating an evidence-base, one of which is Circle of Security (COS). The COS-Virginia Family (COS-VF) model is one of several versions of COS. The aim of the study was to evaluate strengths and weaknesses of COS-VF from therapists’ viewpoint. Furthermore, we wanted to examine oppo...

Aim: Parents and professionals receive conflicting recommendations about management of infant sleep problems. The aim of this umbrella review was to provide an overview of summarised research on the prevention and treatment of sleep problems in infants (0-1 year), content of the interventions, and the conditions under which they are delivered. Me...

Mange omsorgspersoner opplever at de ikke får god nok hjelp når barnet har søvnvansker, og at rådene ikke treffer, eller strider mot deres verdier. Helsepersonell forteller at søvnveiledning er krevende. For å møte behovet for hjelp ved søvnvansker har vi utviklet søvntrappen, som er en modell for hvordan helsepersonell kan jobbe systematisk og tri...

Aim: Sleep is essential for infant development. We assessed the prevalence of sleep problems in infants at 6, 12 and 24 months, investigated the relationship between infants' sleep problems and development, and determined to what extent sleep problems at 6 months were related to changes in the developmental course. Methods: Infant sleep problems...

Background: The study objectives were to assess the prevalence of sleep problems in infants observed at 6, 12 and 24 months, to investigate the relationship between infants’ sleep problems and development from 6 to 24 months, and to determine to what extent sleep problems at 6 months were related to changes in the developmental course from 12 to 24...

Background Approximately 10%-15% of children struggle with different socioemotional and psychological difficulties in infancy and early childhood. Thus, health service providers should have access to mental health interventions that can reach more parents than traditional face-to-face interventions. However, despite increasing evidence on the effic...

Background: Bipolar offspring are considered a high-risk group for developing mental disorders. Developmental outcomes result from additive and interactive effects of biological vulnerability and environmental influences. Mother-infant interactions represent important early environmental influences that may modify infants' risk of mental disorders...

Background: Families can experience the postpartum period as overwhelming and many report a special need for support. The Newborn Behavioral Observation (NBO) aims to promote a positive parent-infant relationship by sensitising parents to the infant's signals. This article evaluates the NBO as a universal preventive intervention within the regular...

Background: Motor milestones in infancy are important developmental markers, not only for later motor skills but also for more widespread social, cognitive and communication development. The aim of the current study was to investigate the relationships between fine and gross motor development in infants at 6 and 12 months of age, and communication...

Subjective well-being (SWB) may buffer against psychosocial stressors such as the birth of a child. To assess the effectiveness of an unguided internet intervention ('Mamma Mia') on SWB among perinatal women, we investigated (1) whether the intervention group reported higher levels of SWB, (2) whether the effect of Mamma Mia changed over time (i.e....

Før vi kan kalle et bestemt foreldreveiledningstiltak for kunnskapsbasert, må vi kunne dokumentere at dette tiltaket faktisk har vist seg nyttig for å løse problemer barn og unge sliter med, skriver Filip Drozd og kolleger. Dette innlegget er en respons på Boris, Brandtzæg og Torsteinson (2020) sitt tilsvar «Forvirrende og villedende om foreldrevei...

Background Families can experience the postpartum period as overwhelming and many report a special need for support. The Newborn Behavioral Observation (NBO) aims to promote a positive parent-infant relationship by sensitising parents to the infant’s signals. This article evaluates the NBO as a universal preventive intervention within the regular w...

Background: Families can experience the postpartum period as overwhelming and many report a special need for support. The Newborn Behavioral Observation (NBO) aims to promote a positive parent-infant relationship by sensitising parents to the infant’s signals. This article evaluates the NBO as a universal preventive intervention within the regular...

Barnelovas § 30 stadfester foreldres plikt til å gi barn omsorg, forsvarlig oppdragelse og forsørging og deres rett og plikt til å fatte beslutninger på barnets vegne (Barne- og familiedepartementet, 1981). Med unntak av visse bestemmelser (f.eks. plikt til å gi barnet utdanning, medisinsk behandling og sørge for at barnet ikke blir utsatt for vold...

The purpose of this chapter is to review qualitative research on user experiences with internet interventions for depression and present original results from in-depth interviews from a preventive unguided intervention for postpartum depression. The first part reviews the literature on qualitative studies of client experiences and perceptions of in...

Closing the gap between attachment theory and clinical practice can be challenging. However, the developers of the original Circle of Security intervention have tried to do this as they developed their intervention. The Circle of Security-Virginia Family model is one version of Circle of Security that has been implemented across (anonymized country...

Background: Little is known about the mental health of prenatally opioid- and polydrug-exposed youth raised in foster/adoptive families. Aim: To compare mental health problems among two groups of youth, one prenatally drug-exposed group with participants who were mainly placed in permanent foster or adoptive homes in early infancy and a group wi...

Background: Women with bipolar disorder (BD) have a high risk of illness relapse postpartum. The risk coincides with the period when mother-infant interactions are evolving. We compared mother-infant interactions in dyads where the mothers have BD with dyads where the mothers have no mental disorder. The association between concurrent affective sym...

BACKGROUND Approximately 10%-15% of children struggle with different socioemotional and psychological difficulties in infancy and early childhood. Thus, health service providers should have access to mental health interventions that can reach more parents than traditional face-to-face interventions. However, despite increasing evidence on the effic...

Aim The aim of the study was to compare parental satisfaction items before and after the implementation of The Ages & Stages Questionnaires (ASQ) as part of the health check‐up. Methods ASQ was implemented in regular health check‐ups of infants up to two years of age in 9 Norwegian well‐baby clinics. After the infant's two years health check‐ups,...

Background Women with bipolar disorder have a high risk of illness relapse postpartum, including psychosis. The aim of the study was to explore how perinatal women with bipolar disorder relate to the risk. What are their concerns? How do they prepare for the dual demands of mood episodes and motherhood? Methods A qualitative study was conducted. T...

Background Studies suggest that 10–15% of perinatal women experience depressive symptoms. Due to the risks, problems with detection, and barriers to treatment, effective universal preventive interventions are needed. The aim of this study was to assess the effectiveness of an automated internet intervention (‘Mamma Mia’) on perinatal depressive sym...

Purpose: This study aimed to (a) assess trajectories of women's depressive symptoms during the first year postpartum to (b) identify potential unobserved classes of women as defined by their trajectories, (c) identify antepartum and early postpartum risk factors associated with trajectory classes, and (d) examine the association between trajectory...

Cognitive and socioemotional functioning at 4½ years of age were examined in children born to mothers with substance‐abuse problems (n = 22) recruited from residential treatment institutions while pregnant, and then compared to children born to mothers with mental health problems (n = 18) and children from a low‐risk group (n = 26). No significant...

Aims Perinatal depression is associated with difficulties in the early mother–child interaction and negative child outcome. The aim of this study was to assess the feasibility and acceptability of the Newborn Behavioral Observation (NBO) System included in a home visiting programme at well‐baby clinics in Norway and to examine compliance with the s...

Background: Postpartum depression (PPD) may have adverse effects on both mother and child. The aims were to determine the prevalence of postpartum depressive symptoms, PPDS, identify associations with ethnicity and with the level of social integration. Method: Population-based, prospective cohort study of 643 pregnant women (58% ethnic minoritie...

Background: A reoccurring finding from health and clinical services is the failure to implement theory and research into practice and policy in appropriate and efficient ways, which is why it is essential to develop and identify implementation strategies, as they constitute the ‘how–to’ component of translating and changing health practices. Object...

The Norwegian NBO training program has been completed in several municipalities across Norway, mainly targeting public health nurses and midwives working in well-baby clinics. The NBO trainer team has developed an online tool, which is used as an addition to the on-campus teaching to aid practitioners in completing the program and succeed as NBO-Ob...

Mamma Mia for practitioners - parents and children.

Mamma Mia for practitioners – pregnancy.

Purpose Despite promising results, internet interventions are not widely accessible or well-integrated in health services. The objective of this study was, therefore, to examine the implementation of an internet intervention (‘Mamma Mia’) for the prevention of perinatal depression in Norwegian well-baby clinics (i.e., primary care). Methods Mamma...

Studies suggest that perinatal depression and breastfeeding co-vary, but determining the relationship between breastfeeding and perinatal depression has proved challenging. A bidirectional association has been suggested, implying that depression may impact on breastfeeding and that breastfeeding might influence depressive symptoms. The present stud...

Neuroanatomical and cognitive differences have been documented during childhood between children with prenatal opioid- and poly-drug exposure and controls in small samples. We investigated whether these differences persisted in larger samples of youth at older ages. Quantitative MRI and cognitive data were compared between 38 youths in the risk gro...

Introduction There is strong evidence that postpartum depression is associated with adverse health effects in the mother and infant. Few studies have explored associations between physical activity in pregnancy and postpartum depression. We aimed to investigate whether physical activity during pregnancy was inversely associated with postpartum depr...

This chapter provides a practical hands-on blueprint needed to design and plan the implementation of internet interventions, addressing all the important aspects of the implementation process. The guidelines are based on the active implementation framework by Fixsen and colleagues (2005) and provide readers with a case example of an internet interv...

This chapter provides a practical hands-on blueprint needed to design and plan the implementation of internet interventions, addressing all the important aspects of the implementation process. The guidelines are based on the active implementation framework by Fixsen and colleagues (2005) and provide readers with a case example of an internet interv...

The purpose of this chapter is to review qualitative research on user experiences with internet interventions for depression and present original results from in-depth interviews from a preventive unguided intervention for postpartum depression. The first part reviews the literature on qualitative studies of client experiences and perceptions of in...

Background: There has been limited epidemiological research describing population-based samples regarding developmental pathways throughout infancy, and the research that exists has revealed substantial diversity. Identifying predictors for developmental pathways can inform early intervention services. Methods: The Ages and Stages Questionnaire...

Objectives This longitudinal population study aimed to investigate if maternal depression at different time points during the perinatal period impacts children’s social-emotional development at 2 years of age. Methods Participants were women (n = 1235) who gave birth at Akershus University Hospital in Norway. Maternal depressive symptoms were asses...

Postnatal depression (PND) is associated with adverse effects on a broad range of child outcomes, including language problems. The current study aimed to investigate if the time of exposure to maternal PND symptoms measured with the Edinburgh Postnatal Depression Scale (EPDS) at 6 weeks, 4 months and 6 months postpartum were related to the infants’...

Background Depression is one of the most common mental health problems among adults, but effective treatments are not widely accessible. The Internet holds promise as a cost-effective and convenient delivery platform of interventions for depression. However, studies suggest that Internet interventions are not widely available in routine settings....

Multiple studies have found that children born to mothers with opioid or poly-substance use during pregnancy have more behavior and attention problems and lower cognitive functioning than non-exposed children. The present study aimed to investigate whether behavior and attention problems are more prominent than general cognitive deficits in this ri...

Biological mothers’ use of substances during pregnancy (n = 72). (DOCX)

Relationship between Regulatory Problems and Cognitive Functioning. (DOCX)

Differences between the participating (i.e., those whose parents completed the CBCL) and the non-participating children at 8 ½ years. (DOCX)

Additional Information about the Methods. (DOCX)

Correlation matrix of regulatory problems and cognitive functions for the drug-exposed and comparison groups at 8 ½ years of age. (DOCX)

Aim: We investigated whether there were clinically relevant differences in the area mean scores of the six-month Ages and Stages Questionnaire (ASQ) between four Norwegian population-based samples. Methods: Area mean scores and standard deviations (SDs) were investigated for the five developmental areas of the ASQ: communication, gross motor, fi...

Background Prevalence estimates on suspected developmental delays (SDD) in young infants are scarce and a necessary first step for planning an early intervention. We investigated the prevalence of SDD at 4, 6 and 12 months, in addition to associations of SDD with gender, prematurity and maternal education. Methods This study is based on a Norwegia...

Background: As much as 10-15% of new mothers experience depression postpartum. An Internet-based intervention (Mamma Mia) was developed with the primary aims of preventing depressive symptoms and enhancing subjective well-being among pregnant and postpartum women. A secondary aim of Mamma Mia was to ease the transition of becoming a mother by prov...

Previous research has provided inconclusive evidence regarding the neuropsychological difficulties of children born to mothers partaking in opioid or poly-drug use during pregnancy. Little is known about how these children fare as they get older. The present longitudinal study includes follow-up data on 45 children born to mothers who used heroin a...

Introduction During pregnancy, the psyche is more open and responsive, and many pregnant women seek online health information, forums, and support groups. However, the psyche also makes women vulnerable and 10-15% develop symptoms of a moderate-to-severe postpartum depression. Therefore, an internet-based self-help intervention was developed to pro...

Previous studies indicate an increased risk for neuropsychological difficulties in young children prenatally exposed to opioids and polysubstances, but longitudinal information is scarce. The present longitudinal study investigated whether these waned, persisted, or increased over time. The cognitive functioning of 72 children with prenatal opioid...

Background Depression in pregnancy increases the risk of complications for mother and child. Few studies are done in ethnic minorities. We wanted to identify the prevalence of depression in pregnancy and associations with ethnicity and other risk factors.Method Population-based, prospective cohort of 749 pregnant women (59% ethnic minorities) atten...

In a prospective longitudinal study, we investigated the outcomes of children born to mothers clinically referred for mental health problems during pregnancy (risk group, n = 17) relative to a control group (n = 31). Child cognitive functioning, and for subgroups (n = 10 + 17), brain morphometry as derived from Magnetic resonance imaging (MRI), was...

Abstract Aims There is a growing documentation that infants exposed to opioids and poly-substances prenatally have an increased risk of aberrant development. In Norway there are several in-patients-clinics that specialize in medically supervised detoxification for pregnant women with substance dependence in a therapeutic setting. As there is virtua...

Background: Screening for postnatal depression using the Edinburgh Postnatal Depression Scale (EPDS), in combination with counselling sessions with a public health nurse (the Edinburgh method), has been introduced at many child health centres in Norway. In this article we provide a summary of the existing knowledge of how postnatal depression shou...

The objective of this longitudinal study was to investigate the prevalence of infants' social withdrawal and mothers’ depressive symptoms in a cohort of full‐term infants and their mothers and in a cohort of moderately premature infants and their mothers at 3, 6, and 9 months’ postpartum. The Alarm Distress Baby Scale (ADBB) was used to assess soci...

Background: Currently, 10-15% of women giving birth suffer from postpartum depression. However, few depressed mothers are identified and offered support during the postpartum period. Consequently, an internet- based intervention (“Mamma Mia”) was developed with the aim of preventing postpartum depressive symptoms and enhancing subjective well-being...

Det eksisterer en rekke ulike evidensbaserte intervensjoner for barn som er i risiko for å utvikle psykiske problemer. Noen er introdusert i Norge, men det er fortsatt bare en liten andel av målgruppene som mottar disse intervensjonene. I de tilfeller evidensbaserte metoder anvendes i praksisfeltet, er det viktig å se nærmere på hvordan og i hvilke...

Currently, 10-15% of women giving birth suffer from symptoms of postpartum depression. Due to a lack of knowledge of this condition and the stigma associated with it, as well as few treatment options, a large proportion of postpartum women with depression remain untreated. Internet-based interventions have been found effective in treating depressio...

Purpose There has been a marked increase in divorce rates in most Western societies over the last 50 years. Relationship dissolution is associated with negative consequences both for adults and children, so it is important to understand the factors that help retain marital stability. The first aim of this prospective study was to identify risk fact...

Postpartum depression is a serious health issue affecting as many as 10-15 % of postpartum women. This longitudinal study aimed to explore how psychological variables such as cognitive emotion regulation strategies, breastfeeding self-efficacy (BSE), and dimensions of social support predicted postpartum depressive symptoms (Edinburgh Postnatal Depr...