Effects of a Structured Reflective Interview on Parental Reflective Functioning: A Pilot Randomised Controlled Trial

Abstract

The Parental Reflective Interview Procedure was developed as part of an initial assessment interview for an attachment-based intervention for child mental health conditions. This study was a pilot randomised controlled trial that utilised a parallel, single-blind trial design to evaluate the differences in the effects of the Parental Reflective Interview Procedure compared to a diagnostic interview on parental reflective functioning. The control group was administered a structured diagnostic interview (Mini International Neuropsychiatric Interview for Children and Adolescents—Parent Version) and matched for time with clinician. The study sample were 25 parents of clinic-referred children who scored above the clinical cut-off score on the Child Behaviour Checklist. Parental reflective functioning was measured with the Parental Reflective Functioning Questionnaire at baseline and repeated post-intervention, and then again at a two-week follow up. Results showed that the Parental Reflective Interview Procedure produced moderate improvements in parents’ understanding of their children’s mental states and maintenance in their reflections on intergenerational parent-child relationship patterns. The diagnostic interview showed decreases in both these dimensions. The findings suggest that the Parental Reflective Interview Procedure is a promising format for initial assessment when referral indicates difficulty in the parent-child relationship. The interview acts as a good orientation for parents to an intervention focused on parent-child relationship dynamics. Further work refining this interview, its coding and integration into a tailored feedback session is required.