Maternal autonomy support in a randomized controlled trial of the Reminiscing and Emotion Training intervention

Abstract

ObjectiveThe Reminiscing and Emotion Training (RET) intervention targets and improves maltreating mothers’ elaboration and sensitivity in reminiscing (conversations about past emotional events), as well as children's emotion knowledge. However, in previous studies of RET, improvements in mothers’ elaborative and sensitive reminiscing did not explain improvements in children's emotion knowledge. Thus, we evaluated whether RET is associated with improved maternal autonomy support during reminiscing and whether improved autonomy support is associated with enhanced child emotion knowledge after RET. MethodsThe sample included 248 mothers (165 maltreating and 83 non‐maltreating) and their 3- to 6-year-old children involved in a randomized controlled trial of RET. At baseline, we assessed maternal and child receptive language, dyadic reminiscing, and children's emotion knowledge. Then, maltreating mothers were randomized either to receive RET or participate in an active control condition including case management and written parenting materials. Non‐maltreating mothers did not receive intervention and participated as an additional control group. Families then completed an eight-week follow-up assessment. ResultsMaltreating mothers displayed significantly less baseline autonomy support during reminiscing than non‐maltreating mothers (partial eta squared = 0.028). Contrary to hypotheses, RET did not significantly improve autonomy support. However, baseline autonomy support was significantly and positively correlated with children's emotion knowledge at baseline (r = 0.20) and follow-up (r = 0.18). ConclusionAutonomy support during reminiscing may play a role in the development of emotion knowledge. Implications for developmental theory and clinical practice are discussed.