Cindy Decoste
Biographic Data
| ID | 1463512 |
|---|---|
| NAME | Cindy Decoste |
| GIVEN NAMES | Cindy |
| FAMILY NAME | Decoste |
| SIGNATURE | DECOSTE C |
| AFFILIATIONS | Yale University |
| VERIFIED | No |
| TOTAL WORKS | 13 |
| TOTAL CITATIONS | 62 |
| AUTHOR COUNT | 13 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2003 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 5 |
Home‐based family recovery supports
Support for families affected by substance use disorders (SUDs) remains challenging, particularly during the postpartum period. The objective of this study was to assess the introduction of an evidence‐based parenting intervention, Mothering from the Inside Out (MIO), into the early intervention (EI) home visiting setting. We conducted a mixed methods pilot study in the United States to assess the training and delivery of MIO within EI. MIO train…
Self‐report measure of parental reflective functioning
The Parental Reflective Functioning Questionnaire (PRFQ) provides an efficient way to measure a parent's capacity to recognize their child's mental states and to understand the relationship between underlying mental states and behavior. To date, limited work evaluates its psychometric properties beyond initial validation studies. Here we examined the reliability and validity of the PRFQ in three samples of varying clinical risk (e.g., community s…
Enhancing parental reflective functioning
Nancy E. Suchman's contributions to the fields of infant mental health, maternal reflective functioning, and attachment‐based intervention will have long‐lasting impacts. In particular, through the development and dissemination of her intervention program, Mothering from the Inside Out (MIO) , she innovated a way of working with mothers with substance use disorders that represented a paradigm shift within the field of addiction. In this introduct…
Mothering from the Inside Out
Therapist–client language matching
7, 100% Caucasian women) enrolled in a randomized controlled trial of psychodynamic psychotherapy lasting 12 sessions, we examined client and therapist LSM across 4 of the 12 sessions. We found that, on average, LSM decreases over the course of treatment. Furthermore, greater client interpersonal problems prospectively predict lower early LSM in therapist-client dyads, which in turn predicts greater posttreatment psychiatric distress. Results gen…
A Longitudinal Examination of Toddlers’ Behavioral Cues as a Function of Substance-Abusing Mothers’ Disengagement
As a group, substance-abusing parents are at risk for maladaptive parenting. The association between substance abuse and parenting may result, in part, from parents' emotional disengagement from the parent-child relationship, which makes perceiving and responding to children's cues more challenging. In this study, we examined whether substance-abusing mothers' levels of disengagement from their relationship with their children (ages 2-44 months),…
Emotionally avoidant language in the parenting interviews of substance‐dependent mothers
Parenting and emotion regulation are two known, and potentially interrelated, areas of impairment among substance‐abusing mothers. In this study, we examine substance ‐abusing mothers' (positive and negative) emotion language word use during their discussion of negative parenting experiences on the Parent Development Interview for its association with reflective functioning (RF), recent substance‐use history, and sensitivity to child cues. Within…
Attachment‐based intervention for substance‐using mothers
Although randomized controlled trials examining the efficacy of attachment‐based interventions have been increasing in recent years, adequate measurement of treatment integrity, integrity–outcome associations, and mechanisms of change has been rare. The aim of this investigation was to conduct a rigorous test of proposed mechanisms of change in the Mothers and Toddlers Program (MTP) treatment model, a 12‐session, attachment‐based individual thera…
The mothers and toddlers program, an attachment‐based parenting intervention for substance‐using women
Previously, we reported posttreatment findings from a randomized pilot study testing a new attachment‐based parenting intervention for mothers enrolled in substance‐use treatment and caring for children ages birth to 3 years (N.E. Suchman, C. DeCoste, N. Castiglioni, T. McMahon, B. Rounsaville, & L. Mayes, 2010). The Mothers and Toddlers Program (MTP) is a 12‐session, weekly individual parenting therapy that aims to enhance maternal capacity for …
The Mothers and Toddlers Program, an attachment-based parenting intervention for substance using women
This is a report of post-treatment findings from a completed randomized pilot study testing the preliminary efficacy of the Mothers and Toddlers Program (MTP), a 12 week attachment-based individual parenting therapy for mothers enrolled in substance abuse treatment and caring for children ages birth to 36 months. Forty-seven mothers were randomized to MTP versus the Parent Education Program (PE), a comparison intervention providing individual cas…
The Mothers and Toddlers Program
The authors examined pilot data from an attachment-based parenting intervention for substance-abusing mothers of toddlers (ages 12-36 months). The Mothers and Toddlers Program (MTP) is a 20-week individual therapy intervention that aims to help mothers develop more balanced representations of their children and improve their capacity for reflective functioning (i.e., recognition of the intentional nature of children's behavior). The authors hypot…
Ego development, psychopathology, and parenting problems in substance-abusing mothers
The authors examined maternal ego development in relation to psychopathology and parenting problems in a sample of substance abusing mothers. Given predilections at higher levels of ego development for introspection and guilt, the authors expected mothers at higher levels to report more psychopathology. Given predilections at lower levels of ego development for dichotomous perceptions and limited conceptions of causation, the authors expected mot…
Sensitivity to Social Contingency From Mothers and Strangers in 2‐, 4‐, and 6‐Month‐Old Infants
Infants' sensitivity to changes in social contingency was investigated by presenting 2‐, 4‐, and 6‐month‐old infants with 3 episodes of social interaction from mothers and strangers: 2 contingent interactions and 1 noncontingent replay. Three orders were presented: (a) contingent, noncontingent, contingent; (b) contingent, contingent, noncontingent; and (c) noncontingent, contingent, contingent. Contingency and carryover effects were shown to bot…
The mothers and toddlers program, an attachment‐based parenting intervention for substance‐using women
Previously, we reported posttreatment findings from a randomized pilot study testing a new attachment‐based parenting intervention for mothers enrolled in substance‐use treatment and caring for children ages birth to 3 years (N.E. Suchman, C. DeCoste, N. Castiglioni, T. McMahon, B. Rounsaville, & L. Mayes, 2010). The Mothers and Toddlers Program (MTP) is a 12‐session, weekly individual parenting therapy that aims to enhance maternal capacity for …
Self‐report measure of parental reflective functioning
The Parental Reflective Functioning Questionnaire (PRFQ) provides an efficient way to measure a parent's capacity to recognize their child's mental states and to understand the relationship between underlying mental states and behavior. To date, limited work evaluates its psychometric properties beyond initial validation studies. Here we examined the reliability and validity of the PRFQ in three samples of varying clinical risk (e.g., community s…
Attachment‐based intervention for substance‐using mothers
Although randomized controlled trials examining the efficacy of attachment‐based interventions have been increasing in recent years, adequate measurement of treatment integrity, integrity–outcome associations, and mechanisms of change has been rare. The aim of this investigation was to conduct a rigorous test of proposed mechanisms of change in the Mothers and Toddlers Program (MTP) treatment model, a 12‐session, attachment‐based individual thera…
Mothering from the Inside Out
Emotionally avoidant language in the parenting interviews of substance‐dependent mothers
Parenting and emotion regulation are two known, and potentially interrelated, areas of impairment among substance‐abusing mothers. In this study, we examine substance ‐abusing mothers' (positive and negative) emotion language word use during their discussion of negative parenting experiences on the Parent Development Interview for its association with reflective functioning (RF), recent substance‐use history, and sensitivity to child cues. Within…
A Longitudinal Examination of Toddlers’ Behavioral Cues as a Function of Substance-Abusing Mothers’ Disengagement
As a group, substance-abusing parents are at risk for maladaptive parenting. The association between substance abuse and parenting may result, in part, from parents' emotional disengagement from the parent-child relationship, which makes perceiving and responding to children's cues more challenging. In this study, we examined whether substance-abusing mothers' levels of disengagement from their relationship with their children (ages 2-44 months),…
Enhancing parental reflective functioning
Nancy E. Suchman's contributions to the fields of infant mental health, maternal reflective functioning, and attachment‐based intervention will have long‐lasting impacts. In particular, through the development and dissemination of her intervention program, Mothering from the Inside Out (MIO) , she innovated a way of working with mothers with substance use disorders that represented a paradigm shift within the field of addiction. In this introduct…
Sensitivity to Social Contingency From Mothers and Strangers in 2‐, 4‐, and 6‐Month‐Old Infants
Infants' sensitivity to changes in social contingency was investigated by presenting 2‐, 4‐, and 6‐month‐old infants with 3 episodes of social interaction from mothers and strangers: 2 contingent interactions and 1 noncontingent replay. Three orders were presented: (a) contingent, noncontingent, contingent; (b) contingent, contingent, noncontingent; and (c) noncontingent, contingent, contingent. Contingency and carryover effects were shown to bot…
The Mothers and Toddlers Program
The authors examined pilot data from an attachment-based parenting intervention for substance-abusing mothers of toddlers (ages 12-36 months). The Mothers and Toddlers Program (MTP) is a 20-week individual therapy intervention that aims to help mothers develop more balanced representations of their children and improve their capacity for reflective functioning (i.e., recognition of the intentional nature of children's behavior). The authors hypot…
Ego development, psychopathology, and parenting problems in substance-abusing mothers
The authors examined maternal ego development in relation to psychopathology and parenting problems in a sample of substance abusing mothers. Given predilections at higher levels of ego development for introspection and guilt, the authors expected mothers at higher levels to report more psychopathology. Given predilections at lower levels of ego development for dichotomous perceptions and limited conceptions of causation, the authors expected mot…
The Mothers and Toddlers Program, an attachment-based parenting intervention for substance using women
This is a report of post-treatment findings from a completed randomized pilot study testing the preliminary efficacy of the Mothers and Toddlers Program (MTP), a 12 week attachment-based individual parenting therapy for mothers enrolled in substance abuse treatment and caring for children ages birth to 36 months. Forty-seven mothers were randomized to MTP versus the Parent Education Program (PE), a comparison intervention providing individual cas…
The mothers and toddlers program, an attachment‐based parenting intervention for substance‐using women
Previously, we reported posttreatment findings from a randomized pilot study testing a new attachment‐based parenting intervention for mothers enrolled in substance‐use treatment and caring for children ages birth to 3 years (N.E. Suchman, C. DeCoste, N. Castiglioni, T. McMahon, B. Rounsaville, & L. Mayes, 2010). The Mothers and Toddlers Program (MTP) is a 12‐session, weekly individual parenting therapy that aims to enhance maternal capacity for …
Emotionally avoidant language in the parenting interviews of substance‐dependent mothers
Parenting and emotion regulation are two known, and potentially interrelated, areas of impairment among substance‐abusing mothers. In this study, we examine substance ‐abusing mothers' (positive and negative) emotion language word use during their discussion of negative parenting experiences on the Parent Development Interview for its association with reflective functioning (RF), recent substance‐use history, and sensitivity to child cues. Within…
Attachment‐based intervention for substance‐using mothers
Although randomized controlled trials examining the efficacy of attachment‐based interventions have been increasing in recent years, adequate measurement of treatment integrity, integrity–outcome associations, and mechanisms of change has been rare. The aim of this investigation was to conduct a rigorous test of proposed mechanisms of change in the Mothers and Toddlers Program (MTP) treatment model, a 12‐session, attachment‐based individual thera…
A Longitudinal Examination of Toddlers’ Behavioral Cues as a Function of Substance-Abusing Mothers’ Disengagement
As a group, substance-abusing parents are at risk for maladaptive parenting. The association between substance abuse and parenting may result, in part, from parents' emotional disengagement from the parent-child relationship, which makes perceiving and responding to children's cues more challenging. In this study, we examined whether substance-abusing mothers' levels of disengagement from their relationship with their children (ages 2-44 months),…
Therapist–client language matching
7, 100% Caucasian women) enrolled in a randomized controlled trial of psychodynamic psychotherapy lasting 12 sessions, we examined client and therapist LSM across 4 of the 12 sessions. We found that, on average, LSM decreases over the course of treatment. Furthermore, greater client interpersonal problems prospectively predict lower early LSM in therapist-client dyads, which in turn predicts greater posttreatment psychiatric distress. Results gen…
Self‐report measure of parental reflective functioning
The Parental Reflective Functioning Questionnaire (PRFQ) provides an efficient way to measure a parent's capacity to recognize their child's mental states and to understand the relationship between underlying mental states and behavior. To date, limited work evaluates its psychometric properties beyond initial validation studies. Here we examined the reliability and validity of the PRFQ in three samples of varying clinical risk (e.g., community s…
Enhancing parental reflective functioning
Nancy E. Suchman's contributions to the fields of infant mental health, maternal reflective functioning, and attachment‐based intervention will have long‐lasting impacts. In particular, through the development and dissemination of her intervention program, Mothering from the Inside Out (MIO) , she innovated a way of working with mothers with substance use disorders that represented a paradigm shift within the field of addiction. In this introduct…
Mothering from the Inside Out
Home‐based family recovery supports
Support for families affected by substance use disorders (SUDs) remains challenging, particularly during the postpartum period. The objective of this study was to assess the introduction of an evidence‐based parenting intervention, Mothering from the Inside Out (MIO), into the early intervention (EI) home visiting setting. We conducted a mixed methods pilot study in the United States to assess the training and delivery of MIO within EI. MIO train…
Psychology (13 works) · Child and Adolescent Psychosocial and Emotional Development (10 works) · Clinical Psychology (9 works) · Developmental psychology (9 works) · Attachment and Relationship Dynamics (7 works) · Psychiatry (7 works) · Maternal Mental Health During Pregnancy and Postpartum (6 works) · Medicine (6 works) · Psychological intervention (5 works) · Psychotherapist (4 works)