Browsing by Author "Rojas Castillo, María Graciela"

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    A collaborative, computer-assisted, psycho-educational intervention for depressed patients with chronic disease at primary care: protocol for a cluster randomized controlled trial
    (2021) Rojas Castillo, María Graciela; Martínez, Pablo; Guajardo, Viviana; Campos Romero, Solange; Herrera Salinas, Pablo; Vöhringer, Paul; Gómez, Víctor; Szabo, Wilsa; Araya, Ricardo
    Abstract Background Depression and chronic diseases are frequently comorbid public health problems. However, clinical guidelines often fail to consider comorbidities. This study protocol describes a cluster randomized trial (CRT) aimed to compare the effectiveness of a collaborative, computer-assisted, psycho-educational intervention versus enhanced usual care (EUC) in the treatment of depressed patients with hypertension and/or diabetes in primary care clinics (PCC) in Santiago, Chile. Methods Two-arm, single-blind, CRT carried out at two municipalities in Santiago, Chile. Eight PCC will be randomly assigned (1:1 ratio within each municipality, 4 PCC in each municipality) to the INTERVENTION or EUC. A total of 360 depressed patients, aged at least 18 years, with Patient Health Questionnaire-9 Item [PHQ-9] scores ≥15, and enrolled in the Cardiovascular Health Program at the participating PCC. Patients with alcohol/substance abuse; current treatment for depression, bipolar disorder, or psychosis; illiteracy; severe impairment; and resident in long-term care facilities, will be excluded. Patients in both arms will be invited to use the Web page of the project, which includes basic health education information. Patients in the INTERVENTION will receive eight sessions of a computer-assisted, psycho-educational intervention delivered by trained therapists, a structured telephone calls to monitor progress, and usual medical care for chronic diseases. Therapists will receive biweekly and monthly supervision by psychologist and psychiatrist, respectively. A monthly meeting will be held between the PCC team and a member of the research team to ensure continuity of care. Patients in EUC will receive depression treatment according to clinical guidelines and usual medical care for chronic diseases. Outcome assessments will be conducted at 3, 6, and 12 months after enrollment. The primary outcome will be depression improvement at 6 months, defined as ≥50% reduction in baseline PHQ-9 scores. Intention-to-treat analyses will be performed. Discussion This study will be one of the first to provide evidence for the effectiveness of a collaborative, computer-assisted, psycho-educational intervention for depressed patients with chronic disease at primary care in a Latin American country. Trial registration retrospectively registered in ClinicalTrials.gov , first posted: November 3, 2020, under identifier: NCT04613076 .
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    Acceptability Study of "Ascenso'': An Online Program for Monitoring and Supporting Patients with Depression in Chile
    (2016) Espinosa, H. Daniel; Carrasco, Alvaro; Moessner, Markus; Cáceres, Cristian; Gloger, Sergio; Rojas Castillo, María Graciela; Pérez, J. Carola; Vanegas, Jorge; Bauery, Stephanie; Krause Jacob, Mariane
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    Autorregulación como predictor de la mejoría de los síntomas depresivos en adolescentes en tratamiento por depresión en centros de atención primaria.
    (2018) Hoffmann Soto, Marianela; Rojas Castillo, María Graciela; Pontificia Universidad Católica de Chile. Escuela de Psicología
    El episodio depresivo mayor (EDM) constituye un problema de salud pública de alta relevancia en todo el mundo, siendo reconocido como una enfermedad psiquiátrica grave con amplia morbilidad aguda y crónica, y a mortalidad (Birmaher & Brent, 2007). Además, tiene su primera aparición generalmente entre la adolescencia media y tardía, convirtiéndose este período en un momento crítico para estudiarlo. Aunque se sabe que el Control Esforzado (CE) se relaciona inversamente con la manifestación de EDM (Eisenberg, Spinrad, & Eggum, 2010), aún son escasos los estudios que investigan rol del CE en la mejoría de los síntomas. En la presente investigación se estima la relación entre la habilidad de CE y el cambio en la sintomatología depresiva en adolescentes en tratamiento por depresión con psicoterapia más el tratamiento médico habitual según guía GES en centros de atención primaria de salud, en la comuna de Puente Alto de Santiago. La metodología empleada es cuantitativa con un diseño correlacional, longitudinal, donde se realiza una medición basal y dos seguimientos; en una muestra de 215 adolescente chilenos que presenta un EDM. Los participantes tienen entre 15 y 19 años (M = 16,27 años; DS = 1,10) (76,3% mujeres). Como resultado los adolescentes disminuyen en el tiempo la sintomatología depresiva (F (2, 169) = 202,277, p < ,001) y la suicidalidad (F (2, 158) = 46,634, p < ,001); y aumentan las habilidades de CE (F (2, 149) = 21,790, p < ,001). La dimensión Atención en la medición basal del CE explica el 21% de la varianza del cambio en el nivel de sintomatología depresiva (F (3, 188) = 17,943, p < ,001) y explica el 42% de la varianza del cambio de la severidad de la suicidalidad (F (3, 183) = 45,973, p = 0,000) en el primer seguimiento a los cuatro meses.El episodio depresivo mayor (EDM) constituye un problema de salud pública de alta relevancia en todo el mundo, siendo reconocido como una enfermedad psiquiátrica grave con amplia morbilidad aguda y crónica, y a mortalidad (Birmaher & Brent, 2007). Además, tiene su primera aparición generalmente entre la adolescencia media y tardía, convirtiéndose este período en un momento crítico para estudiarlo. Aunque se sabe que el Control Esforzado (CE) se relaciona inversamente con la manifestación de EDM (Eisenberg, Spinrad, & Eggum, 2010), aún son escasos los estudios que investigan rol del CE en la mejoría de los síntomas. En la presente investigación se estima la relación entre la habilidad de CE y el cambio en la sintomatología depresiva en adolescentes en tratamiento por depresión con psicoterapia más el tratamiento médico habitual según guía GES en centros de atención primaria de salud, en la comuna de Puente Alto de Santiago. La metodología empleada es cuantitativa con un diseño correlacional, longitudinal, donde se realiza una medición basal y dos seguimientos; en una muestra de 215 adolescente chilenos que presenta un EDM. Los participantes tienen entre 15 y 19 años (M = 16,27 años; DS = 1,10) (76,3% mujeres). Como resultado los adolescentes disminuyen en el tiempo la sintomatología depresiva (F (2, 169) = 202,277, p < ,001) y la suicidalidad (F (2, 158) = 46,634, p < ,001); y aumentan las habilidades de CE (F (2, 149) = 21,790, p < ,001). La dimensión Atención en la medición basal del CE explica el 21% de la varianza del cambio en el nivel de sintomatología depresiva (F (3, 188) = 17,943, p < ,001) y explica el 42% de la varianza del cambio de la severidad de la suicidalidad (F (3, 183) = 45,973, p = 0,000) en el primer seguimiento a los cuatro meses.El episodio depresivo mayor (EDM) constituye un problema de salud pública de alta relevancia en todo el mundo, siendo reconocido como una enfermedad psiquiátrica grave con amplia morbilidad aguda y crónica, y a mortalidad (Birmaher & Brent, 2007). Además, tiene su primera aparición generalmente entre la adolescencia media y tardía, convirtiéndose este período en un momento crítico para estudiarlo. Aunque se sabe que el Control Esforzado (CE) se relaciona inversamente con la manifestación de EDM (Eisenberg, Spinrad, & Eggum, 2010), aún son escasos los estudios que investigan rol del CE en la mejoría de los síntomas. En la presente investigación se estima la relación entre la habilidad de CE y el cambio en la sintomatología depresiva en adolescentes en tratamiento por depresión con psicoterapia más el tratamiento médico habitual según guía GES en centros de atención primaria de salud, en la comuna de Puente Alto de Santiago. La metodología empleada es cuantitativa con un diseño correlacional, longitudinal, donde se realiza una medición basal y dos seguimientos; en una muestra de 215 adolescente chilenos que presenta un EDM. Los participantes tienen entre 15 y 19 años (M = 16,27 años; DS = 1,10) (76,3% mujeres). Como resultado los adolescentes disminuyen en el tiempo la sintomatología depresiva (F (2, 169) = 202,277, p < ,001) y la suicidalidad (F (2, 158) = 46,634, p < ,001); y aumentan las habilidades de CE (F (2, 149) = 21,790, p < ,001). La dimensión Atención en la medición basal del CE explica el 21% de la varianza del cambio en el nivel de sintomatología depresiva (F (3, 188) = 17,943, p < ,001) y explica el 42% de la varianza del cambio de la severidad de la suicidalidad (F (3, 183) = 45,973, p = 0,000) en el primer seguimiento a los cuatro meses.El episodio depresivo mayor (EDM) constituye un problema de salud pública de alta relevancia en todo el mundo, siendo reconocido como una enfermedad psiquiátrica grave con amplia morbilidad aguda y crónica, y a mortalidad (Birmaher & Brent, 2007). Además, tiene su primera aparición generalmente entre la adolescencia media y tardía, convirtiéndose este período en un momento crítico para estudiarlo. Aunque se sabe que el Control Esforzado (CE) se relaciona inversamente con la manifestación de EDM (Eisenberg, Spinrad, & Eggum, 2010), aún son escasos los estudios que investigan rol del CE en la mejoría de los síntomas. En la presente investigación se estima la relación entre la habilidad de CE y el cambio en la sintomatología depresiva en adolescentes en tratamiento por depresión con psicoterapia más el tratamiento médico habitual según guía GES en centros de atención primaria de salud, en la comuna de Puente Alto de Santiago. La metodología empleada es cuantitativa con un diseño correlacional, longitudinal, donde se realiza una medición basal y dos seguimientos; en una muestra de 215 adolescente chilenos que presenta un EDM. Los participantes tienen entre 15 y 19 años (M = 16,27 años; DS = 1,10) (76,3% mujeres). Como resultado los adolescentes disminuyen en el tiempo la sintomatología depresiva (F (2, 169) = 202,277, p < ,001) y la suicidalidad (F (2, 158) = 46,634, p < ,001); y aumentan las habilidades de CE (F (2, 149) = 21,790, p < ,001). La dimensión Atención en la medición basal del CE explica el 21% de la varianza del cambio en el nivel de sintomatología depresiva (F (3, 188) = 17,943, p < ,001) y explica el 42% de la varianza del cambio de la severidad de la suicidalidad (F (3, 183) = 45,973, p = 0,000) en el primer seguimiento a los cuatro meses.El episodio depresivo mayor (EDM) constituye un problema de salud pública de alta relevancia en todo el mundo, siendo reconocido como una enfermedad psiquiátrica grave con amplia morbilidad aguda y crónica, y a mortalidad (Birmaher & Brent, 2007). Además, tiene su primera aparición generalmente entre la adolescencia media y tardía, convirtiéndose este período en un momento crítico para estudiarlo. Aunque se sabe que el Control Esforzado (CE) se relaciona inversamente con la manifestación de EDM (Eisenberg, Spinrad, & Eggum, 2010), aún son escasos los estudios que investigan rol del CE en la mejoría de los síntomas. En la presente investigación se estima la relación entre la habilidad de CE y el cambio en la sintomatología depresiva en adolescentes en tratamiento por depresión con psicoterapia más el tratamiento médico habitual según guía GES en centros de atención primaria de salud, en la comuna de Puente Alto de Santiago. La metodología empleada es cuantitativa con un diseño correlacional, longitudinal, donde se realiza una medición basal y dos seguimientos; en una muestra de 215 adolescente chilenos que presenta un EDM. Los participantes tienen entre 15 y 19 años (M = 16,27 años; DS = 1,10) (76,3% mujeres). Como resultado los adolescentes disminuyen en el tiempo la sintomatología depresiva (F (2, 169) = 202,277, p < ,001) y la suicidalidad (F (2, 158) = 46,634, p < ,001); y aumentan las habilidades de CE (F (2, 149) = 21,790, p < ,001). La dimensión Atención en la medición basal del CE explica el 21% de la varianza del cambio en el nivel de sintomatología depresiva (F (3, 188) = 17,943, p < ,001) y explica el 42% de la varianza del cambio de la severidad de la suicidalidad (F (3, 183) = 45,973, p = 0,000) en el primer seguimiento a los cuatro meses.
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    Chilean Adaptation and Validation of the Early Adolescent Temperament Questionnaire-Revised Version
    (2017) Hoffmann Soto, Marianela; Pérez, J. Carola; García Gómez, Catalina Inés; Rojas Castillo, María Graciela; Martínez, Vania
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    Intervención grupal para reducir la sintomatología depresiva y promover la sensibilidad materna en embarazadas chilenas
    (2015) Olhaberry Huber, Marcia; Escobar, Marta; Mena, Constanza; Santelices Álvarez, María Pía; Morales Reyes, Irma Oriana; Rojas Castillo, María Graciela; Martinez, Vania
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    Mindfulness-based interventions in secondary education : a qualitative systematic review
    (2015) Langer, Álvaro I.; Ulloa, Valentina G.; Cangas, Adolfo J.; Rojas Castillo, María Graciela; Krause Jacob, Mariane
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    Propiedades psicométricas del inventario de depresión de Beck IA para la población chilena. Psychometric properties of a spanish version of the Beck depression inventory IA.
    (2017) Valdés Martinic, Camila Fernanda; Morales, Irma; Pérez, J. Carola; Medellín, Adriana; Rojas Castillo, María Graciela; Krause Jacob, Mariane
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    Understanding the Relationship between Depression and Chronic Diseases Such as Diabetes and Hypertension: A Grounded Theory Study
    (2021) Campos Romero, Solange; Herrera Salinas, Pablo; Szabo, Wilsa; Martínez, Pablo; Guajardo, Viviana; Rojas Castillo, María Graciela
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    Video feedback intervention to enhance parental reflective functioning in primary caregivers of inpatient psychiatric children: protocol for a randomized feasibility trial
    (2019) Leyton Álvarez, Fanny Lorena; Olhaberry Huber, Marcia; Alvarado, Rubén; Rojas Castillo, María Graciela; Dueñas, Luis A.; Downing, George; Steele, Howard
    Abstract Background Children requiring hospitalization for psychiatric care have serious disorders, high use of psychotropic medication, and frequent readmissions. The development and implementation of therapies focused on incorporating primary caregivers or attachment figures is necessary for working with children with severe psychiatric disorders. Mentalization or parental reflective functioning (PRF) is the ability of parents to understand their children’s behaviors as an expression of internal emotional states and act accordingly to help them regulate their emotions; in this way mentalizing is a key component of sensitive parenting. Video-assisted therapies have proven to be effective in promoting change in parent–child relationships. The majority of studies have been carried out with mothers of pre-school children and in an outpatient setting. Video intervention therapy (VIT) is a flexible manualized therapy, which allows the intervention to be individualized to the context where it is applied, according to the needs and resources of the people who participate in it. The objective of the study is to evaluate the feasibility and acceptability of applying VIT to improve the PRF of the parents as primary carers of children hospitalized in a psychiatric service. Methods This is a pilot randomized, single-masked (outcome assessor) study with a qualitative component. It will involve a block randomization procedure to generate a 2:1 allocation (with more people allocated to the intervention arm). The intervention consists of four modules; every module has both one video-recorded play session and one VIT session per week. People assigned to the control group will receive treatment as usual plus weekly play sessions. Feasibility and acceptability of the study will be quantitatively and qualitatively assessed. Evaluation of the caregivers will include assessments of PRF, wellbeing and personality structure; assessments of children will include parent-ratings and clinician-ratings of symptomatology and general functioning. After every video feedback (VF) session, PRF, the caregiver’s wellbeing and children’s general functioning will be reassessed. Discussion This study will contribute to the currently scarce evidence on how to provide family attachment-based interventions in a child inpatient psychiatric unit. It will also inform the design and implementation of a future randomized clinical trial. Trial registration ClinicalTrials.gov, NCT03374904 . Registered on 14 December 2017 (retrospectively registered).Abstract Background Children requiring hospitalization for psychiatric care have serious disorders, high use of psychotropic medication, and frequent readmissions. The development and implementation of therapies focused on incorporating primary caregivers or attachment figures is necessary for working with children with severe psychiatric disorders. Mentalization or parental reflective functioning (PRF) is the ability of parents to understand their children’s behaviors as an expression of internal emotional states and act accordingly to help them regulate their emotions; in this way mentalizing is a key component of sensitive parenting. Video-assisted therapies have proven to be effective in promoting change in parent–child relationships. The majority of studies have been carried out with mothers of pre-school children and in an outpatient setting. Video intervention therapy (VIT) is a flexible manualized therapy, which allows the intervention to be individualized to the context where it is applied, according to the needs and resources of the people who participate in it. The objective of the study is to evaluate the feasibility and acceptability of applying VIT to improve the PRF of the parents as primary carers of children hospitalized in a psychiatric service. Methods This is a pilot randomized, single-masked (outcome assessor) study with a qualitative component. It will involve a block randomization procedure to generate a 2:1 allocation (with more people allocated to the intervention arm). The intervention consists of four modules; every module has both one video-recorded play session and one VIT session per week. People assigned to the control group will receive treatment as usual plus weekly play sessions. Feasibility and acceptability of the study will be quantitatively and qualitatively assessed. Evaluation of the caregivers will include assessments of PRF, wellbeing and personality structure; assessments of children will include parent-ratings and clinician-ratings of symptomatology and general functioning. After every video feedback (VF) session, PRF, the caregiver’s wellbeing and children’s general functioning will be reassessed. Discussion This study will contribute to the currently scarce evidence on how to provide family attachment-based interventions in a child inpatient psychiatric unit. It will also inform the design and implementation of a future randomized clinical trial. Trial registration ClinicalTrials.gov, NCT03374904 . Registered on 14 December 2017 (retrospectively registered).Abstract Background Children requiring hospitalization for psychiatric care have serious disorders, high use of psychotropic medication, and frequent readmissions. The development and implementation of therapies focused on incorporating primary caregivers or attachment figures is necessary for working with children with severe psychiatric disorders. Mentalization or parental reflective functioning (PRF) is the ability of parents to understand their children’s behaviors as an expression of internal emotional states and act accordingly to help them regulate their emotions; in this way mentalizing is a key component of sensitive parenting. Video-assisted therapies have proven to be effective in promoting change in parent–child relationships. The majority of studies have been carried out with mothers of pre-school children and in an outpatient setting. Video intervention therapy (VIT) is a flexible manualized therapy, which allows the intervention to be individualized to the context where it is applied, according to the needs and resources of the people who participate in it. The objective of the study is to evaluate the feasibility and acceptability of applying VIT to improve the PRF of the parents as primary carers of children hospitalized in a psychiatric service. Methods This is a pilot randomized, single-masked (outcome assessor) study with a qualitative component. It will involve a block randomization procedure to generate a 2:1 allocation (with more people allocated to the intervention arm). The intervention consists of four modules; every module has both one video-recorded play session and one VIT session per week. People assigned to the control group will receive treatment as usual plus weekly play sessions. Feasibility and acceptability of the study will be quantitatively and qualitatively assessed. Evaluation of the caregivers will include assessments of PRF, wellbeing and personality structure; assessments of children will include parent-ratings and clinician-ratings of symptomatology and general functioning. After every video feedback (VF) session, PRF, the caregiver’s wellbeing and children’s general functioning will be reassessed. Discussion This study will contribute to the currently scarce evidence on how to provide family attachment-based interventions in a child inpatient psychiatric unit. It will also inform the design and implementation of a future randomized clinical trial. Trial registration ClinicalTrials.gov, NCT03374904 . Registered on 14 December 2017 (retrospectively registered).Abstract Background Children requiring hospitalization for psychiatric care have serious disorders, high use of psychotropic medication, and frequent readmissions. The development and implementation of therapies focused on incorporating primary caregivers or attachment figures is necessary for working with children with severe psychiatric disorders. Mentalization or parental reflective functioning (PRF) is the ability of parents to understand their children’s behaviors as an expression of internal emotional states and act accordingly to help them regulate their emotions; in this way mentalizing is a key component of sensitive parenting. Video-assisted therapies have proven to be effective in promoting change in parent–child relationships. The majority of studies have been carried out with mothers of pre-school children and in an outpatient setting. Video intervention therapy (VIT) is a flexible manualized therapy, which allows the intervention to be individualized to the context where it is applied, according to the needs and resources of the people who participate in it. The objective of the study is to evaluate the feasibility and acceptability of applying VIT to improve the PRF of the parents as primary carers of children hospitalized in a psychiatric service. Methods This is a pilot randomized, single-masked (outcome assessor) study with a qualitative component. It will involve a block randomization procedure to generate a 2:1 allocation (with more people allocated to the intervention arm). The intervention consists of four modules; every module has both one video-recorded play session and one VIT session per week. People assigned to the control group will receive treatment as usual plus weekly play sessions. Feasibility and acceptability of the study will be quantitatively and qualitatively assessed. Evaluation of the caregivers will include assessments of PRF, wellbeing and personality structure; assessments of children will include parent-ratings and clinician-ratings of symptomatology and general functioning. After every video feedback (VF) session, PRF, the caregiver’s wellbeing and children’s general functioning will be reassessed. Discussion This study will contribute to the currently scarce evidence on how to provide family attachment-based interventions in a child inpatient psychiatric unit. It will also inform the design and implementation of a future randomized clinical trial. Trial registration ClinicalTrials.gov, NCT03374904 . Registered on 14 December 2017 (retrospectively registered).Abstract Background Children requiring hospitalization for psychiatric care have serious disorders, high use of psychotropic medication, and frequent readmissions. The development and implementation of therapies focused on incorporating primary caregivers or attachment figures is necessary for working with children with severe psychiatric disorders. Mentalization or parental reflective functioning (PRF) is the ability of parents to understand their children’s behaviors as an expression of internal emotional states and act accordingly to help them regulate their emotions; in this way mentalizing is a key component of sensitive parenting. Video-assisted therapies have proven to be effective in promoting change in parent–child relationships. The majority of studies have been carried out with mothers of pre-school children and in an outpatient setting. Video intervention therapy (VIT) is a flexible manualized therapy, which allows the intervention to be individualized to the context where it is applied, according to the needs and resources of the people who participate in it. The objective of the study is to evaluate the feasibility and acceptability of applying VIT to improve the PRF of the parents as primary carers of children hospitalized in a psychiatric service. Methods This is a pilot randomized, single-masked (outcome assessor) study with a qualitative component. It will involve a block randomization procedure to generate a 2:1 allocation (with more people allocated to the intervention arm). The intervention consists of four modules; every module has both one video-recorded play session and one VIT session per week. People assigned to the control group will receive treatment as usual plus weekly play sessions. Feasibility and acceptability of the study will be quantitatively and qualitatively assessed. Evaluation of the caregivers will include assessments of PRF, wellbeing and personality structure; assessments of children will include parent-ratings and clinician-ratings of symptomatology and general functioning. After every video feedback (VF) session, PRF, the caregiver’s wellbeing and children’s general functioning will be reassessed. Discussion This study will contribute to the currently scarce evidence on how to provide family attachment-based interventions in a child inpatient psychiatric unit. It will also inform the design and implementation of a future randomized clinical trial. Trial registration ClinicalTrials.gov, NCT03374904 . Registered on 14 December 2017 (retrospectively registered).Abstract Background Children requiring hospitalization for psychiatric care have serious disorders, high use of psychotropic medication, and frequent readmissions. The development and implementation of therapies focused on incorporating primary caregivers or attachment figures is necessary for working with children with severe psychiatric disorders. Mentalization or parental reflective functioning (PRF) is the ability of parents to understand their children’s behaviors as an expression of internal emotional states and act accordingly to help them regulate their emotions; in this way mentalizing is a key component of sensitive parenting. Video-assisted therapies have proven to be effective in promoting change in parent–child relationships. The majority of studies have been carried out with mothers of pre-school children and in an outpatient setting. Video intervention therapy (VIT) is a flexible manualized therapy, which allows the intervention to be individualized to the context where it is applied, according to the needs and resources of the people who participate in it. The objective of the study is to evaluate the feasibility and acceptability of applying VIT to improve the PRF of the parents as primary carers of children hospitalized in a psychiatric service. Methods This is a pilot randomized, single-masked (outcome assessor) study with a qualitative component. It will involve a block randomization procedure to generate a 2:1 allocation (with more people allocated to the intervention arm). The intervention consists of four modules; every module has both one video-recorded play session and one VIT session per week. People assigned to the control group will receive treatment as usual plus weekly play sessions. Feasibility and acceptability of the study will be quantitatively and qualitatively assessed. Evaluation of the caregivers will include assessments of PRF, wellbeing and personality structure; assessments of children will include parent-ratings and clinician-ratings of symptomatology and general functioning. After every video feedback (VF) session, PRF, the caregiver’s wellbeing and children’s general functioning will be reassessed. Discussion This study will contribute to the currently scarce evidence on how to provide family attachment-based interventions in a child inpatient psychiatric unit. It will also inform the design and implementation of a future randomized clinical trial. Trial registration ClinicalTrials.gov, NCT03374904 . Registered on 14 December 2017 (retrospectively registered).Abstract Background Children requiring hospitalization for psychiatric care have serious disorders, high use of psychotropic medication, and frequent readmissions. The development and implementation of therapies focused on incorporating primary caregivers or attachment figures is necessary for working with children with severe psychiatric disorders. Mentalization or parental reflective functioning (PRF) is the ability of parents to understand their children’s behaviors as an expression of internal emotional states and act accordingly to help them regulate their emotions; in this way mentalizing is a key component of sensitive parenting. Video-assisted therapies have proven to be effective in promoting change in parent–child relationships. The majority of studies have been carried out with mothers of pre-school children and in an outpatient setting. Video intervention therapy (VIT) is a flexible manualized therapy, which allows the intervention to be individualized to the context where it is applied, according to the needs and resources of the people who participate in it. The objective of the study is to evaluate the feasibility and acceptability of applying VIT to improve the PRF of the parents as primary carers of children hospitalized in a psychiatric service. Methods This is a pilot randomized, single-masked (outcome assessor) study with a qualitative component. It will involve a block randomization procedure to generate a 2:1 allocation (with more people allocated to the intervention arm). The intervention consists of four modules; every module has both one video-recorded play session and one VIT session per week. People assigned to the control group will receive treatment as usual plus weekly play sessions. Feasibility and acceptability of the study will be quantitatively and qualitatively assessed. Evaluation of the caregivers will include assessments of PRF, wellbeing and personality structure; assessments of children will include parent-ratings and clinician-ratings of symptomatology and general functioning. After every video feedback (VF) session, PRF, the caregiver’s wellbeing and children’s general functioning will be reassessed. Discussion This study will contribute to the currently scarce evidence on how to provide family attachment-based interventions in a child inpatient psychiatric unit. It will also inform the design and implementation of a future randomized clinical trial. Trial registration ClinicalTrials.gov, NCT03374904 . Registered on 14 December 2017 (retrospectively registered).Abstract Background Children requiring hospitalization for psychiatric care have serious disorders, high use of psychotropic medication, and frequent readmissions. The development and implementation of therapies focused on incorporating primary caregivers or attachment figures is necessary for working with children with severe psychiatric disorders. Mentalization or parental reflective functioning (PRF) is the ability of parents to understand their children’s behaviors as an expression of internal emotional states and act accordingly to help them regulate their emotions; in this way mentalizing is a key component of sensitive parenting. Video-assisted therapies have proven to be effective in promoting change in parent–child relationships. The majority of studies have been carried out with mothers of pre-school children and in an outpatient setting. Video intervention therapy (VIT) is a flexible manualized therapy, which allows the intervention to be individualized to the context where it is applied, according to the needs and resources of the people who participate in it. The objective of the study is to evaluate the feasibility and acceptability of applying VIT to improve the PRF of the parents as primary carers of children hospitalized in a psychiatric service. Methods This is a pilot randomized, single-masked (outcome assessor) study with a qualitative component. It will involve a block randomization procedure to generate a 2:1 allocation (with more people allocated to the intervention arm). The intervention consists of four modules; every module has both one video-recorded play session and one VIT session per week. People assigned to the control group will receive treatment as usual plus weekly play sessions. Feasibility and acceptability of the study will be quantitatively and qualitatively assessed. Evaluation of the caregivers will include assessments of PRF, wellbeing and personality structure; assessments of children will include parent-ratings and clinician-ratings of symptomatology and general functioning. After every video feedback (VF) session, PRF, the caregiver’s wellbeing and children’s general functioning will be reassessed. Discussion This study will contribute to the currently scarce evidence on how to provide family attachment-based interventions in a child inpatient psychiatric unit. It will also inform the design and implementation of a future randomized clinical trial. Trial registration ClinicalTrials.gov, NCT03374904 . Registered on 14 December 2017 (retrospectively registered).Abstract Background Children requiring hospitalization for psychiatric care have serious disorders, high use of psychotropic medication, and frequent readmissions. The development and implementation of therapies focused on incorporating primary caregivers or attachment figures is necessary for working with children with severe psychiatric disorders. Mentalization or parental reflective functioning (PRF) is the ability of parents to understand their children’s behaviors as an expression of internal emotional states and act accordingly to help them regulate their emotions; in this way mentalizing is a key component of sensitive parenting. Video-assisted therapies have proven to be effective in promoting change in parent–child relationships. The majority of studies have been carried out with mothers of pre-school children and in an outpatient setting. Video intervention therapy (VIT) is a flexible manualized therapy, which allows the intervention to be individualized to the context where it is applied, according to the needs and resources of the people who participate in it. The objective of the study is to evaluate the feasibility and acceptability of applying VIT to improve the PRF of the parents as primary carers of children hospitalized in a psychiatric service. Methods This is a pilot randomized, single-masked (outcome assessor) study with a qualitative component. It will involve a block randomization procedure to generate a 2:1 allocation (with more people allocated to the intervention arm). The intervention consists of four modules; every module has both one video-recorded play session and one VIT session per week. People assigned to the control group will receive treatment as usual plus weekly play sessions. Feasibility and acceptability of the study will be quantitatively and qualitatively assessed. Evaluation of the caregivers will include assessments of PRF, wellbeing and personality structure; assessments of children will include parent-ratings and clinician-ratings of symptomatology and general functioning. After every video feedback (VF) session, PRF, the caregiver’s wellbeing and children’s general functioning will be reassessed. Discussion This study will contribute to the currently scarce evidence on how to provide family attachment-based interventions in a child inpatient psychiatric unit. It will also inform the design and implementation of a future randomized clinical trial. Trial registration ClinicalTrials.gov, NCT03374904 . Registered on 14 December 2017 (retrospectively registered).