Longitudinal Outcomes of Child Parent Psychotherapy: Response to Commentaries

Michelle E. Alto, Andrew J. Ross, Elizabeth D. Handley, Jody Todd Manly, Danielle J. Guild, Dante Cicchetti, Fred A. Rogosch, Sheree L. Toth

Research output: Contribution to journalArticle

3 Scopus citations


In response to the commentaries provided by Chu et al. (2020), Harmon et al. (2020), and McMahon & Maxwell (2020) on our longitudinal follow-up of Child-Parent Psychotherapy (CPP) with mothers with depression and their children, we focus on two domains: accessibility and scalability of CPP and identifying empirically supported mechanisms of change in attachment intervention research. In considering the accessibility and scalability of CPP, we discuss issues related to attrition, length of intervention, and implementation with caregivers with depression. Our discussion of mechanisms of change in attachment interventions explores active comparison conditions, theorized mediators, intervention modalities, assessment methods, and longitudinal research designs. This conversation is intended to highlight important areas for future research in the field of attachment interventions, with the goal of informing clinical and systems-level policies and practices.

Original languageEnglish (US)
Pages (from-to)595-601
Number of pages7
JournalResearch on Child and Adolescent Psychopathology
Issue number5
StatePublished - May 2021

Bibliographical note

Funding Information:
This work was supported by the NIMH under Grant R01 MH45027.

Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.


  • Attachment interventions
  • Longitudinal


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