Can transdiagnostic parent training in child psychiatry empower parents to support their children's emotional regulation? A qualitative interview study of parents' and clinicians' perspectives on Circle of Security-Parenting (COS-P).
By: Gitte Gaedt Møller, Lotte Kring and Aida Bikic
References
- Hoffman K, Cooper G, Powell B. Rasing a secure child – How Circle of Security Parenting can help you nurture your child's attachment, emotional resilience, and freedom to explore. New York: The Guilford Press; 2017.
- Berlin L, Zeanah C, Lieberman A. Prevention and intervention programs to support early attachment security: A move to the level of the community. In: Handbook of Attachment: Theory, research, and clinical applications. New York: The Guilford Press; 2016. p. 739–758.
- Bikic A, et al. Protocol for a randomized controlled trial comparing the Circle of Security-parenting (COS-P) with treatment as usual in child mental health services. PLoS One. 2022;17(4):e0265676.
- Bakermans-Kranenburg MJ, van IJzendoorn MH, Juffer F. Less is more: meta-analyses of sensitivity and attachment interventions in early childhood. Psychol Bull. 2003;129(2):195–215.
https://doi.org/10.1037/0033-2909.129.2.195 PMID:12696839 - Beijersbergen MD, et al. Remaining or becoming secure: parental sensitive support predicts attachment continuity from infancy to adolescence in a longitudinal adoption study. Dev Psychol. 2012;48(5):1277–82.
https://doi.org/10.1037/a0027442 PMID:22369333 - Greenberg MT, Speltz ML, DeKlyen M, Endriga MC. Attachment security in preschoolers with and without extemalizing behavior problems: A replication. Dev Psychopathol. 1991;3:413–30.
- Speltz M, Greenberg M, DeKlyen M. Attachment in preschoolers with disruptive behaviour: a comparison of clinic-referred and non-problem children. Dev Psychopathol. 1990;2:31–46.
- Darling Rasmussen P, Storebø OJ, Shmueli-Goetz Y, Simonsen E, Bojesen AB, Bilenberg N. Attachment Representations in Mothers and Their Children Diagnosed with ADHD: Distribution, transmission and impact on treatment outcome. J Child Fam Stud. 2019(Feb):1–11.
- Storebo OJ, et al. Attachment Competences in Children With ADHD During the Social-Skills Training and Attachment (SOSTRA) Randomized Clinical Trial. J Atten Disord. 2015;19(10):865–71.
- Kim M, Woodhouse S, Dai C. Learning to provide children with a secure base and a safe haven: The Circle of Security-Parenting (COS-P) group intervention. J Clin Psychol. 2018;74(8):1319–32.
- Powell B, Cooper G, Hoffman K, Marvin B. The circle of security intervention: Enhancing attachment in early parent-child relationships. New York: The Guilford Press; 2014.
- Petersen JM. Circle of Security-Parenting (COS-P): et fædreperspektiv [master's thesis]. København: Institut for Psykologi, Københavns Universitet; 2022 [cited 2024 Jul 23]. Available from:
https://www.kb.dk/ - Helle J, Vøllestad J, Schanche E, Stige SH. From seeing difficult behaviour to recognizing legitimate needs – A qualitative study of mothers' experiences of participating in a Circle of Security Parenting program in a public mental health setting. Psychother Res. 2022;33(4). doi:10.1080/10503307.2022.2132888
- Maxwell AM, et al. Parent and practitioner perspectives on Circle of Security Parenting (COS-P): A qualitative study. Infant Ment Health J. 2021;42(3):452–68.
- Muddle S, McElwee J, Vincent R, Birdsey N, Best L. Talking with parents of children with learning disabilities: Parents' ideas about the Circle of security parenting programme. Br J Learn Disabil. 2021;50(1). doi:10.1111/bld.12371
- Gilhooly N. An exploratory study of parent experiences on the circle of security–parenting (COS-P) programme [dissertation]. Limerick: University of Limerick; 2018. Available from:
http://hdl.handle.net/10344/9699 - Maxwell AM, McMahon C, Huber A, Reay RE, Hawkins E, Barnett B. Examining the effectiveness of circle of security parenting (COS-P): A multi-site non-randomized study with waitlist control. J Child Fam Stud. 2021;30(5):1123–40.
https://doi.org/10.1007/s10826-021-01932-4 - Braun V, Clarke V. Novel insights into patients' life-worlds: The value of qualitative research. Lancet Psychiatry. 2019;6(9):720–1.
- Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Sage Publications.
- Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.
- Fonagy P, Steele M, Steele H, Moran GS, Higgitt AC. The capacity for understanding mental states: the reflective self in parent and child and its significance for security of attachment. Infant Ment Health J. 1991;12(3):201–18.
- Cooper DA, Coyne J. Does knowing translate to doing? Practitioners' experiences of Circle of Security-Parenting (COS-P) training and implementation. Infant Ment Health J. 2020;41(3).
- Cassidy J, et al. Circle of Security-Parenting: A randomized controlled trial in Head Start. Dev Psychopathol. 2017;29(2):651–73.
https://doi.org/10.1017/S0954579417000244 PMID:284018 - Schmidt-Nielsen J, Wendelboe KI, Warberg Mohr JE, Skovgaard Veaver M, Potoppidan M, Helmerhorst K, Egmose I. Promoting interactive skills and mind-mindedness among early childcare professionals: study protocol for a randomized wait-list controlled trial comparing the Circle of Security approach with care as usual in center-based childcare (the SECURE project). BMC Psychol. 2022;10:1–17. doi:10.1186/s40359-022-00835-3
- Rohder K, Aarestrup AK, Vaever MS, Jacobsen RK, Schiøtz ML. Efficacy of a randomized controlled trial of a perinatal adaptation of COS-P in promoting maternal sensitivity and mental wellbeing among women with psychosocial vulnerabilities. PLoS One. 2022;17(12).
- Reay RE, Palfrey N, Bragg J, Kelly M, Ringland C, Bungbrakearti M. Clinician Perspectives on the Circle of Security-Parenting (COS-P) Program: A Qualitative Study. Aust N Z J Fam Ther. 2019;40(2). doi:10.1002/anzf.1357
- Mothander RP, Furmark C, Neander K. Adding “Circle of Security–Parenting” to treatment as usual in three Swedish infant mental health clinics. Effects on parents' internal representations and quality of parent-infant interaction. Scand J Psychol. 2018;59:262–72.
https://doi.org/10.1111/sjop.12419 PMID:292442
DOI: https://doi.org/10.2478/sjcapp-2026-0004 | Journal eISSN: 2245-8875
Language: English
Page range: 27 - 36
Published on: Jun 10, 2026
Published by: Center for Evidence-based Psychiatry
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
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© 2026 Gitte Gaedt Møller, Lotte Kring, Aida Bikic, published by Center for Evidence-based Psychiatry
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.