Discussion
depression, depressed, anxiety
This qualitative analysis answered the two guiding questions of 1) the impact of MCEP on the mother–child pair in the mother’s own words and 2) MCEP alignment with calming cycle theory. By giving voice to participants’ experiences of MCEP, and directly observing MCEP sessions, we answered the question of how parental experience of MCEP aligns with calming cycle theory. On the dyad level, face-to-face calming position and emotional expression synergistically fostered emotional connection. “Barriers” to connection were surmountable; in fact, they were springboards into the calming cycle. On the group level, fellow participants and nurture specialists helped mothers progress through the calming cycle.The benefit of a group parenting intervention is well-documented [This study also raises questions for further investigation. Would D have been able to improve her relationship with B if she remained depressed? Does emotional connection relieve depression? In our preterm RCT, mothers in the intervention group reported significantly fewer symptoms of depression and anxiety at four months [Future studies could explore “ideal” group size for facilitating emotional expression. Studies have shown that just the act of being in a study benefits participants [Dyad attendanceThis study generated two codebooks that can be applied to other data, enabling retesting and expansion of our findings.