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Parenting Journal · Volume 2 · Issue 3 · Licensed source edition

Cost-utility analysis of the Circle of Security-Parenting programme to reduce perinatal psychopathology in birthing parents in England

Originally published 2026-02-23 · BMJ Open
BMJ Publishing Group · DOI 10.1136/bmjopen-2025-105124 ↗

TrustTrial-based economic evaluationCC BY 4.0
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Editorial reading guide · Trust

What resources does an attachment-focused parenting program require in a clinical service?

This economic evaluation compares an added parenting program with usual care and distinguishes resource use from evidence about a particular family's bond.

Who was studied?

Mothers and birthing parents with perinatal mental health difficulties in England

Age / stage: Perinatal period

Read with three questions

  1. What resources does an attachment-focused parenting program require in a clinical service?
  2. What care was used for comparison, and which costs and outcomes entered the economic analysis?
  3. Which features of the study population (mothers and birthing parents with perinatal mental health difficulties in England) would matter when applying the findings in another setting?

Keep the limits in view

The economic comparison uses service costs and outcomes from English perinatal mental health services. A different care system, comparator or time horizon could yield different estimates.

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Attribution & reuse

Follow the original.

Original authorship, publication date, journal and DOI are preserved. This issue’s TRICK placement and reading questions are editorial additions, not claims made by the original authors.

Jiunn Wang; Camilla Rosan; Kim Alyousefi-van Dijk; Zoe Darwin; Daphne Babalis; Victoria Cornelius; Ed Waddingham; Lani Richards; Stephen Pilling; Pasco Fearon; Peter Fonagy; Elena Pizzo (2026). Cost-utility analysis of the Circle of Security-Parenting programme to reduce perinatal psychopathology in birthing parents in England BMJ Open. https://doi.org/10.1136/bmjopen-2025-105124

Permissions checked against the saved article notice; repository publication notices screened 2026-11-04. This is not a new peer-review decision. The source authors and publishers are not represented as endorsing this issue.