As attachment-based interventions can improve caregiver-infant relationships and their subsequent psychological outcomes, the identification of relevant and effective interventions can facilitate their implementation into clinical practice. This systematic review aimed to a) provide an overview of manualised attachment-based interventions, without video-feedback as the main component, for caregivers and infants from conception to two years, and b) determine which of these interventions were effective in demonstrating improvements in caregiver-infant relational outcomes. To identify eligible interventions and their empirical evidence base, two search stages were conducted for 1) relevant interventions and 2) studies of interventions identified in the first stage that focussed on caregiver-infant relational outcomes. All studies included in Stage 2 were quality assessed and findings analysed. Twenty-six interventions were eligible for inclusion at Stage 1 but studies reporting on relational outcomes were identified for 16 interventions only. Forty studies reporting on those 16 interventions met inclusion criteria and were synthesised at Stage 2. Most studies were of good quality. Observer-rated measures were used in 90% of studies. There was evidence for these interventions in relation to improving caregiver-infant relational outcomes: 80% of studies reported a statistically significant positive change in a relational outcome for the intervention compared to pre-intervention or control group. The most promising evidence was identified for Attachment and Biobehavioral Catch-Up (ABC), Minding the Baby (MTB) and Circle of Security (COS). This systematic review offers guidance to healthcare professionals, commissioners and policymakers within perinatal sectors in relation to the training, delivery and implementation of evidenced manualised attachment-based interventions.

由于基于依恋的干预可以改善照顾者与婴儿的关系及其随后的心理结果，因此确定相关和有效的干预措施可以促进它们在临床实践中的实施。本系统综述旨在 a） 为从受孕到两岁的照顾者和婴儿提供基于依恋的手动干预的概述，没有视频反馈作为主要组成部分，以及 b） 确定这些干预措施中的哪些在证明照顾者-婴儿关系结局的改善方面是有效的。为了确定符合条件的干预措施及其实证证据基础，对 1） 相关干预措施和 2） 第一阶段确定的干预措施的研究进行了两个搜索阶段，重点关注照顾者与婴儿关系结局。第 2 阶段纳入的所有研究均进行了质量评估并分析了结果。第 1 阶段有 26 项干预措施符合纳入条件，但仅确定了 16 项干预措施报告关系结局的研究。报告这 16 项干预措施的 40 项研究符合纳入标准，并在第 2 阶段进行了综合。大多数研究质量良好。90% 的研究使用了观察者评定的测量方法。有证据表明这些干预措施与改善照顾者-婴儿关系结局有关： 80% 的研究报告称，与干预前或对照组相比，干预的关系结局发生了统计学上显着的积极变化。最有希望的证据是依恋和生物行为追赶 （ABC）、照顾婴儿 （MTB） 和安全圈 （COS）。 本系统综述为围产期部门的医疗保健专业人员、专员和政策制定者提供有关培训、实施和实施循证人工依恋干预的指导。