ABSTRACT
Early interventions may promote reductions in mothers' anxiety-depression (AD) symptoms and improvements in their offspring. This longitudinal randomized research was conducted to assess the effects of interdisciplinary online therapeutic groups (GIO) in at-risk mothers and babies during the COVID-19 pandemic in a disadvantaged neighborhood in Barcelona (Spain). A total of 135 babies were born from March 2020 to June 2021 in a primary healthcare center of Barcelona (Spain). Pregnant woman and new mothers were screened for AD symptomatology through EPDS and STAI questionnaires. Seventy-two of them met high-risk criteria for AD and were included in the study. They were randomly assigned into the two groups of the study: 40 participants were assigned to GIO, the therapeutic group (TG), while 32 of them were assigned to the control group (CG) and received treatment as usual. The course of the mothers' symptomatology was assessed, as well as the baby's development at 6 months old in a blind pediatric follow-up. No differences were found in AD between both groups before the intervention. However, we obtained a significant decrease in AD symptomatology (EPDS p < .001; STAI state p = .015 and STAI trait p < .001at 6 months of life) after the intervention in the TG compared to the CG. Pediatric follow-up at 6 months demonstrated significant differences between groups in babies' development assessment (manipulation p = .003; language p < .001; sociability p < .001). The GIO helped to ensure healthy development of the baby and reduction of the mothers' depressive-anxiety symptomatology.
Subject(s)
Anxiety , COVID-19 , Depression , Humans , Female , Pregnancy , Adult , COVID-19/psychology , COVID-19/epidemiology , COVID-19/therapy , Pilot Projects , Depression/therapy , Depression/psychology , Spain/epidemiology , Anxiety/therapy , SARS-CoV-2 , Mothers/psychology , Internet-Based Intervention , Infant , Psychotherapy, Group/methods , Pregnancy Complications/therapy , Pregnancy Complications/psychology , Internet , Longitudinal Studies , Infant, NewbornABSTRACT
Los niños con trastorno del espectro autista (TEA) presentan dificultades de empatía y relación social. Estudios previos sugieren un déficit primario en el sistema de neuronas espejo. En este estudio de caso único se ha aplicado la metodología observacional para investigar el uso de la imitación en un proceso de una psicoterapia de orientación psicoanalítica en un niño con TEA grave. Los resultados sugieren que el uso de la imitación en este tipo de psicoterapia es una opción recomendable, ya que favorece los procesos de diferenciación y mejora las capacidades de interacción
Children with autism spectrum disorders (ASD) show difficulties in empathy and social interaction. Previous studies suggest primary deficits in the mirror system brain network. In this single case study observational methodology has been used to investigate the process of a psychoanalytic psychotherapy with imitation in a child with severe ASD. Results suggest that the use of imitation within this psychotherapy approach promote the differentiation processes and stimulates social interaction
Efectes de la imitació en la interacció social recíproca en un nen amb trastorn de lespectre autista greu. Els nens amb trastorn de lespectre autista (TEA) presenten dificultats dempatia i relació social. Estudis previs suggereixen un dèficit primari en el sistema de neurones mirall. En aquest estudi de cas únic sha aplicat la metodologia observacional per investigar lús de la imitació en un procés duna psicoteràpia dorientació psicoanalítica en un nen amb TEA greu. Els resultats suggereixen que lús de la imitació en aquest tipus de psicoteràpia és una opció recomanable, ja que afavoreix els processos de diferenciació i millora les capacitats d'interacció