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1.
Soins Pediatr Pueric ; 45(338): 26-31, 2024.
Artigo em Francês | MEDLINE | ID: mdl-38697722

RESUMO

Any premature birth can be traumatic, and a risk factor for the parenting process and the quality of parent-baby interactions. Average prematurity is no exception. It can undermine essential parenting functions, such as availability and sensitivity to the child, and generate interactive dysfunctions within parent-baby dyads. In some cases, it can lead to genuine psychopathological states.


Assuntos
Recém-Nascido Prematuro , Relações Pais-Filho , Poder Familiar , Humanos , Recém-Nascido , Poder Familiar/psicologia , Nascimento Prematuro/psicologia
2.
Infant Ment Health J ; 44(6): 741-751, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37607042

RESUMO

In this study, we investigated the influence of parental sensitivity and family alliance on infants' vagal tone, considered as a physiological indicator of emotion regulation. Studies on mother-infant interactions have shown that vagal tone can be influenced by the quality of the interaction, such as interacting with a sensitive mother. To date, no study has investigated the influence of paternal sensitivity or family alliance on infants' vagal tone. We hypothesized that maternal sensitivity, paternal sensitivity, and family alliance would be associated with infants' vagal tone during dyadic and triadic interactions. We also explored if family alliance would act as a moderator on the association between parental sensitivity and vagal tone and if the sensitivity of both parents would act as a moderator on the association between family alliance and vagal tone. This study took place in Switzerland and included 82 families with their 3-4-month-old infants. Results showed that maternal sensitivity and family alliance were associated with infants' vagal tone, but paternal sensitivity was not. We found no significant moderation effect. However, result tendencies suggested that the contribution of paternal sensitivity to infants' emotion regulation could be influenced by family alliance, whereas maternal sensitivity and family alliance have a unique contribution.


En este estudio, investigamos la influencia de la sensibilidad del progenitor y la alianza de familia sobre el tono vagal del infante, considerado como un indicador fisiológico de regulación de la emoción. Los estudios acerca de las interacciones madre-infante han demostrado que el tono vagal puede ser influido por la calidad de la interacción, tal como el interactuar con una mamá sensible. Hasta hoy, ningún estudio ha investigado la influencia de la sensibilidad paterna o la alianza de familia sobre el tono vagal del infante. Nuestra hipótesis es que la sensibilidad materna, la sensibilidad paterna y la alianza de familia estaban asociadas con el tono vagal del infante durante las interacciones diádicas y triádicas. También exploramos si la alianza de familia actuaba como moderadora en la asociación entre la sensibilidad paterna y el tono vagal y si la sensibilidad de ambos progenitores actuaba como moderadora en la asociación entre la alianza de familia y el tono vagal. Este estudio se llevó a cabo en Suiza e incluyó a 82 familias con sus infantes de 3-4 meses de edad. Los resultados muestran que la sensibilidad materna y la alianza de familia estaban asociadas con el tono vagal del infante, pero que la sensibilidad paterna no lo estaba. No encontramos ningún efecto de moderación significativo. Sin embargo, las tendencias del resultado sugieren que la contribución de la sensibilidad paterna a la regulación de la emoción puede ser influida por la alianza de familia, mientras que la sensibilidad materna y la alianza de familia tienen una contribución particularmente única.


Dans cette étude nous nous sommes penchés sur l'influence de la sensibilité paternelle et de l'alliance de la famille sur le tonus vagal des nourrissons, considéré comme étant un indicateur physiologique de la régulation de l'émotion. Les études sur les interactions mère-nourrisson ont montré que le tonus vagal peut être influencé par la qualité de l'interaction, comme l'interaction avec une mère sensible. Jusqu'à présent aucune étude n'a porté sur l'influence de la sensibilité paternelle ou l'alliance familiale sur le tonus vagal des nourrissons. Nous avons fait l'hypothèse que la sensibilité maternelle, la sensibilité paternelle, et l'alliance familiale peuvent être liées au tonus vagal des nourrissons durant les interactions dyadiques et triadiques. Nous avons également exploré si l'alliance familiale pourrait agir comme modératrice sur le lien entre la sensibilité parentale et le tonus vagal et si la sensibilité des deux parents pourrait agir comme modérateur du lien entre l'alliance familiale et le tonus vagal. Cette étude s'est faite en Suisse et a inclus 82 familles avec des bébés de 3-4 mois. Les résultats ont montré que la sensibilité maternelle et l'alliance familiale étaient liées au tonus vagal des bébés mais la sensibilité de l'était pas. Nous n'avons trouvé aucun effet de modération important. Cependant les tendances des résultats ont suggéré que la contribution de la sensibilité paternelle à la régulation de l'émotion des nourrissons pourrait être influencée par l'alliance familiale alors que la sensibilité maternelle et l'alliance familiale a une contribution unique.


Assuntos
Regulação Emocional , Feminino , Humanos , Lactente , Mães/psicologia , Relações Mãe-Filho/psicologia , Nervo Vago/fisiologia , Suíça
3.
Infancy ; 27(1): 115-134, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34626071

RESUMO

Research on parental sensitivity often relies on video observation of parent-infant dyads. However, to date, no study has assessed both infants' and parents' interactions with the camera, and how this relates to parental sensitivity levels. This exploratory study micro-coded camera-related behaviors (CRB) by 4-month olds and their mothers and fathers on a 1-s time base, and examined the associations between those behaviors and parental sensitivity in 75 Dutch families. While parents' CRB made up only 0.8% of total interaction time, infants' made up 12%. Multi-level time-series analyses showed that infants' CRB predicted mothers'. Infants' CRB predicted fathers' CRB, and vice versa. Maternal sensitivity was significantly lower when children looked at the camera for over one-third of total interaction time (Cohen's d = 1.26). These findings indicate further research is required to better understand how video observation might threaten ecological validity.


Assuntos
Mães , Pais , Criança , Feminino , Humanos , Lactente , Comportamento do Lactente
4.
Infant Ment Health J ; 43(5): 714-729, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35921446

RESUMO

Quality of early family interactions has been associated with child development, bonding, and mental health. Childhood adversity, stress, and depression impact parenting, affecting the quality of the interaction within the mother-father-child triad. The aim of the present study was to analyze the influence of parents' adverse childhood experiences, depressive symptoms, and parental stress, on their sensitive response toward their tooddler and quality of traidic interactions. A correlational cross-sectional method was used. The sample included 80 mother-father-child triads, of toddlers with social-emotional difficulties. Parents early adverse experiences, parental stress, and depressive symptoms were assessed through self-report measures. Observational measures on parental sensitivity and triadic interaction were used. For mothers and fathers, adverse childhood experiences were associated with depressive symptoms in adulthood. Sensitivity toward their child and stress were positively associated among both parents. Symptoms of depression in mothers were associated with lower sensitivity toward their child, but in fathers, their sensitive response was influenced by the level of parental stress in the mother. In both parents, greater sensitivity in the dyadic interaction with the child was associated with a higher quality of the triadic interactions, in the triad as a whole, and in the regulation and involvement of the child.


Se ha asociado la calidad de las tempranas interacciones de familia con el desarrollo, la unión afectiva y la salud mental del niño. La adversidad en la niñez, el estrés y la depresión tienen un impacto en la crianza, lo cual afecta la calidad de la interacción dentro de la tríada madre-padre-niño. El propósito del presente estudio fue analizar la influencia que las adversas experiencias de niñez de los padres, los síntomas depresivos y el estrés de crianza ejercen sobre sus sensibles respuestas hacia su niño pequeñito y la calidad de las interacciones tríadicas. Se utilizó un método correlacional entre las secciones. El grupo muestra estuvo compuesto de 80 tríadas madre-padre-niño, de niños pequeñitos con dificultades socio-emocionales. A través de medidas de auto-reportes, se evaluaron las tempranas experiencias adversas de los padres, el estrés de crianza, así como los síntomas depresivos. Se usaron medidas de observación de la sensibilidad de los padres y la interacción tríadica. Para mamás y papás, las adversas experiencias de niñez estuvieron asociadas con síntomas depresivos en la edad adulta. La sensibilidad hacia su niño y el estrés se asociaron positivamente entre ambos padres. Se asociaron los síntomas de depresión en las madres con una más baja sensibilidad hacia su niño, pero en los papás la respuesta sensible estuvo influida por el nivel de estrés de crianza de la madre. En ambos padres, una mayor sensibilidad en la interacción diádica con el niño se asoció con una más alta calidad de las interacciones tríadicas, en la tríada en general, así como en la regulación y participación del niño.


La qualité des interactions précoces de la famille a été liée au développement de l'enfant, à la connexion et à la santé mentale. L'adversité durant l'enfant, le stress et la dépression impactent le parentage, affectant la qualité de l'interaction au sein de la triade mère-père-enfant. Le but de cette étude était d'analyser l'influence d'expériences négatives de l'enfance, de symptômes dépressifs et de stress parental sur leur réaction sensible envers leur petit enfant et la qualité des interactions triadiques. Une méthode transversale corrélative a été utilisée. L'échantillon a inclus 80 triades mère-père-enfant, de jeunes enfants avec des difficultés socio-émotionnelles. Les expériences négatives précoces des parents, le stress parental, et les symptômes dépressifs ont été évalués au travers de mesures d'auto-évaluation. Des mesures d'observation de la sensibilité parentale et de l'interaction triadique ont été utilisées. Pour les mères et les pères les expériences négatives de l'enfance étaient liées à des symptômes dépressifs à l'âge adulte. La sensibilité envers leur enfant et le stress étaient liés de manière positive chez les deux parents. Les symptômes de dépression chez les mères étaient liés à une sensibilité moindre envers leur enfant mais chez les pères leur réaction sensible était influencée par le niveau de stress parental chez la mère. Chez les deux parents une plus grande sensibilité dans l'interaction dyadique avec l'enfant était liée à une qualité plus élevée des interactions triadiques, dans la triade dans son ensemble, et dans la régulation et l'engagement de l'enfant.


Assuntos
Pai , Mães , Adulto , Estudos Transversais , Depressão/psicologia , Pai/psicologia , Feminino , Humanos , Lactente , Masculino , Mães/psicologia , Poder Familiar/psicologia , Pais
5.
Dev Psychopathol ; 33(2): 554-564, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33487189

RESUMO

This study evaluated whether Attachment and Biobehavioral Catch-up (ABC), a parenting intervention, altered the attachment representations of parents (average age of 34.2 years) who had been referred to Child Protective Services (CPS) due to risk for child maltreatment when their children were infants. Approximately 7 years after completing the intervention, parents who had been randomized to receive ABC (n = 43) exhibited greater secure base script knowledge than parents who had been randomized to receive a control intervention (n = 51). Low-risk parents (n = 79) exhibited greater secure base script knowledge than CPS-referred parents who had received a control intervention. However, levels of secure base script knowledge did not differ between low-risk parents and CPS-referred parents who had received the ABC intervention. In addition, secure base script knowledge was positively associated with parental sensitivity during interactions with their 8-year-old children among low-risk and CPS-referred parents. Mediational analyses supported the idea that the ABC intervention enhanced parents' sensitivity 7 years later indirectly via increases in parents' secure base script knowledge.


Assuntos
Poder Familiar , Pais , Adulto , Criança , Serviços de Proteção Infantil , Humanos , Lactente , Apego ao Objeto
6.
Attach Hum Dev ; 23(5): 643-664, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-33107784

RESUMO

Increasingly, attachment representations are being assessed via secure base script knowledge - the degree to which individuals show awareness of the temporal-causal schema that summarizes the basic features of seeking and receiving effective support from caregivers during times of need. Limited research has assessed the links between secure base script knowledge and aspects of adult functioning and the role that secure base script knowledge may play in accounting for associations between early caregiving quality and adulthood functioning. We used follow-up assessments of the NICHD Study of Early Child Care and Youth Development cohort (N = 585) to examine whether secure base script knowledge at age 18 years: (a) is associated with later romantic relationship quality, depressive symptoms, and body mass index (BMI) at age 26 years, and (b) mediates expected associations between the quality of maternal and paternal sensitivity across the first 15 years of life and age-26 outcomes. More access to, and elaborated knowledge of the secure base script predicted less extreme hostility with romantic partners, and better emotional and physical health. Moreover, secure base script knowledge mediated the links between early maternal and paternal sensitivity and both later romantic partner hostility and depressive symptoms, but not BMI.


Assuntos
Apego ao Objeto , Pais , Adolescente , Adulto , Cuidadores , Humanos , Tempo
7.
Infant Ment Health J ; 42(2): 161-175, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33452702

RESUMO

The omnipresence of smartphones has not stopped at the door to the nursery. It is especially important to better understand the impact of parental smartphone use on relationships at the beginning of children's lives. Babies and toddlers are essentially dependent on caregivers' sensitive and responsive behaviors within the context of the development of attachment patterns. Disturbances in parental sensitivity can have a negative impact on attachment-related interactional processes between parents and children and on child outcomes, such as self-regulatory capacity. The goal of this review is to compile existing research on the impact of parental mobile device use through technoference or absorption on parental sensitivity and responsiveness within parent-child interactions in the early years (0-5). We conducted a thorough search of the databases PsycInfo and PubMed, additionally consulting data sources such as Google Scholar and Google. In this review, we included 12 studies with a variety of methodical approaches. The research so far indicates that parental smartphone use may be associated with changes in parental sensitivity and responsiveness. Absorption in the device appears to contribute to this association more strongly than short interruptions of relating per se (technoference). However, to better understand these processes, more in-depth, longitudinal research is needed.


La omnipresencia de los teléfonos inteligentes no se ha detenido a la puerta de la guardería. En especial, es importante entender mejor el impacto del uso de teléfonos inteligentes por parte de los padres en sus relaciones al comienzo de las vidas de sus niños. Los bebés y niños pequeñitos son esencialmente dependientes del comportamiento sensible y atento de quienes les cuidan, dentro del contexto del desarrollo de patrones de afectividad. Las interrupciones en la sensibilidad de los padres pueden tener un impacto negativo en los procesos interaccionales relacionados con la afectividad entre padres y niños y en los resultados en el niño tales como la capacidad de autorregularse. El propósito de la presente revisión es compilar la investigación existente acerca del impacto que el uso de aparatos móviles por parte de los padres a través de la tecno-conferencia o absorción tiene sobre la sensibilidad y la atención dentro de las interacciones padres-niños en los primeros años (0-5). Llevamos a cabo una investigación exhaustiva de los bancos de datos PsycInfo y PubMed, consultando adicionalmente las fuentes de datos como el Investigador Google y Google. En esta revisión incluimos 12 estudios con una variedad de acercamientos metodológicos. La investigación hasta ahora indica que el uso de los teléfonos inteligentes por parte de los padres pudiera estar asociado con cambios en la sensibilidad y atención de los padres. La absorción en los aparatos parece contribuir a esta asociación más fuertemente que interrupciones cortas o relacionadas de por sí (tecno-conferencia). Sin embargo, para entender mejor estos procesos, se necesita una más profunda y longitudinal investigación.


L'omniprésence des téléphones smartphones ne s'est pas arrêtée à la porte de la chambre du bébé. Il est particulièrement important de mieux comprendre l'impact de l'utilisation parentale des smartphones sur les relations au début de la vie des enfants. Les bébés et les petits enfants sont essentiellement dépendants des comportements sensibles et réactifs des aidants naturels dans le contexte du développement de patterns d'attachement. Des perturbations de la sensibilité parentale peuvent avoir un impact négatif sur les processus interactionnels liés à l'attachement entre les parents et les enfants et sur les résultats de l'enfant, comme par exemple la capacité régulatoire. Le but de ce passage en revue est de compiler les recherches qui existent sur l'impact de l'utilisation parentale des appareils mobiles à travers la technoférence ou l'absorption sur la sensibilité parentale et la réaction au sein des interactions parent-enfant durant les premières années (0-5 ans). Nous avons fait une recherche approfondie des bases de données PsycInfo et PubMed, et également consulté des sources de données telles que Google Scholar et Google. Dans cette revue nous incluons 12 études avec une variété d'approches médicales. Jusqu'à présent les recherches indiquent que l'utilisation parentale du smartphone peut être lié à des changements dans la sensibilité parentale et la réaction. Le fait d'être absorbé par le téléphone semble contribuer à cette association plus fortement que de courtes interruptions à la relation en elle-même (technoférence). Cependant, afin de mieux comprendre ces processus, des recherches plus approfondies et longitudinales sont nécessaires.


Assuntos
Relações Pais-Filho , Smartphone , Pré-Escolar , Humanos , Lactente , Pais
8.
Dev Psychopathol ; 32(5): 1657-1668, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33427179

RESUMO

Children who have been adopted internationally commonly experience institutional care and other forms of adversity prior to adoption that can alter the functioning of the hypothalamic-pituitary-adrenal (HPA) axis. In particular, internationally adopted children tend to have blunted diurnal declines compared to children raised in their birth families. The Attachment and Biobehavioral Catch-Up (ABC) intervention was developed to enhance young children's biological and behavioral regulation by promoting sensitive parenting. The current study used a randomized controlled trial to assess whether ABC improved the diurnal functioning of the HPA axis among 85 children who had been adopted internationally when they were between the ages of 4 and 33 months (M = 16.12). Prior to the intervention, there were no significant differences in diurnal cortisol production between children whose parents were randomly assigned to receive ABC and children whose parents were randomly assigned to receive a control intervention. After the intervention, children whose parents had received the ABC intervention exhibited steeper declines in cortisol levels throughout the day than children whose parents had received the control intervention. These results indicate that the ABC intervention is effective in enhancing a healthy pattern of diurnal HPA axis regulation for young children who have been adopted internationally.


Assuntos
Criança Adotada , Hidrocortisona , Criança , Pré-Escolar , Humanos , Sistema Hipotálamo-Hipofisário , Lactente , Poder Familiar , Sistema Hipófise-Suprarrenal
9.
Dev Sci ; 22(2): e12753, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30230658

RESUMO

Young children in foster care are at increased risk for problematic language development, making early intervention a critical tool in enhancing these children's foundational language abilities. This study examined the efficacy of an early preventative intervention, Attachment and Biobehavioral Catch-up for Toddlers (ABC-T), in improving the receptive vocabulary abilities of toddlers placed in foster care. All the children had been removed from their biological parents' care and placed into foster care. When children were between 24 and 36 months old, foster parents were contacted by research staff and consented to participate. Parents were randomly assigned using a random number generator to receive either ABC-T (n = 45), which aimed to promote sensitive parenting for children who have experienced early adversity, or a control intervention (n = 43). Foster children's receptive vocabulary skills were assessed post-intervention using the Peabody Picture Vocabulary Test, Third Edition, when children were between 36 and 60 months old. Children whose foster parents received ABC-T demonstrated more advanced receptive vocabulary abilities than children whose foster parents received the control intervention. The positive effect of ABC-T on foster children's receptive vocabulary was mediated by increases in foster parents' sensitivity during parent-child interactions. Trial registration: ClinicalTrials.gov NCT01261806.


Assuntos
Criança Acolhida , Cuidados no Lar de Adoção , Desenvolvimento da Linguagem , Poder Familiar , Pré-Escolar , Intervenção Educacional Precoce , Feminino , Humanos , Lactente , Masculino , Relações Pais-Filho , Pais , Vocabulário
10.
BMC Psychiatry ; 19(1): 5, 2019 01 07.
Artigo em Inglês | MEDLINE | ID: mdl-30616585

RESUMO

BACKGROUND: Early parent- child relations play an important role in children's development. Therapeutic intervention towards infants and toddlers at high-risk intends to prevent mental health problems. In this work, the parent-child-dyad is crucial. The video interaction guidance method, Marte Meo, is one among different methods used in attachment-based treatment in an outpatient infant mental health clinic. Parental sensitivity towards infants and toddlers needs is considered significant in developing secure attachment. Secure attachment is further considered decisive for mental health and the extent to which children are at risk of developing mental health problems. Different treatment methods aim at strengthening parents' sensitivity. This study's purpose was to gain further understanding about parent's experiences with Marte Meo - therapy and highlight the importance for parental sensitivity. METHODS: This is a cross-sectional phenomenological hermeneutical study. Four biological parents of three infants and toddlers aged 0-20 months who received Marte Meo- therapy in a clinical context were selected. Data was collected using semi structured interviews. RESULTS: This article presents the study's key-finding; we suggest that sensitivity increases. The key components of this are: watching edited video interaction in a therapeutic context, emotional activation, mutuality, self-esteem / self-confidence and reflective function. These are further elaborated and discussed. CONCLUSION: The findings indicate that Marte Meo contributes to facilitate development-supportive interaction, strengthen parental sensitivity, emotional availability, reflective functioning and coping - experience.


Assuntos
Saúde Mental , Relações Pais-Filho , Pais/educação , Pais/psicologia , Gravação em Vídeo/métodos , Adaptação Psicológica/fisiologia , Ansiedade/psicologia , Ansiedade/terapia , Desenvolvimento Infantil/fisiologia , Estudos Transversais , Depressão/psicologia , Depressão/terapia , Emoções/fisiologia , Feminino , Humanos , Lactente , Recém-Nascido , Masculino
11.
Attach Hum Dev ; : 1-8, 2018 Mar 29.
Artigo em Inglês | MEDLINE | ID: mdl-29595079

RESUMO

This article describes the earliest processes involved in socializing infants into cultural beings, that are thought to set the stage for the type of interactions described in this special issue. From birth onwards, infants experience and learn whether their signals will be answered, and in what way, by whom, and when. Infants learn about their own culture from the persons around them through the meaning and interpretations these persons give to their behaviors. Many questions remain about how these processes link to infant brain development, and how insights from cultural and biological anthropology can be used to elucidate the meaning and function of sensitive caregiver-infant interactions.

12.
Attach Hum Dev ; 20(4): 378-405, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29192551

RESUMO

Maternal sensitivity predicts mother-child attachment in young children, but no meta-analysis has investigated the link between parenting and parent-child attachment in older children. This study examined the relationship between parent-child attachment and multiple components of parenting in children 5-18 years of age. A series of meta-analyses showed that parents of children with more secure attachment are more responsive, more supportive of the child's autonomy, use more behavioral control strategies, and use less harsh control strategies. Parents of children with more avoidant attachment were less responsive and used less behavioral control strategies. Ambivalent attachment was not significantly related to any of the parenting behaviors, and there were not enough studies to reliably test the relationship between disorganized attachment and parenting. There were few significant moderators. The findings inform new areas for future research, as well as family interventions for at-risk youth.


Assuntos
Apego ao Objeto , Relações Pais-Filho , Poder Familiar , Adolescente , Criança , Humanos
13.
Child Psychiatry Hum Dev ; 47(6): 938-949, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-26797704

RESUMO

Since 9/11, military service in the United States has been characterized by wartime deployments and reintegration challenges that contribute to a context of stress for military families. Research indicates the negative impact of wartime deployment on the well being of service members, military spouses, and children. Yet, few studies have considered how parental deployments may affect adjustment in young children and their families. Using deployment records and parent-reported measures from primary caregiving (N = 680) and military (n = 310) parents, we examined the influence of deployment on adjustment in military families with children ages 0-10 years. Greater deployment exposure was related to impaired family functioning and marital instability. Parental depressive and posttraumatic stress symptoms were associated with impairments in social emotional adjustment in young children, increased anxiety in early childhood, and adjustment problems in school-age children. Conversely, parental sensitivity was associated with improved social and emotional outcomes across childhood. These findings provide guidance to developing preventive approaches for military families with young children.


Assuntos
Ansiedade , Comportamento Infantil/fisiologia , Ajustamento Emocional , Emprego/psicologia , Família Militar/psicologia , Relações Pais-Filho , Ansiedade/diagnóstico , Ansiedade/etiologia , Ansiedade/prevenção & controle , Ansiedade/psicologia , Criança , Comportamento Infantil/psicologia , Pré-Escolar , Inteligência Emocional , Feminino , Humanos , Masculino , Pais/psicologia , Psicologia Militar/métodos , Ajustamento Social , Estresse Psicológico , Estados Unidos
14.
Child Adolesc Ment Health ; 21(1): 11-20, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32680362

RESUMO

BACKGROUND: Secure attachment is associated with optimal outcomes across all domains in childhood, and both insecure and disorganised attachment are associated with a range of later psychopathologies. Insecure and disorganised attachment are common, particularly in disadvantaged populations, pointing to the need to identify effective methods of addressing such problems. AIMS: This paper presents the findings of a review of secondary and primary studies evaluating the effectiveness of interventions aimed at improving attachment and attachment-related outcomes on a universal, targeted or indicated basis, which was undertaken as part of an update of the evidence base for a UK-based national programme targeting children aged 0-5 years (Healthy Child Programme). METHOD: A systematic search of key electronic databases was undertaken to identify secondary and primary sources of data that addressed the research question and that had been published between 2008 and 2014; search sources included Cochrane Collaboration, NICE, EPPI Centre, Campbell Collaboration and PubMed, PsychInfo, CINAHL databases. FINDINGS: Six systematic reviews and 11 randomised controlled trials were identified that had evaluated the effectiveness of universal, selective or indicated interventions aimed at improving attachment and attachment-related outcomes in children aged 0-5 years. Potentially effective methods of improving infant attachment include parent-infant psychotherapy, video feedback and mentalisation-based programmes. Methods that appear to be effective in improving attachment-related outcomes include home visiting and parenting programmes. CONCLUSIONS: A number of methods of working to promote attachment and attachment-related outcomes in preschool children are now being recommended as part of the Healthy Child Programme. The implications in terms of the role and contribution of practitioners working in child and adolescent mental health service are discussed.

15.
Child Youth Serv Rev ; 61: 109-116, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26869740

RESUMO

Birth parents, once reunified with their child after a foster care placement, are in need of in-home support services to prevent reoccurrence of maltreatment and reentry into foster care, establish a strong relationship with their child, and enhance child well-being. Few studies have addressed the efficacy of home visiting services for reunified birth parents of toddlers. This study reports on the findings from a randomized control trial of a 10-week home visiting program, Promoting First Relationships® (Kelly, Sandoval, Zuckerman, & Buehlman, 2008), for a subsample of 43 reunified birth parents that were part of the larger trial. We describe how the elements of the intervention align with the needs of parents and children in child welfare. Although the sample size was small and most of the estimates of intervention effects were not statistically significant, the effect sizes and the pattern of results suggest that the intervention may have improved both observed parenting sensitivity and observed child behaviors as well as decreased parent report of child behavior problems. Implications are that providing in-home services soon after a reunification may be efficacious in strengthening birth parents' capacity to respond sensitively to their children as well as improving child social and emotional outcomes and well-being.

16.
J Exp Child Psychol ; 130: 193-208, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25462041

RESUMO

During early childhood, girls outperform boys on key dimensions of cognitive functions, including inhibitory control, sustained attention, and working memory. The role of parenting in these sex differences is unknown despite evidence that boys are more sensitive to the effects of the early environment. In this study, we measured parental sensitivity at 14 and 36 months of age, and children's cognitive and executive functions (sustained attention, inhibitory control, and forward/backward memory) at 52 months of age, in a longitudinal cohort (N=752). Boys scored significantly lower than girls on inhibitory control (more Go/NoGo "commission errors") and short-term memory (forward color recall task), but boys did not differ from girls on attention (Go/NoGo "omission errors") or working memory (backward color recall task). In stratified analyses, parental sensitivity at 36 months of age was negatively associated with number of errors of commission (p=.05) and omission (p=.02) in boys, whereas child's age was the only significant predictor of commission and omission errors in girls. A combined analysis of both sexes confirmed an interaction between sex and parenting for omission errors (p=.03). The results indicate that sex differences in cognitive functions are evident in preschoolers, although not across all dimensions we assessed. Boys appear to be more vulnerable to early parenting effects, but only in association with omission errors (attention) and not with the other cognitive function dimensions.


Assuntos
Atenção , Função Executiva , Memória de Curto Prazo , Relações Pais-Filho , Poder Familiar/psicologia , Pré-Escolar , Feminino , Humanos , Masculino , Países Baixos , Testes Neuropsicológicos/estatística & dados numéricos , Fatores Sexuais
17.
Infant Behav Dev ; 74: 101923, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38242068

RESUMO

Infants often start pointing toward the end of their first year of life. Pointing shows a strong link to language, perhaps because parents label what infants point to. In the present study, we tested whether 9-month-olds' pointing was related to parental sensitivity and concurrent and subsequent vocabulary scores. Observations were made of 88 9-month-old infants in free-play situations with their mothers. Less than half the infants produced at least one index-finger point. The mothers' reactions to their infants' behaviour were coded for sensitivity. The mothers of the infants who pointed were less directing and responded more contingently than the mothers of the infants who did not point. However, there was no difference in vocabulary scores of pointers and non-pointers, either concurrently or at 12 and 18 months of age. These results could mean that parents' reactions play an important role in shaping pointing to be communicative.


Assuntos
Idioma , Vocabulário , Feminino , Lactente , Humanos , Desenvolvimento da Linguagem , Mães , Comunicação
18.
Front Psychiatry ; 15: 1374872, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38903632

RESUMO

Background: Sensitivity plays a crucial role in parenting as it involves the ability to perceive and respond appropriately to children's signals. Childhood maltreatment and depression can negatively impact adults' ability to recognize emotions, but it is unclear which of these factors has a greater impact or how they interact. This knowledge is central to developing efficient, targeted interventions. This paper examines the interaction between parents' depressive symptoms and childhood maltreatment and its influence on their ability to recognize the five basic emotions (happiness, anger, sadness, fear, and disgust) in children's faces. Method: The sample consisted of 52 parents. Depressive symptoms were measured by the depression subscale of the Brief Symptom Inventory-18 (BSI-18), and maltreatment history was assessed by the Childhood Trauma Questionnaire (CTQ). Children's emotional stimuli were morphed images created using The Child Affective Facial Expression (CAFE) database. Results: Our findings indicate that depressive symptoms moderate the relationship between parents' history of childhood maltreatment and emotion recognition skills. Parents with higher depressive symptoms had lower emotion recognition accuracy when they had not experienced maltreatment. When childhood maltreatment was severe, emotion recognition skills were more consistent across all levels of depression. The relationship between depression and emotion recognition was primarily linked to recognizing sadness in children's faces. Conclusion: These findings highlight how different experiences can affect parental abilities in emotion recognition and emphasize the need for interventions tailored to individual profiles to improve their effectiveness.

19.
Res Child Adolesc Psychopathol ; 52(8): 1261-1273, 2024 08.
Artigo em Inglês | MEDLINE | ID: mdl-38700809

RESUMO

Parental depressive symptoms and sensitivity have well-documented consequences for children; however, studies considering both parents are still scarce. This longitudinal study aimed to investigate the respective roles of paternal and maternal depressive symptoms and sensitivity in predicting the development of child socioemotional problems during toddlerhood. We also investigated the buffering role of each parent's sensitivity in the associations between the other parent's depressive symptoms and toddlers' socioemotional problems. The sample consisted of 140 Canadian families who were visited in their homes when children were around 13 (T1), 19 (T2), and 27 (T3) months of age. At T1, both parents' sensitivity was assessed from observations of parent-child interactions at home and each parent reported on his or her own depressive symptoms. At T1, T2, and T3, maternal and paternal perceptions of their toddler's socioemotional problems were assessed and aggregated. Growth curve analyses revealed that paternal and maternal depressive symptoms as well as paternal sensitivity were unique and persistent predictors of child socioemotional problems and that sensitive fathering acted as a buffer in the context of maternal depressive symptoms. This study highlights the importance of considering both parents when studying risk and protective factors for young children's socioemotional problems.


Assuntos
Depressão , Pai , Mães , Humanos , Feminino , Masculino , Depressão/psicologia , Pré-Escolar , Lactente , Estudos Longitudinais , Mães/psicologia , Pai/psicologia , Adulto , Canadá/epidemiologia , Relações Pais-Filho , Poder Familiar/psicologia
20.
Dev Cogn Neurosci ; 62: 101264, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37331231

RESUMO

Learning to control behavior when receiving feedback underlies social adaptation in childhood and adolescence, and is potentially strengthened by environmental support factors, such as parents. This study examined the neural development of responding to social feedback from childhood to adolescence, and effects of parental sensitivity on this development. We studied these questions in a 3-wave longitudinal fMRI sample (ages 7-13 years, n = 512). We measured responses to feedback using the fMRI Social Network Aggression Task through noise blasts following peer feedback and associated neural activity, and parental sensitivity using observations of parent-child interactions during Etch-a-Sketch. Results revealed largest reductions in noise blasts following positive feedback between middle and late childhood and following negative feedback between late childhood and early adolescence. Additionally, brain-behavior associations between dorsolateral prefrontal cortex activation and noise blast durations became more differentiated across development. Parental sensitivity was only associated with noise blast duration following positive feedback in childhood, but not in adolescence. There was no relation between parental sensitivity and neural activity. Our findings contribute to our understanding of neural development and individual differences in responding to social feedback, and the role of parenting in supporting children's adaption to social feedback.


Assuntos
Individualidade , Imageamento por Ressonância Magnética , Criança , Humanos , Adolescente , Retroalimentação , Imageamento por Ressonância Magnética/métodos , Agressão/fisiologia , Encéfalo/fisiologia , Poder Familiar
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