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Rigato S, Vrticka P, Stets M, Holmboe K. Mother-infant interaction characteristics associate with infant falling reactivity and child peer problems at pre-school age. PLoS One 2024; 19:e0302661. [PMID: 38833457 PMCID: PMC11149888 DOI: 10.1371/journal.pone.0302661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Accepted: 04/10/2024] [Indexed: 06/06/2024] Open
Abstract
This longitudinal study investigated the associations between mother-infant interaction characteristics at 9 months of age, maternal mental health, infant temperament in the first year postpartum, and child behaviour at 3 years of age. The infants (N = 54, 22 females) mainly had White British ethnic backgrounds (85.7%). Results showed that i) mother-infant dyadic affective mutuality positively correlated with infant falling reactivity, suggesting that better infant regulatory skills are associated with the dyad's ability to share and understand each other's emotions; and ii) maternal respect for infant autonomy predicted fewer child peer problems at 3 years of age, suggesting that maternal respect for the validity of the infant's individuality promotes better social and emotional development in early childhood.
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Affiliation(s)
- Silvia Rigato
- Department of Psychology, Centre for Brain Science, University of Essex, Colchester, England
| | - Pascal Vrticka
- Department of Psychology, Centre for Brain Science, University of Essex, Colchester, England
| | - Manuela Stets
- Department of Psychology, Centre for Brain Science, University of Essex, Colchester, England
| | - Karla Holmboe
- School of Psychological Science, University of Bristol, Bristol, United Kingdom
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2
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Bozicevic L, Ponti L, Smorti M, Pravettoni G, Peccatori FA, Cassani C, Nastasi G, Sarchi V, Bonassi L. Psychological Well-Being, Prenatal Attachment, and Quality of Early Mother-Infant Interaction: A Pilot Study With a Sample of Mothers With or Without Cancer History. Front Psychol 2022; 13:913482. [PMID: 35756312 PMCID: PMC9231582 DOI: 10.3389/fpsyg.2022.913482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 05/12/2022] [Indexed: 11/18/2022] Open
Abstract
Given the positive impact of high-quality mother–infant interaction on child development, and that such relationship might be hindered by maternal stresses such past cancer, research is needed to understand protective and risk factors in this clinical population. As almost no data is available on the impact of history of cancer on the quality of mother–infant interaction, a multicentric and longitudinal pilot study was conducted. Differences in women’s prenatal psychological well-being and attachment (T1, third trimester), and postnatal quality of mother–infant interaction (T2, 2–5 months) were assessed in a sample of Italian mothers with (N = 11) or without cancer history (N = 13). Results showed that women did not differ significantly in their prenatal well-being (assessed with the Profile of Mood States questionnaire) and levels of attachment (assessed with the Prenatal Attachment Inventory). Looking at mother–infant interactions (assessed using the Global Rating Scale at T2), while maternal sensitivity, warmth and intrusiveness, and infant distress and attentiveness did not differ between the two groups, in the clinical group, mothers were more remote and less absorbed in the infant, and infants showed fewer positive communications. These findings might shed light on potential protective and risk factors for early parenting and later child outcomes in this clinical population.
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Affiliation(s)
- Laura Bozicevic
- Department of Primary Care and Mental Health, University of Liverpool, Liverpool, United Kingdom
| | - Lucia Ponti
- Dipartimento di Studi Umanistici, Università di Urbino Carlo Bo, Urbino, Italy
| | - Martina Smorti
- Dipartimento di Patologia Chirurgica, Medica, Molecolare e dell'Area Critica, Università di Pisa, Pisa, Italy
| | | | | | - Chiara Cassani
- Dipartimento di Ginecologia e Ostetricia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | | | | | - Lucia Bonassi
- Dipartimento Medico, ASST Bergamo Est, Seriate, Italy
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Bustamante Loyola J, Pérez Retamal M, Mendiburo-Seguel A, Guedeney AC, Salinas González R, Muñoz L, Cox Melane H, González Mas JM, Simó Teufel S, Morgues Nudman M. The Impact of an Interactive Guidance Intervention on Sustained Social Withdrawal in Preterm Infants in Chile: Randomized Controlled Trial. Front Pediatr 2022; 10:803932. [PMID: 35433551 PMCID: PMC9008748 DOI: 10.3389/fped.2022.803932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 02/23/2022] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Sustained social withdrawal is a key indicator of child emotional distress and a risk factor for psychological development. Preterm infants have a higher probability of developing sustained social withdrawal than infants born full-term during their first year. OBJECTIVE To compare the effect of a behavioral guidance intervention to that of routine pediatric care on sustained social withdrawal behavior in preterm infants. DESIGN Multicenter randomized clinical trial. PARTICIPANTS Ninety nine moderate and late preterm newborns and their parents were recruited and randomized into two groups, i.e., Intervention (n = 49) and Control (n = 50). Both groups attended medical check-ups at 2, 6 and 12 months and were assessed with the Alarm Distress Baby Scale. The intervention group received a standardized behavioral intervention if the neonatologist detected sustained social withdrawal. Also, parents filled out the Edinburgh Postnatal Depression Scale, the modified-Perinatal Posttraumatic Stress Disorder Questionnaire, and the Impact of Event Scale-revised. RESULTS At baseline, the prevalence of withdrawal was 4.0% (95% CI: 0.03-14.2) for the control group and 22.4% (95% CI: 13.0-35.9) for the intervention group [OR = 0.22, p = 0.028 (95% CI =0.06-0.84)]. At 6 months, the prevalence was 10.0% (95% CI: 3.9-21.8) for the control group and 6.1% (95% CI: 2.1-16.5) for the intervention group [OR = 2.09, p = 0.318 (95% CI = 0.49-8.88)]. At 12 months, the prevalence was 22.0% (95% CI: 12.8-35.2) for the control group and 4.1% (95% CI: 1.1-13.7) for the intervention group [OR = 6.63, p = 0.018 (95% CI = 1.39-31.71)]. Logistic generalized estimating equation models were performed. The pooled crude OR (considering diagnosis at 6 and 12 months) was 3.54 [p = 0.022 (95% CI = 1.20-10.44); Cohen's d= 0.70]. In the case of pooled adjusted OR, the model considered diagnosis (0 = Withdrawal, 1 = Normal) as the dependent variable, time of evaluation (1= 6 months, 2 = 12 months) and group (0 = Control, 1 = Experimental) as factors. In this case, the pooled adjusted OR was 3.57 [p = 0.022 (95% CI = 1.20-10.65); Cohen's d = 0.70]. CONCLUSION Assessment and intervention of sustained social withdrawal in preterm infants via standardized instruments benefits families by reducing its prevalence, and possible associated negative outcomes. CLINICAL TRIAL REGISTRATION ClinicalTrials.gov; https://clinicaltrials.gov/ct2/show/NCT03212547, identifier: NCT03212547.
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Affiliation(s)
- Jorge Bustamante Loyola
- Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.,Doctoral Programme in Clinical and Health Psychology, University of Valencia, Valencia, Spain.,Association for Infant Mental Health From Pregnancy (ASMI-WAIMH), Valencia, Spain
| | | | | | - Antoine Claude Guedeney
- Paris 7, Université Paris Diderot, Paris, France.,Hospital Bichat Claude Bernard, Assistance Publique-Hôpitaux de Paris, Paris, France
| | | | | | | | | | - Sandra Simó Teufel
- Doctoral Programme in Clinical and Health Psychology, University of Valencia, Valencia, Spain
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4
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Bustamante Loyola J, Perez Retamal M, Morgues Nudman MI, Maturana A, Salinas Gonzalez R, Cox H, González Mas JM, Muñoz L, Lopez L, Mendiburo-Seguel A, Simó S, Palau Subiela P, Guedeney A. Interactive Guidance Intervention to Address Sustained Social Withdrawal in Preterm Infants in Chile: Protocol for a Randomized Controlled Trial. JMIR Res Protoc 2020; 9:e17943. [PMID: 32589156 PMCID: PMC7394375 DOI: 10.2196/17943] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Revised: 05/21/2020] [Accepted: 05/27/2020] [Indexed: 11/29/2022] Open
Abstract
Background Preterm newborns can be exposed early to significant perinatal stress, and this stress can increase the risk of altered socioemotional development. Sustained social withdrawal in infants is an early indicator of emotional distress which is expressed by low reactivity to the environment, and if persistent, is frequently associated with altered psychological development. Infants born prematurely have a higher probability of developing sustained social withdrawal (adjusted odds ratio 1.84, 95% CI 1.04-3.26) than infants born full term, and there is a correlation between weight at birth and sustained social withdrawal at 12 months of age. Objective The aims of this study are to compare the effect of the interactive guidance intervention to that of routine pediatric care on sustained social withdrawal in infants born moderately or late preterm and to explore the relationship between sustained social withdrawal in these infants and factors such as neonatal intensive care unit hospitalization variables, parental depression, and posttraumatic stress symptoms. Methods This study is designed as a multicenter randomized controlled trial. Moderate and late preterm newborns and their parents were recruited and randomized (1:1 allocation ratio) to control and experimental groups. During neonatal intensive care unit hospitalization, daily duration of skin-to-skin contact, breastfeeding, and parental visits were recorded. Also, a daily score for neonatal pain and painful invasive procedures were recorded. After discharge from neonatal intensive care, for the duration of the study, both groups will attend follow-up consultations with neonatologists at 2, 6, and 12 months of age (corrected for gestational age) and will receive routine pediatric care. Every consultation will be recorded and assessed with the Alarm Distress Baby Scale to detect sustained social withdrawal (indicated by a score of 5 or higher). The neonatologists will perform an interactive guidance intervention if an infant in the intervention group exhibits sustained social withdrawal. In each follow-up consultation, parents will fill out the Edinburgh Postnatal Depression Scale, the modified Perinatal Posttraumatic Stress Disorder Questionnaire, and the Impact of Event Scale–revised. Results Recruitment for this trial started in September 2017. As of May 2020, we have completed enrollment (N=110 infants born moderately or late preterm). We aim to publish the results by mid-2021. Conclusions This is the first randomized controlled trial with a sample of infants born moderately or late preterm infants who will attend pediatric follow-up consultations during their first year (corrected for gestational age at birth) with neonatologists trained in the Alarm Distress Baby Scale and who will receive this interactive guidance intervention. If successful, this early intervention will show significant potential to be implemented in both public and private health care, given its low cost of training staff and that the intervention takes place during routine pediatric follow-up. Trial Registration ClinicalTrials.gov NCT03212547; https://clinicaltrials.gov/ct2/show/NCT03212547. International Registered Report Identifier (IRRID) DERR1-10.2196/17943
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Affiliation(s)
- Jorge Bustamante Loyola
- Neonatology Unit, Clinica Alemana de Santiago, Santiago, Chile.,Doctoral Programme in Clinical and Health Psychology, Universitat de Valencia, Valencia, Spain.,Spain Association for Infant Mental Health Since Gestation, Valencia, Spain.,Neonatology Unit, Hospital San Jose, Santiago, Chile
| | | | | | - Andres Maturana
- Neonatology Unit, Clinica Alemana de Santiago, Santiago, Chile.,Faculty Development Office, Universidad del Desarrollo, Santiago, Chile
| | | | - Horacio Cox
- Neonatology Unit, Clinica Alemana de Santiago, Santiago, Chile
| | | | - Lucia Muñoz
- Neonatology Unit, Hospital San Jose, Santiago, Chile
| | - Lilian Lopez
- Neonatology Unit, Hospital San Jose, Santiago, Chile
| | | | - Sandra Simó
- Faculty of Psychology, Universitat de Valencia, Valencia, Spain
| | | | - Antoine Guedeney
- Hospital Bichat Claude Bernard, Assistance Publique-Hôpitaux de Paris, Paris, France.,Université Paris Diderot, Paris 7, Paris, France
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5
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Guedeney A. Who needs what and when, and how do we sort that out? J Pediatr (Rio J) 2018; 94:458-459. [PMID: 29195084 DOI: 10.1016/j.jped.2017.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Antoine Guedeney
- L'adolescent et Périnatalité, Psychiatrie de L'Enfant, Paris, France; Hôpital Bichat-Claude Bernard, Pôle, Paris, France; Hôpitaux Universitaires Paris Nord Val de Seine, Paris, France; Policlinique Ney Jenny Aubry, Paris, France.
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Guedeney A. Who needs what and when, and how do we sort that out? JORNAL DE PEDIATRIA (VERSÃO EM PORTUGUÊS) 2018. [DOI: 10.1016/j.jpedp.2017.12.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Protecting the child while preserving the relationship: Using baby's relational withdrawal to gauge the effect of parental visitation. PLoS One 2018; 13:e0196685. [PMID: 29723234 PMCID: PMC5933754 DOI: 10.1371/journal.pone.0196685] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2017] [Accepted: 04/17/2018] [Indexed: 11/19/2022] Open
Abstract
The impact of children's interactions with parents in the context of out-of-home placements is receiving much-needed cross-disciplinary attention. However, the paucity of instruments that can reliably represent young children's experiences of such interactions precludes a nuanced evaluation of their impact on wellbeing and development. In response to this empirical gap, the present study investigates children's relational withdrawal as a clinically salient, easily observable and conceptually valid measure of infants' and toddlers' responses to parents. Relational withdrawal, challenging behaviors and salivary cortisol were assessed before, during and after parental visits. Conceptually, the findings suggest that observations of relational withdrawal correlate meaningfully with measure of neurobiological reactivity. Clinically, three profiles of cross-variable responses in children appeared, distinguishing between groups that experience increased, decreased or unchanged levels of stress in response to parental visits. Taken together, the findings lend empirical support to systematic observations of relational withdrawal to bolster evaluations of young children's experience of parental visitation during out-of-home placements.
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Lougheed JP, Hollenstein T. Arousal transmission and attenuation in mother-daughter dyads during adolescence. SOCIAL DEVELOPMENT 2017. [DOI: 10.1111/sode.12250] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Guedeney A, Wendland J, Dugravier R, Saïas T, Tubach F, Welniarz B, Guedeney N, Greacen T, Tereno S, Pasquet B. IMPACT OF A RANDOMIZED HOME-VISITING TRIAL ON INFANT SOCIAL WITHDRAWAL IN THE CAPEDP PREVENTION STUDY. Infant Ment Health J 2013. [DOI: 10.1002/imhj.21413] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
| | | | | | - Thomas Saïas
- National Institute for Prevention and Health Education, Saint-Denis; France
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10
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Burtchen N, Alvarez-Segura M, Mendelsohn AL, Dreyer BP, Castellanos FX, Catapano P, Guedeney A. SCREENING FOR SUSTAINED SOCIAL WITHDRAWAL BEHAVIORS IN SIX-MONTH-OLD INFANTS DURING PEDIATRIC PRIMARY CARE VISITS: RESULTS FROM AN AT-RISK LATINO IMMIGRANT SAMPLE WITH HIGH RATES OF MATERNAL MAJOR DEPRESSIVE DISORDER. Infant Ment Health J 2013. [DOI: 10.1002/imhj.21418] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
| | | | - Alan L. Mendelsohn
- New York University School of Medicine and Bellvue Hospital Center; New York
| | - Benard P. Dreyer
- New York University School of Medicine and Bellvue Hospital Center; New York
| | - Francisco X. Castellanos
- New York University Langone Medical Center Child Study Center and Nathan Kline Institute for Psychiatric Research; New York
| | - Peter Catapano
- New York University School of Medicine and Bellvue Hospital Center; New York
| | - Antoine Guedeney
- Paris Diderot University and Hospital Bichat Claude Bernard; Paris
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11
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Guedeney A, Matthey S, Puura K. SOCIAL WITHDRAWAL BEHAVIOR IN INFANCY: A HISTORY OF THE CONCEPT AND A REVIEW OF PUBLISHED STUDIES USING THE ALARM DISTRESS BABY SCALE. Infant Ment Health J 2013. [DOI: 10.1002/imhj.21412] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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