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[Regulatory disorders in early childhood: identification, prevention and treatment guidelines]
Francisco Barría H1, Francisca Pérez C2, Paulina Brahm M3
1Servicio de Salud Coquimbo, La Serena, Chile.
Insights
Infant regulation disorders stem from parent-child interaction issues, impacting family dynamics and long-term child development. Early intervention focusing on parental sensitivity is key to successful intuitive parenting.
Area of Science:
- Pediatrics
- Developmental Psychology
- Family Systems
Background:
- Regulation disorders involve a symptomatic triad: child factors, parental characteristics, and parent-child interaction.
- These disorders can lead to family imbalance and increase risks for internalizing/externalizing disorders and child abuse.
- Current management emphasizes the family system and parental conditions.
Purpose of the Study:
- To present a narrative-descriptive review of infant regulation disorders.
- To explore causal associations, consequences, and current treatment guidelines.
- To highlight the importance of parental guidance in early intervention.
Main Methods:
- Narrative-descriptive literature review.
- Analysis of current guidelines and classification systems.
- Synthesis of knowledge on disorder etiology, impact, and management.
Main Results:
- Regulation disorders are rooted in parent-child interaction dynamics.
- Early identification and intervention, particularly focusing on parental sensitivity, are crucial.
- Addressing the symptomatic triad (child, parent, interaction) is central to management.
Conclusions:
- Guidance for parents is essential to enhance sensitivity and responsiveness to infant cues.
- Intervention should focus on the family system to mitigate risks and promote healthy development.
- Successful intuitive parenting can be fostered by supporting caregivers in managing infant regulation challenges.
Abstract:
Regulation disorders are defined according to current guidelines and classification systems as disor ders in the interaction between infants and their parents, being characterized by a symptomatic triad that includes aspects of the child, parental characteristics and parent-child interaction. This disorder may generate family imbalance and in the long term to be a risk factor for internalizing and externa lizing disorders, as well as child abuse. The proposed management includes working with the family system, anticipating its appearance, considering the parental conditions. When faced with a regula tion disorder, the focus should always be on the symptomatic triad. Parents or caregivers of children with regulation disorders need guidance to improve their sensitivity and reactions to the demands of their children during the first year and thus break the trajectory of the development of these disorders and reduce their own stress to achieve a successful intuitive parenting. A narrative-descriptive review of the disorder, its causal associations, consequences and treatment guidelines in light of current knowledge is presented.
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