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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Psychopathology in infancy
C H Zeanah1, N W Boris, M S Scheeringa
1L.S.U. School of Medicine, New Orleans, USA.
Insights
Studying early childhood psychopathology is challenging due to rapid development and relationship context. This review addresses key issues and proposes strategies for future research on infant mental health.
Area of Science:
- Developmental psychopathology
- Clinical psychology
- Infant mental health
Background:
- The first three years of life present unique challenges for studying psychopathology.
- Key issues include variable specificity, measurement difficulties, rapid development, and the importance of relationships.
- Conceptualizing infant disorders requires validating clinical diagnoses.
Purpose of the Study:
- To review challenges in early childhood psychopathology research.
- To explore the relevance of emotion regulation and infant-caregiver attachment.
- To integrate developmental psychopathology and clinical disorder perspectives.
Main Methods:
- Selective review of existing literature.
- Focus on two key developmental domains: emotion regulation and attachment.
- Analysis of psychopathological extremes within these domains.
Main Results:
- Identified four major challenges in early childhood psychopathology research.
- Highlighted the critical role of emotion regulation and infant-caregiver attachment.
- Demonstrated the utility of integrating developmental and clinical perspectives.
Conclusions:
- Emphasized the need for validated clinical disorders in infancy.
- Proposed strategies to advance research in early childhood psychopathology.
- Advocated for a dual perspective integrating developmental and clinical approaches.
Abstract:
The first three years of life present unique challenges to the study of psychopathology. We highlight four of the issues in a selective review of the developmental psychopathology of early childhood, including lack of specificity of risk and outcome variables, measurement difficulties, rapid developmental changes and the centrality of the relationship context in early childhood. We also highlight issues relevant to conceptualizations of disorders of infancy, emphasizing especially the need for efforts to validate clinical disorders. We consider two major domains of infant development that we believe are especially relevant to a discussion of psychopathology, namely, regulation of emotion and infant-caregiver attachment. Discussions of these two domains of infant development and their psychopathological extremes allow us to consider conceptualizations of psychopathology from the dual perspectives of developmental psychopathology and clinical disorders. We conclude by suggesting a number of strategies to build upon previous research.
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