一个5年的亲婴日间单位的经验:对婴儿发育发展的影响
Audrey Moureau1,2, Louise Cordemans2,3, Caroline Gregoire2,3
1Faculty of Medicine, Université Libre de Bruxelles, Brussels, Belgium.
Frontiers in psychiatry
|July 3, 2023
概括
这项研究表明,父母-婴儿日间单元有效地减少了婴儿退出,并改善了父母与儿童的关系,父母有轻度至中度的精神症状. 然而,当婴儿已经存在显著的发育问题时,它们的效果较差.
科学领域:
- 围产阶段精神病学 围产阶段精神病学
- 儿童发展 儿童发展
- 父母和孩子的心理健康
背景情况:
- 精神病学母亲婴儿单位是为严重的母亲精神疾病而建立的,通常在住院环境中.
- 托儿所提供了一个替代方案,减少对家庭生活的干扰.
- 关于托儿所及其对婴儿发育的影响的研究有限.
研究的目的:
- 评估父母婴儿日间单位在预防婴儿发育问题的有效性.
- 为了比较日间病房病人的特征与传统的母婴病房病人的特征.
- 确定影响婴儿发育积极结果的因素.
主要方法:
- 对2015-2020年数据的回顾性分析.
- 评估婴儿 (0-5级别,贝利),父母的精神病理学 (DSM-5,爱丁堡) 和亲子互动 (0-5级别轴II).
- 成功和不成功的进化群体之间的结果比较.
主要成果:
- 日间单位人口在心理社会脆弱性方面相似,但有更多的家长焦虑和较少的产后精神病.
- 婴儿发育系数保持在平均水平;症状和戒断减少.
- 父母和孩子的关系质量有所改善;负面结果与较低的初始发育系数和创伤有关.
结论:
- 父母婴儿日间单元对于焦虑抑郁症的父母和婴儿退出/功能问题是有效的,但对于先前存在的显著发育影响而言,并非如此.
- 这些发现可以指导日间单位的治疗策略,以增强儿童发育和双层关系.
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