No abstract

Social withdrawal behaviour in infants is a key indicator of child distress and a risk factor for later pathologies. The present study provides results from a Moroccan study of the ADBB scale applied to two populations that were very different in terms of early separation experiences: babies living in a children’s home (n=46) and babies raised by their families (n=56). These 102 infants were assessed using the ADBB scale during routine paediatric check-ups between the ages of 2 and 18 months. Social withdrawal behaviour was significantly more marked among infants raised in a children’s home than among infants raised by their family, and more so among boys than among girls. This study comprising a control group confirmed the validity of Spitz’s description, which placed social withdrawal at the centre of anaclitic depression and of the causes of hospitalism, and attributed this withdrawal to the infants’ early and prolonged separation from their caregivers. The use of the scale stay therefore be recommended for systematic detection during routine paediatric check-ups or for the follow-up of children at risk, to enable appropriate early interventions to take place.

Alexithymia is an emotion regulation problem that may be related to suicidality, especially in patients with SUD. The study aimed at estimating the prevalence of alexithymia in Moroccan psychoactive substances users, and to establish the links between alexithymia and suicidal ideation and behaviors, anxiety and depression in drug-dependent patients. We also aimed to elucidate if alexithymia predicts suicidal thoughts and behaviors in these consumers. The study included 451 consecutively admitted patients with substance use. Consumers were examined with the Toronto alexi - thymia scale (TAS-20), State and Trait Anxiety Inventory (STAI- Y), Beck Depression Inventory (BDI) and The Columbia-Suicide Severity Rating Scale (C-SSRS). Among substance-dependent individuals, 72.7% was identified as a group with alexithymia. Current age and age at first substance use were lower in the alexithymic group (p<0.01). The mean STAI-Y state and C-SSRS scores were higher in the group with alexithymia (p<0.01). There was a statistically significant difference between the groups in terms of mean scores for anxiety traits (p<0.05) and no significant difference in terms of mean scores for depression. All of the scores correlated significantly with. Addicted patients with alexithymia could be targeted at prevent- ing the onset of suicidal thoughts and behaviour. The present study also evokes that whenever an emotional regulation disorder is observed, the possibility of anxio-depressive symptomatology and suicidality (ideation and behavior) needs to be assessed.

Le retrait relationnel durable du nourrisson s’avère un indicateur important de la détresse infantile et un facteur de risque de pathologie ultérieure. Ce travail présente les résultats de la première étape de validation marocaine de l’échelle Alarme détresse bébé (ADBB), appliquée à deux populations très différentes au regard de l’expérience de séparation précoce : d’une part, des bébés vivant en pouponnière (n = 46) et, d’autre part, des bébés élevés dans leur milieu familial (n = 56). Ces 102 nourrissons ont été évalués avec l’ADBB, dans le cadre d’un examen pédiatrique de routine, à l’âge de 2 à 18 mois. Le comportement de retrait relationnel a été significativement plus marqué parmi les nourrissons élevés en pouponnière que chez ceux élevés dans leur famille, et chez les garçons que chez les filles. Cette étude confirme, avec un groupe contrôle, la validité de la description de Spitz, qui mettait le retrait relationnel au centre de la dépression anaclitique et qui attribuait ce retrait à la séparation précoce et prolongée entre le bébé et ses caregivers . L’utilisation de l’échelle peut donc être recommandée pour un repérage systématique lors des visites de routine en pédiatrie, comme pour le suivi des enfants à risque, de façon à permettre une intervention précoce appropriée.

The maternity process that has unfolded throughout the pregnancy, undergoes a turning point that occurs most of the time during the stay in diaper: place for installation of early mother-born interactions. The objective of the study is the evaluation of the quality of the establishment of early motherborn interactions as well as the effect of maternal feeling disruption on these interactions. It is a prospective study, focused on a total of 102 maternal-Newborn dyads, in the unit of maternity series, at Rabat Children's Hospital, University Hospital of Ibn Sina. It was based on a scale and an evaluation grid: the Mother-to-Infant Bonding Scale MIBQ and an evaluation grid of early mother-child interactions. The results showed that the age of the youth who is dominated at 60% (between 21 and 30 years), and that the primiparity was at 54% and 51% healthy; the correlation analysis between MIBQ and the grid shows that there is a significant correlation of average size with the emotional stability of the mother (p = 0.014 < 0.05), the quality of the attachment of the baby as his mother at the moment breastfeeding (p = 0.011 < 0.05) and the quality of the observed family context (p = 0.017 < 0.05). The installation of the mother-child relationship therefore depends on maternal capacities to recognize her place as a mother and to recognize the needs of their child, but it also depends on the child's ability to show signs of attachment, his feelings of discomfort and pleasure.