A Psychological Perspective on Preterm Children: The Influence of Contextual Factors on Quality of Family Interactions

Gatta, Michela; Miscioscia, Marina; Svanellini, Lorenza; Peraro, Chiara; Simonelli, Alessandra

doi:10.1155/2017/9152627

Cited by 10 publications

(13 citation statements)

References 58 publications

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“…Considerando a complexidade do nascimento de um RNPT, que envolve a internação e alta da unidade neonatal, inicia-se um processo no qual a família experimenta diferentes reações emocionais, tornando necessário adaptar-se às novas exigências em sua rotina diária, o que impõe alterações na organização e dinâmica familiar, especialmente no domicílio (11) . Sentimentos de medo e insegurança são comuns entre os membros familiares, e a preocupação com o adoecimento ou perda do filho se faz presente em seu cotidiano (12)(13)(14) , tornando-os mais atentos às necessidades de suas crianças.…”

Section: Discussionunclassified

Experience of family members in the care of preterm newborns discharged from a neonatal intensive care unit

Bernardino¹,

Silva²,

Silva³

et al. 2022

Rev Rene

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Objective: to understand the experience of family members in the care of preterm newborns discharged from the Neonatal Intensive Care Unit. Methods: qualitative study, developed with 16 family members of preterm newborns discharged from a neonatal unit through semi-structured interviews. Data were submitted to thematic content analysis. Results: three categories were listed: Family members' rearrangements in the care of the preterm newborn at home; recognizing the specific care needs of the preterm child; and care in the face of complications and sequelae resulting from prematurity. Conclusion: family members recognize that the preterm newborn requires differentiated care and, therefore, experience a reorganization of their daily lives to promote the care of the child after discharge from the neonatal unit. Contributions to practice: this study points out the relevance of the nurse's work with families in neonatal units by strengthening family skills so that they can undertake care, so that it can be offered safely and meet the health demands that arise on a daily basis at home, in addition to guiding them about the need for monitoring the child after discharge.

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Section: Discussionunclassified

Experience of family members in the care of preterm newborns discharged from a neonatal intensive care unit

Bernardino¹,

Silva²,

Silva³

et al. 2022

Rev Rene

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“…Notably, the earliest and most common methodologies in this field of research address the represented family, through self-assessments typically answered by the mother (like the first 4 instruments in the selected studies, below) and interviews that measure a family member’s perception of family function [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 ]. However, a more recently developed branch of methodology measures the practicing family, through observation and coding of interactions [ 35 , 36 , 37 ] (see the final 3 instruments below).…”

Section: Methodsmentioning

confidence: 99%

The Role of Family Function and Triadic Interaction on Preterm Child Development—A Systematic Review

2022

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Preterm infants are at high risk of developmental disability/delay and are more dependent on their caregiving environment for regulation due to their neurological immaturity. A premature birth is also a major stressor to the family system that constitutes the infant’s caregiving environment. The following systematic review investigates whether families with preterm children differ from families with full-term children in their interactions, and what impact the quality of family interaction has on child development. Using the Cochrane model, we conducted a systematic review of quantitative studies published in psycINFO, socINDEX, and PubMed, concerning family quality in triadic interactions in families with premature infants and children, and at least one child development outcome variable. The quality of these studies was assessed using the Newcastle–Ottawa scale assessment form for cohort studies (NOS). Eleven studies were included in the review. Quality of family interactions is either equal to or poorer in families with preterm children, compared with families with full-term children. Importantly, the link between quality of family interactions and child development outcome is stronger in preterm children compared with full-term children, regarding both positive and negative influence. Our results highlight the importance of strengthening family interactions in order to promote development in preterm children. Notably, this review provides the first systematic overview of family function and the quality of triadic interactions in preterm families. The limited number of studies with a family-system focus makes it difficult for us to draw any definitive conclusions, while underscoring the need for more observational studies, particularly post-infancy, to be able to identify specific aspects of family interactions that may be critical for preterm child development.

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“…Preterm infants (group 2) are eligible to be included in this study if they meet the criterion of gestational age (32-37 weeks). We will focus on preterm infants, rather than extremely preterm infants, given variations between the two groups on communicative abilities and perceived social support of mothers [40,41].…”

Section: Inclusion Criteriamentioning

confidence: 99%

Autonomic Nervous System Maturation and Emotional Coordination in Interactions of Preterm and Full-Term Infants With Their Parents: Protocol for a Multimethod Study

et al. 2021

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Background There is limited knowledge on the physiological and behavioral pathways that may affect the developmental outcomes of preterm infants and particularly on the link between autonomic nervous system maturation and early social human behavior. Thus, this study attempts to investigate the way heart rate variability (HRV) parameters are related to emotional coordination in interactions of preterm and full-term infants with their parents in the first year of life and the possible correlation with the developmental outcomes of infants at 18 months. Objective The first objective is to investigate the relationship between emotional coordination and HRV in dyadic full-term infant–parent (group 1) and preterm infant–parent (group 2) interactions during the first postpartum year. The second objective is to examine the relationship of emotional coordination and HRV in groups 1 and 2 in the first postpartum year with the developmental outcomes of infants at 18 months. The third objective is to investigate the effect of maternal and paternal postnatal depression on the relation between emotional coordination and HRV in the two groups and on developmental outcomes at 18 months. The fourth objective is to examine the effect of family cohesion and coping on the relation between emotional coordination and HRV in the two groups and on developmental outcomes at 18 months. Methods This is an observational, naturalistic, and longitudinal study applying a mixed method design that includes the following: (1) video recordings of mother-infant and father-infant interactions at the hospital, in the neonatal period, and at home at 2, 4, 6, 9, and 12 months of the infants’ life; (2) self-report questionnaires of parents on depressive symptoms, family cohesion, and dyadic coping of stress; (3) infants’ HRV parameters in the neonatal period and at each of the above age points during and after infant-parent video recordings; and (4) assessment of toddlers’ social and cognitive development at 18 months through an observational instrument. Results The study protocol has been approved by the Research Ethics Committee of the University of Crete (number/date: 170/September 18, 2020). This work is supported by the Special Account for Research Funds of the University of Crete (grant number: 10792-668/08.02.2021). All mothers (with their partners) of full-term and preterm infants who give birth between March 2021 and January 2022 at the General University Hospital of Crete (northern Crete, Greece) will be invited to participate. The researcher will invite the parents of infants to participate in the study 1 to 2 days after birth. Data collection is expected to be completed by March 2023, and the first results will be published by the end of 2023. Conclusions Investigating the regulatory role of HRV and social reciprocity in preterm infants may have implications for both medicine and psychology. International Registered Report Identifier (IRRID) PRR1-10.2196/28089

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A Psychological Perspective on Preterm Children: The Influence of Contextual Factors on Quality of Family Interactions

Cited by 10 publications

References 58 publications

Experience of family members in the care of preterm newborns discharged from a neonatal intensive care unit

Experience of family members in the care of preterm newborns discharged from a neonatal intensive care unit

The Role of Family Function and Triadic Interaction on Preterm Child Development—A Systematic Review

Autonomic Nervous System Maturation and Emotional Coordination in Interactions of Preterm and Full-Term Infants With Their Parents: Protocol for a Multimethod Study

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