L'approche Watch, Wait, and Wonder et l'évolution de la fonction réflexive parentale de mères à risque

Rossignol, Annie; Terradas, Miguel M.; Puentes-Neuman, Guadalupe; Caron, Marie; Leroux, Julien

doi:10.3917/dev.134.0257

Cited by 3 publications

(1 citation statement)

References 26 publications

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“…This treatment specifically targets parental reflective function (Philipp 2012;Rosignol et al 2013). In each WWW session, mothers play with their own baby for 10-15 min, with instructions to follow the child's lead.…”

Section: Interventionmentioning

confidence: 99%

Maternal-infant mental health: postpartum group intervention

Meschino

Philipp

Israel

et al. 2015

Arch Womens Ment Health

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Dyadic interactions associated with maternal depression and anxiety may perpetuate maternal mental illness and impact infant attachment. Individual and maternal-dyadic therapies are effective but resource intensive. We assessed feasibility, acceptability, and preliminary efficacy of a newly developed maternal-infant dyadic group therapy intervention. This was an open-label pilot study targeting mothers with mood or anxiety disorders, and their infants aged 6 to 12 months. We conducted three 12-week groups combining evidence-based maternal and mother-infant dyadic strategies to enhance mood, insight, parenting, and mentalizing capacity. We measured recruitment and retention rates, reasons for nonparticipation, and missed sessions. Acceptability of the intervention was assessed via questionnaires and semi-structured interviews. Efficacy outcomes were the Parenting Stress Index (PSI), Edinburgh Postnatal Depression Scale (EDPS), and the Beck Anxiety Inventory (BAI), measured pretreatment and posttreatment. The feasibility and acceptability were excellent. There was a significant reduction in mean depressive symptom scores (t 3.31; p 0.008 sig) and a trend toward decreasing anxiety scores (t 1.96; p 0.08). The total PSI score decreased, approaching statistical significance (t 2.23; p 0.057). Enhanced insight, parenting capacity, affect regulation, and positive interaction with baby were supported with self-report surveys and interviews. This resource-efficient novel mother-baby dyadic group intervention shows excellent feasibility, acceptability, and has good preliminary efficacy results. It has the potential to improve depression, anxiety, affect regulation, parenting, and maternal mentalization.

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Section: Interventionmentioning

confidence: 99%

Maternal-infant mental health: postpartum group intervention

Meschino

Philipp

Israel

et al. 2015

Arch Womens Ment Health

View full text Add to dashboard Cite

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Les représentations mentales de l’enfant chez les parents : situation, illustrations et réflexions sur les catalyseurs de changements en évaluation thérapeutique de l’enfant

Dubé

Noël

2015

Pratiques Psychologiques

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Le Rôle De La Fonction Réflexive Dans L’intervention Auprès De Parents en Contexte De Négligence Envers L’enfant

Lacharité

Lafantaisie

2017

rqpsy

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La fonction réflexive (FR) que les parents jouent dans le développement de leur enfant constitue une dimension importante de l’adaptation parentale qui est affectée par une situation de négligence envers l’enfant. La capacité des parents à mentaliser représente l’élément central de cette FR. Une somme considérable de travaux de recherche a montré, au cours des 30 dernières années, les nombreuses limites des modèles d’intervention visant à améliorer les conduites parentales dans les situations de négligence. Toutefois, plusieurs de ces travaux suggèrent aussi que la capacité des parents à mentaliser est probablement le principal élément à prendre en compte dans ces situations. Quelles sont les principales caractéristiques d’une approche d’intervention qui cherche à soutenir la mentalisation et la FR des parents dans les familles qui sont aux prises avec une situation de négligence? Quels enjeux cliniques sont soulevés dans l’application de ce type d’approche auprès des parents dans ces situations? Cet article s’attarde à présenter des éléments de réponse à ces questions. Il conclut sur une mise en perspective des défis que rencontre l’implantation d’une approche visant à soutenir la mentalisation des parents à l’intérieur du dispositif institutionnel en protection de l’enfance.Reflective function (RF) that parents play in their children's development is an important dimension of parental adaptation affected by situations of child neglect. The parents’ ability to mentalize represents the central element of this RF. Over the last 30 years, a considerable amount of research has shown the limits of intervention models for improving parenting in situations of neglect. However, several of these studies also suggest that the ability of parents to mentalize is probably the main element to consider in these situations. What are the main characteristics of an intervention approach that seeks to support the mentalization and RF of parents in the families that face child neglect? What are clinical issues raised in the application of this approach to improve parenting in these situations? This paper aims to present answers to these questions. It concludes by presenting the challenges that faces the implementation of an approach to support the capacity of parents to mentalize within the institutional settings of child protection

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L'approche Watch, Wait, and Wonder et l'évolution de la fonction réflexive parentale de mères à risque

Cited by 3 publications

References 26 publications

Maternal-infant mental health: postpartum group intervention

Maternal-infant mental health: postpartum group intervention

Les représentations mentales de l’enfant chez les parents : situation, illustrations et réflexions sur les catalyseurs de changements en évaluation thérapeutique de l’enfant

Le Rôle De La Fonction Réflexive Dans L’intervention Auprès De Parents en Contexte De Négligence Envers L’enfant

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