Castel Sophie, Creveuil Christian, Beunard Anne, Blaizot Xavier, Proia Nadine, Guillois Bernard
CHU de Caen, Service de Néonatalogie, Avenue Côte de Nacre, Caen 14033, Cedex 9, France; EPSM Caen (Etablissement Public de Santé mentale), Service de Pédo-Psychiatrie, 15 ter rue Saint Ouen, 14000 Caen, France; CHU de Caen, Departement de Biostatistiques et de Recherche Clinique, Avenue Côte de Nacre, Caen, 14033, Cedex 9, France; Université de Caen Normandie, UFR de Médecine, PFRS, 2 rue des Rochambelles, CS 14032 Caen, France; Université de Caen Normandie, Departement de Psychologie, Esplanade de la paix, CS 14032 Caen, Cedex, France.
CHU de Caen, Departement de Biostatistiques et de Recherche Clinique, Avenue Côte de Nacre, Caen, 14033, Cedex 9, France; Université de Caen Normandie, UFR de Médecine, PFRS, 2 rue des Rochambelles, CS 14032 Caen, France.
Early Hum Dev. 2016 Dec;103:17-25. doi: 10.1016/j.earlhumdev.2016.05.007. Epub 2016 Jul 21.
Preterm birth causes parenting stress and increases the risk of developmental disorders in children. Our objective was to assess the impact of an early psychological intervention, Triadic parent-infant Relationship Therapy (TRT), on parenting stress, parental mental health and preterm infant development in the motor, language, social, behavioral and emotional domains at a corrected age of 18months.
Sixty-five families of preterm infants were randomly assigned to the intervention group (n=33) or the control group (n=32). Families of full-term children (n=24) were also recruited. Intervention focused on the triadic relationship and aimed to improve parenting stress by supporting parental mental health to promote infant development. The main outcome was assessed with the Parenting Stress Index Short Form (PSI-SF).
Highly significant differences at 18months were observed for the mother and father in overall PSI-SF scores, with 16.6, and 11.7 points, respectively, in favor of the intervention group. Children in the intervention group demonstrated higher full-scale developmental quotients than the preterm controls (an 8.7-point difference) along with lower scores on behavioral tests (a 5.8-point difference at 18months). At 18months, results for children in the intervention group showed no significant differences compared to the full-term group or were even better.
Our study provides sound evidence for the efficiency of the TRT program to reduce parenting stress and improve parental mental health for both parents, thus fostering the infant's overall development.
早产会导致育儿压力，并增加儿童发育障碍的风险。我们的目标是评估一种早期心理干预措施——三元亲子关系疗法（TRT），对18个月矫正年龄时的育儿压力、父母心理健康以及早产婴儿在运动、语言、社交、行为和情感领域的发育的影响。
65个早产婴儿家庭被随机分配到干预组（n = 33）或对照组（n = 32）。还招募了足月儿童家庭（n = 24）。干预聚焦于三元关系，旨在通过支持父母心理健康以促进婴儿发育来减轻育儿压力。主要结局采用简化版育儿压力指数（PSI - SF）进行评估。
在18个月时，观察到母亲和父亲的总体PSI - SF得分存在高度显著差异，干预组分别高出16.6分和11.7分。干预组儿童的全量表发育商高于早产对照组（相差8.7分），行为测试得分更低（18个月时相差5.8分）。在18个月时，干预组儿童的结果与足月组相比无显著差异，甚至更好。
我们的研究为TRT项目在减轻育儿压力、改善父母双方心理健康从而促进婴儿整体发育方面的有效性提供了有力证据。
