Université Paris Descartes, Université de Paris, LPPS (EA4057).
Département de Psychiatrie Infanto-Juvénile, Hôpital Universitaire Pitié Salpetrière, APHP.
Curr Opin Psychiatry. 2019 Nov;32(6):542-548. doi: 10.1097/YCO.0000000000000552.
Quality of attachment relationships is believed to be an important early indicator of infant mental health as it is considered a vital component of social and emotional development in the early years. As a result, there has been a growing call for the development of early intervention attachment research programs. In this brief overview, we summarize what we consider to be the state-of-the-art of intervention programs targeted to increase the prevalence of secure attachment and to reduce the level of disorganized attachment among infants with a wide range of psychological risks.
The themes in the literature covered by the article are as follows: recent results of the main preventive parent-young child interaction interventions to promote optimal attachment; recent metaanalysis on efficiency of these early attachment-based programs; intermediate variables on intervention effects; and benefits of specific therapeutic approaches focused on maternal psychopathology. Globally, early attachment-informed interventions show positive effects, both for mothers and infants.
Our revision stresses the importance of formally assessing the underlying mechanisms of change within interventions in research programs to open the path to improve and target these preventive approaches and consequently promote optimal attachment.
Attachment关系的质量被认为是婴儿心理健康的一个重要早期指标，因为它被认为是幼儿期社会和情感发展的重要组成部分。因此，人们越来越呼吁制定早期干预依恋研究计划。在这篇简要的综述中，我们总结了我们认为最先进的干预计划，旨在增加有各种心理风险的婴儿中安全依恋的流行率，并降低其非组织化依恋的水平。
本文涵盖的文献主题如下：促进最佳依恋的主要预防性父母-幼儿互动干预的最新结果；这些早期基于依恋的计划效率的最新荟萃分析；干预效果的中间变量；以及专注于母亲精神病理学的特定治疗方法的益处。总体而言，早期依恋干预对母亲和婴儿都有积极的影响。
我们的修订强调了在研究计划中正式评估干预措施中变化的潜在机制的重要性，为改善和针对这些预防方法并进而促进最佳依恋开辟了道路。
