J Pediatr Health Care. 2019 Sep-Oct;33(5):612-622. doi: 10.1016/j.pedhc.2019.04.017.
The ability to form attachments with other human beings is an essential skill that typically begins early in life. The parent/caregiver-child relationship is the first crucial relationship that an infant forms, and the health of this relationship has a profound effect on the child's social and emotional development. Children who form secure relationships with their parent or other primary caregiver have fewer internalizing and externalizing behaviors, are more socially competent, and have better-quality friendships. Conversely, children with attachment disorders exhibit a varying capacity to form and sustain relationships and demonstrate emotional depth, they and experience a higher level of peer conflict. Children with insecure attachments have a greater likelihood for physical health morbidities and impaired social, psychological, and neurobiological functioning extending into adulthood. It is crucial that pediatric nurse practitioners implement practice behaviors to better identify children at risk for attachment disorders and link them with appropriate interventions. This continuing education article will explore attachment; and attachment theory; and attachment disorders in terms of types, risk factors, consequences, and treatment and will also provide implications for practice.
与他人建立依恋关系的能力是一种重要的技能,通常在生命早期就开始发展。父母/照顾者与孩子的关系是婴儿形成的第一个关键关系,这种关系的健康状况对孩子的社会和情感发展有着深远的影响。与父母或其他主要照顾者建立安全依恋关系的儿童表现出较少的内化和外化行为,更具有社交能力,拥有更好质量的友谊。相反,有依恋障碍的儿童在建立和维持关系以及表现出情感深度方面存在不同程度的能力,他们会经历更高水平的同伴冲突。不安全依恋的儿童更有可能出现身体健康问题,并且他们的社交、心理和神经生物学功能受损,这种情况会持续到成年。儿科执业护士实施实践行为以更好地识别有依恋障碍风险的儿童并将他们与适当的干预措施联系起来是至关重要的。这篇继续教育文章将探讨依恋、依恋理论以及依恋障碍的类型、风险因素、后果和治疗,并为实践提供启示。