Røhder Katrine, Willerslev-Olsen Maria, Nielsen Jens Bo, Greisen Gorm, Harder Susanne
Department of Psychology, University of Copenhagen, Copenhagen, Denmark.
Elsass Foundation, Charlottenlund, Denmark.
Front Psychiatry. 2021 Sep 29;12:736676. doi: 10.3389/fpsyt.2021.736676. eCollection 2021.
An early diagnosis of chronic disability, such as risk of Cerebral Palsy (CP), is likely to affect the quality of parent-infant interactions by affecting both infant and parental factors. Due to adverse perinatal events, infants at high risk of CP may exhibit less engagement in interactions, while parents may experience increased mental health problems and disrupted parental representations that can have a negative effect on parental sensitivity. Recent clinical guidelines on early intervention among families with infants at risk of CP recommends supporting parental sensitivity and mutual enjoyable interactions more research is needed to inform such interventions. This includes understanding how infant and parental risk as well as resilience factors impact parent-infant interactions and how existing parenting programs developed among typical developing infants should be adapted to families with infants at risk of CP. In addition, as majority of research on infant neurohabilitation focus on improving motor and cognitive outcomes research on infant emotional development is needed. The study aim is to assess the quality of early parent-infant interactions in families with high-risk infants, compared to families with low-risk infants, and to explore how interaction quality is affected by infant and parental factors. Three potential mediating factors explaining the association between CP risk and less optimal parent-infant interactions will be explored: infant interactional capacities, parental mental health and well-being, and parents' representations of their child. The prospective, longitudinal design will follow infants at high risk for CP and their parents and a control group at three time points from 15 weeks to 15 months corrected infant age (CA). Measures comprise infant developmental assessments, questionnaires and interviews with both parents, and global ratings of video-recorded parent-infant interactions. Study results will enhance our understanding of how parent-infant interactions may be affected by perinatal neurological risk and identify potential important mechanisms for observed associations. This knowledge could assist in planning future early screening and intervention programs and identifying families who should be offered targeted psychological interventions in addition to neurohabilitation programs.
慢性残疾的早期诊断，如脑瘫（CP）风险，可能会通过影响婴儿和父母因素来影响亲子互动质量。由于围产期不良事件，CP高风险婴儿在互动中可能表现出较少的参与度，而父母可能会出现更多心理健康问题以及父母表征受到干扰，这会对父母的敏感性产生负面影响。最近关于CP风险婴儿家庭早期干预的临床指南建议支持父母的敏感性和相互愉快的互动，需要更多研究为这类干预提供信息。这包括了解婴儿和父母的风险以及恢复力因素如何影响亲子互动，以及如何将针对正常发育婴儿制定的现有育儿计划适用于CP风险婴儿家庭。此外，由于大多数关于婴儿神经康复的研究都集中在改善运动和认知结果上，因此需要对婴儿情绪发展进行研究。研究目的是评估高危婴儿家庭与低危婴儿家庭早期亲子互动的质量，并探讨互动质量如何受到婴儿和父母因素的影响。将探索三个潜在的中介因素来解释CP风险与不太理想的亲子互动之间的关联：婴儿的互动能力、父母的心理健康和幸福感以及父母对孩子的表征。前瞻性纵向设计将在15周龄至15月龄矫正月龄（CA）的三个时间点跟踪CP高风险婴儿及其父母以及一个对照组。测量方法包括婴儿发育评估、对父母双方的问卷调查和访谈，以及对亲子互动视频记录的整体评分。研究结果将增进我们对围产期神经风险如何影响亲子互动的理解，并确定观察到的关联的潜在重要机制。这些知识有助于规划未来的早期筛查和干预计划，并确定除神经康复计划外还应接受针对性心理干预的家庭。
