Riquin Elise, Sandnes Ramona, Bacro Fabien, Vinay Aubeline, Miljkovitch Raphaële, Rouger Valérie, Rakotonjanahary Josué, Gascoin Géraldine, Müller Jean-Baptiste
Department of Child and Adolescent Psychiatry, University Hospital of Angers, Angers, France.
CHU Angers, University of Angers, Angers, France.
Front Pediatr. 2022 Jul 13;10:896103. doi: 10.3389/fped.2022.896103. eCollection 2022.
Prematurity is a situation that can disrupt parent-child interactions. We hypothesize that establishing relationships with parents in a context of extreme prematurity can alter the development of secure attachment representations in the child. Furthermore, we hypothesize that secure maternal representations and their possible interactions with prematurity factors prevent the development of insecure or disorganized attachment in the child. In addition, maternal representations and their possible interactions with factors related to prematurity may prevent or accentuate the development of an insecure or disorganized attachment in the child.
This is a longitudinal, prospective, exploratory, and bi-centric study. Children born in the neonatal intensive care units of Angers or Nantes University Hospitals with a gestational age of up to 28 weeks will be included in the study. The main objective is to describe the attachment representations at 3 and 5 years through the Attachment Story Completion Task scales and to analyze them in regard to the children's neurocognitive and behavioral outcomes as well as maternal attachment and mental health.
The study file received a favorable opinion for the implementation of this research on February 18, 2020 - ID-RCB no. 2019-A03352-55 (File 2-20-007 id6699) 2°HPS. This study has received authorization from the French Data Protection Authority (CNIL) under no. 920229.
A better understanding of attachment representations in extreme prematurity and their possible associations with children's neurocognitive and behavioral outcomes as well as maternal attachment and mental health could pave the way for individualized care at an early stage, or even interventions during the neonatal period to improve the outcome of these vulnerable newborns.
[ClinicalTrials.gov], identifier [NCT04304846].
早产是一种可能会干扰亲子互动的情况。我们假设，在极端早产的情况下与父母建立关系可以改变儿童安全依恋表征的发展。此外，我们假设安全的母亲表征及其与早产因素的可能相互作用可防止儿童形成不安全或混乱的依恋。此外，母亲表征及其与早产相关因素的可能相互作用可能会防止或加剧儿童不安全或混乱依恋的发展。
这是一项纵向、前瞻性、探索性的双中心研究。纳入在昂热或南特大学医院新生儿重症监护病房出生、胎龄达28周的儿童。主要目的是通过依恋故事完成任务量表描述3岁和5岁时的依恋表征，并根据儿童的神经认知和行为结果以及母亲的依恋和心理健康状况对其进行分析。
该研究文件于2020年2月18日获得了开展本研究的有利意见——ID-RCB编号2019-A03352-55（文件2-20-007 id6699）2°HPS。本研究已获得法国数据保护局（CNIL）编号为920229的授权。
更好地理解极端早产中的依恋表征及其与儿童神经认知和行为结果以及母亲依恋和心理健康的可能关联，可为早期个性化护理甚至新生儿期干预铺平道路，以改善这些脆弱新生儿的结局。
[ClinicalTrials.gov]，标识符[NCT04304846]。
