Dosman Cara, Gallagher Sheila
Division of Developmental Pediatrics, Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Glenrose Rehabilitation Hospital, Edmonton, Alberta, Canada.
Paediatr Child Health. 2022 Apr 25;27(6):327-332. doi: 10.1093/pch/pxac033. eCollection 2022 Oct.
A good understanding of parenting principles helps clinicians to advise parents how to optimally support their child's brain development. Parenting principles include co-regulation, attachment, and the five universal parenting strategies that produce self-regulation and attachment. This primer provides updated knowledge translation from evidence-based literature, by integrating interpersonal neurobiology with parenting intervention research. Secure attachment to the parent decreases a child's stress responses and increases their emotion regulation skills. The child needs support from their parent when stress exceeds their self-regulation skills. Emotion regulation is foundational for all aspects of cognitive and interpersonal functioning. Parent empathy and problem-solving are required to support development of the child's self-regulation and problem-solving, which in turn foster communication of empathy toward others and development of other skills. The warmth and structure of the five universal parenting strategies provide a straightforward conceptualization of authoritative parenting, which builds secure attachment and self-regulation described by interpersonal neurobiology. Parenting principles are simple to remember when integrating the five universal parenting strategies (attention and empathy, predictable daily routines, consistent sequence within the routines, household rules, and coaching skills) with the four S's of attachment (Seen + Soothed + Safe for Secure attachment).
对育儿原则有良好的理解有助于临床医生为家长提供建议,指导他们如何以最佳方式支持孩子的大脑发育。育儿原则包括共同调节、依恋,以及产生自我调节和依恋的五种通用育儿策略。本入门指南通过将人际神经生物学与育儿干预研究相结合,提供了基于证据的文献的最新知识转化。与父母建立安全的依恋关系可减少孩子的应激反应,并提高他们的情绪调节能力。当压力超过孩子的自我调节能力时,孩子需要父母的支持。情绪调节是认知和人际功能各个方面的基础。需要父母的同理心和解决问题的能力来支持孩子自我调节和解决问题能力的发展,这反过来又促进了对他人同理心的表达和其他技能的发展。五种通用育儿策略的温暖和架构为权威型育儿提供了一个直接的概念,它建立了人际神经生物学所描述的安全依恋和自我调节。当将五种通用育儿策略(关注与同理心、可预测的日常惯例、惯例中的一致顺序、家庭规则和指导技能)与依恋的四个“S”(被看见 + 得到安抚 + 感到安全以建立安全依恋)结合起来时,育儿原则很容易记住。