Montirosso Rosario, Pisoni Camilla, Scarano Elisa, Cordolcini Laura, Naboni Cecilia, Micheletti Serena, Butti Niccolò, Castagna Annalisa, Bonino Margherita, Orcesi Simona, Fazzi Elisa
Scientific Institute, IRCCS E. Medea, 0-3 Center for the at-Risk Infant, Bosisio Parini, Lecco, Italy.
Fondazione IRCCS Policlinico San Matteo, Neonatal Unit and Neonatal Intensive Care Unit, Pavia, Italy.
Infant Behav Dev. 2025 Mar;78:102008. doi: 10.1016/j.infbeh.2024.102008. Epub 2024 Nov 28.
Neurodevelopmental disability (ND) poses a significant challenge to infants' socio-emotional and cognitive development, as well as to caregiving dynamics, such as parental sensitivity and mother-infant interaction. Prior research highlights the crucial role of early parenting support interventions in enhancing parental behaviors, serving as a protective developmental factor for children at risk for or diagnosed with ND. This single-cohort, multicentric study aims to evaluate the efficacy of early video-feedback intervention (VFI) in improving maternal parenting behaviors. Thirty-four mothers with their children diagnosed with ND participated in the study. Different dimensions of parenting behavior (i.e., affection, responsiveness, encouragement, teaching) were assessed during 10-minute mother-infant interactions, both before (T0) and after (T1) completing six weekly VFI sessions. Additionally, mothers completed standardized questionnaires assessing parenting stress, anxiety, and depressive symptoms. The results indicated significant improvements in maternal responsiveness, encouragement, and teaching following the intervention. Furthermore, mothers reported a state anxiety reduction at T1. Additionally, higher scores in affection and responsiveness were correlated with reduced maternal stress. These findings support the utility of VFI as a valuable tool for enhancing positive parenting skills in the context of ND, and provide insights into the dyadic processes through which parenting behaviors may promote socio-emotional and cognitive development in children with ND.
神经发育障碍（ND）对婴儿的社会情感和认知发展以及照料动态，如父母敏感性和母婴互动，构成了重大挑战。先前的研究强调了早期育儿支持干预在改善父母行为方面的关键作用，它是有ND风险或已被诊断患有ND的儿童的一种保护性发展因素。这项单队列、多中心研究旨在评估早期视频反馈干预（VFI）在改善母亲育儿行为方面的效果。34名其子女被诊断患有ND的母亲参与了该研究。在完成六周的每周一次VFI课程之前（T0）和之后（T1），在10分钟的母婴互动过程中评估了育儿行为的不同维度（即关爱、反应性、鼓励、教导）。此外，母亲们完成了评估育儿压力、焦虑和抑郁症状的标准化问卷。结果表明，干预后母亲的反应性、鼓励和教导有显著改善。此外，母亲们报告在T1时状态焦虑有所降低。此外，关爱和反应性得分较高与母亲压力降低相关。这些发现支持了VFI作为在ND背景下增强积极育儿技能的宝贵工具的效用，并深入了解了育儿行为可能促进ND儿童社会情感和认知发展的二元过程。
