Montirosso Rosario, Micheletti Serena, Pisoni Camilla, Mascheroni Eleonora, Scarano Elisa, Naboni Cecilia, Rosa Elisa, Castagna Annalisa, Bonino Margherita, Fazzi Elisa, Orcesi Simona
0-3 Center for the at-Risk Infant, Scientific Institute IRCCS Medea, Lecco, Italy.
Unit of Child and Adolescence Neuropsychiatry, ASST Spedali Civili, Brescia, Italy.
Front Psychol. 2025 Jan 8;15:1504338. doi: 10.3389/fpsyg.2024.1504338. eCollection 2024.
Children with neurodevelopmental disabilities (NDs) display several developmental impairments across various domains that impact parent-child interactions, emphasizing the need for effective early interventions. This multi-centric study aimed to evaluate the impact of video-feedback intervention (VFI) on enhancing maternal behavior (i.e., sensitivity) and socio-emotional skills (i.e., engagement and emotionality) in children with NDs during normal or stressful interactions (i.e., the Face-to-Face Still-Face, [FFSF]) paradigm.
A single-cohort design with pre-(T0) and post-(T1) intervention assessment was used to evaluate 37 mother-child dyads from three units in Northern Italy. The children, aged between 6 and 24 months, had a diagnosis of ND, including psychomotor delay ( = 26) and cerebral palsy ( = 5). The VFI was administered over 6 weeks, with each session focusing on improving parents' developmental supporting behaviors and enhancing the quality of parent-child interactions. Using the Global Rating Scale coding system (GRS), child behaviors (engagement and emotionality) and maternal behavior (sensitivity) were assessed during the FFSF.
Analyses of variance (ANOVA) indicated significant improvement post-intervention in child engagement in the Reunion episode, with an increase in mother-directed gaze communicative gestures and positive vocalization. A paired sample -test revealed that the mother's significantly improves between T0 and T1 during the Reunion phase. Moreover, a higher increase in sensitive maternal behavior during the Reunion phase was associated with greater child engagement at T1 during the Reunion episode. No significant changes post-intervention were observed in the emotionality of the child.
The VFI effectively enhanced socio-emotional skills and maternal sensitivity during parent-child interactions, particularly in recovering from interactive disruptions.
患有神经发育障碍（NDs）的儿童在多个领域存在发育障碍，这会影响亲子互动，凸显了有效早期干预的必要性。这项多中心研究旨在评估视频反馈干预（VFI）对患有NDs的儿童在正常或压力互动（即面对面静止脸，[FFSF]）范式中增强母亲行为（即敏感性）和社会情感技能（即参与度和情绪）的影响。
采用单队列设计，在干预前（T0）和干预后（T1）进行评估，以评估意大利北部三个单位的37对母婴。这些儿童年龄在6至24个月之间，被诊断患有NDs，包括精神运动发育迟缓（=26）和脑瘫（=5）。VFI为期6周，每节课都专注于改善父母的发育支持行为并提高亲子互动质量。使用全球评分量表编码系统（GRS），在FFSF期间评估儿童行为（参与度和情绪）和母亲行为（敏感性）。
方差分析（ANOVA）表明，干预后重逢情节中儿童的参与度有显著改善，母亲主导的注视交流手势和积极发声增加。配对样本检验显示，母亲在重逢阶段的敏感性在T0和T1之间有显著提高。此外，重逢阶段敏感母亲行为的更高增加与重逢情节中T1时儿童更高的参与度相关。干预后未观察到儿童情绪方面的显著变化。
VFI有效地增强了亲子互动期间的社会情感技能和母亲敏感性，特别是在从互动中断中恢复时。
