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基于正念整合的婴儿养育计划:理论基础与新型干预方案

Integrative mindfulness-based infant parenting program: theoretical foundations and a novel intervention protocol.

作者信息

Burstein Or, Teshale Zevin Zipi, Geva Ronny

机构信息

Department of Psychology, Bar Ilan University, Ramat Gan, Israel.

The Gonda Multidisciplinary Brain Research Center, Bar Ilan University, Ramat Gan, Israel.

出版信息

Front Psychol. 2025 Feb 7;16:1524008. doi: 10.3389/fpsyg.2025.1524008. eCollection 2025.


DOI:10.3389/fpsyg.2025.1524008
PMID:39989632
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11842442/
Abstract

Infancy is a formative period in which high-quality parental care plays a vital role in setting solid foundations that guide a child's development. Mindfulness has been recognized for enhancing parental awareness and sensitivity to both self and child and can be utilized in clinical practice to facilitate healthy development. To adapt mindful parenting practice for implementation in pediatric care settings and the specific needs and challenges of parenting infants, the current study introduces a novel theoretical framework, combining mindfulness with elements from calming cycle theory, dialectical behavior therapy (DBT), trauma-informed care, emotion-focused therapy, schema therapy, and Vygotsky's learning theory. These elements are not merely complementary but cardinal in meeting the diverse needs of parents during infancy, both in typical developmental contexts and following preterm birth, where additional stressors are often present. The study delineates the theoretical foundations of this integrative mindfulness-based approach and openly provides a novel comprehensive protocol of an 8-week group intervention program that operationalizes the proposed framework. This program focuses on enhancing parental mindful observation, non-judgmental acceptance, and goal-driven behavior to strengthen the resilience of the parent-infant relationship. Emphasizing the bi-directional nature of this relationship and the role of co-regulation with the child, the theory-derived program is designed to scaffold calming dyadic cycles, promote reconsolidation of birth-related adverse experiences, and facilitate flexibility in parental modes. The novelty of this intervention lies in its holistic approach to mindful parenting, conjoining diverse theoretical perspectives into a coherent, culturally adaptable, and clinically oriented protocol that can be assimilated in pediatric community clinics. The provided protocol may now enable the evaluation of the framework's effectiveness in attaining positive effects for parents and children.

摘要

婴儿期是一个形成期,在此期间,高质量的父母关爱对于奠定指导儿童成长的坚实基础起着至关重要的作用。正念已被公认为可以提高父母对自身和孩子的认知及敏感度,并可在临床实践中用于促进健康发展。为了使正念养育实践适用于儿科护理环境以及养育婴儿的特定需求和挑战,本研究引入了一个新颖的理论框架,将正念与平静周期理论、辩证行为疗法(DBT)、创伤知情护理、情绪聚焦疗法、图式疗法和维果茨基学习理论的要素相结合。这些要素不仅相互补充,而且对于满足婴儿期父母在典型发育背景下以及早产(通常会出现额外压力源)后的各种需求至关重要。该研究阐述了这种基于正念的综合方法的理论基础,并公开提供了一个为期8周的团体干预计划的新颖综合方案,该方案将所提出的框架付诸实践。该计划侧重于增强父母的正念观察、无评判性接纳和目标导向行为,以增强亲子关系的复原力。该理论衍生计划强调这种关系的双向性质以及与孩子共同调节的作用,旨在构建平静的二元循环,促进与出生相关的不良经历的重新巩固,并促进父母模式的灵活性。这种干预的新颖之处在于其对正念养育的整体方法,将不同的理论观点整合到一个连贯、文化上可适应且以临床为导向的方案中,该方案可在儿科社区诊所中应用。所提供的方案现在可能使人们能够评估该框架在为父母和孩子带来积极影响方面的有效性。

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本文引用的文献

[1]
Affective Touch in Preterm Infant Development: Neurobiological Mechanisms and Implications for Child-Caregiver Attachment and Neonatal Care.

Children (Basel). 2024-11-20

[2]
Ensuring Optimal Outcomes for Preterm Infants after NICU Discharge: A Life Course Health Development Approach to High-Risk Infant Follow-Up.

Children (Basel). 2024-1-24

[3]
Mindfulness-based interventions to support wellbeing of adults in low socio-economic settings: a realist review.

BMC Complement Med Ther. 2024-1-24

[4]
Comparative effects of mindfulness-based stress reduction and psychoeducational support on parenting stress in families of autistic preschoolers.

Autism. 2024-4

[5]
Parent and Carer Skills Groups in Dialectical Behaviour Therapy for High-Risk Adolescents with Severe Emotion Dysregulation: A Mixed-Methods Evaluation of Participants' Outcomes and Experiences.

Int J Environ Res Public Health. 2023-7-10

[6]
Virtually-Delivered Emotion Focused Mindfulness Therapy (EFMT) Group vs. Wait-List Control for Late-Life Anxiety: A Randomized Controlled Trial.

Am J Geriatr Psychiatry. 2023-10

[7]
Novel Associations Among Trauma, Mindfulness, and Impaired Control Over Alcohol Use.

Mindfulness (N Y). 2020-3

[8]
Narrative as co-regulation: A review of embodied narrative in infant development.

Infant Behav Dev. 2022-8

[9]
Prevalence and risk factors of birth-related posttraumatic stress among parents: A comparative systematic review and meta-analysis.

Clin Psychol Rev. 2022-6

[10]
A Mindful Parenting Program for Parents Concerned About Child Internalizing Problems: a Randomized Controlled Feasibility Study.

Mindfulness (N Y). 2022

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