Добірка наукової літератури з теми "Dyads mother-Child(ren)"

IntroductionMothers of children with intellectual disability (ID) are often distressed because of intensive workloads and difficulties in communicating with their children. Given the interdependence between the psychosocial well-being of such dyads, interventions that promote parent–child relationships and mutual communication would be beneficial. Arts provide alternative avenues for expression and offer an imaginative and playful environment for discovering new communication strategies. Given the lack of studies on arts-based dyadic interventions, this study aims to examine the effectiveness of dyadic expressive arts-based intervention (EXAT) in improving the psychosocial outcomes of children with ID and their mothers and the mother–child relationships.Methods and analysisThis study will adopt a mixed-methods randomised controlled trial design, wherein 154 dyads of children with ID and their mothers will be randomised into either the dyadic EXAT group or the treatment-as-usual waitlist control group. Quantitative data will be collected at four time points: baseline (T0), postintervention (T1), 3-month postintervention (T2) and 6-month postintervention (T3). Qualitative data will be collected from a subset of 30 mothers in the intervention group at T1and T3to document their experiences and perceived changes after the intervention. Mixed-effects models and path analysis will be adopted to analyse the quantitative data, whereas thematic analysis will be applied to the qualitative data. Both sets of data will be triangulated for an integrated view of the effectiveness and mechanism of the intervention.Ethics and disseminationEthical approval has been obtained from the Human Research Ethics Committee of the University of Hong Kong (Ref. no.: EA200329). Written consent forms will be obtained from all recruited participants (mothers, children with ID and teachers/social workers) before data collection. The study findings will be disseminated in international conferences and peer-reviewed academic journals.Trial registration numberNCT05214859.

IntroductionBoth women and men experience potentially stressful events during their reproductive periods and both are at risk of developing peripartum depression. Men have a reproductive period that is difficult to define, and research on their mental health has rarely considered the effects of paternity. A prevalence of postpartum depressive symptomatology of 10.4% has been described worldwide (Paulson J et al. 2010). Paternal depression is also a risk factor for peripartum maternal depression (Escribá et al, 2011; Paulson et al., 2016). Among the risk factors for developing postpartum depression in men are identified: personal history of depression, conflictive relationship, lack of family and social support, unemployment, older age, lower educational level, and the father’s ability to support his new role as a father (Morse et al., 2000).ObjectivesScreening to investigate and identify early objective biomarkers in recent fathers of early depression.MethodsAn anonymous survey is carried out through GoogleForms, to 57 men, fathers, with children born alive under 1 year of age, which includes biopsychosocial aspects and a questionnaire for depression: PHQ9.ResultsOf the total of 57 parents, the average age is 36 years. 4 of them are unemployed, 1 is a student, the rest have active work or parent´s licency. Only 10% refer to present economic problems. 36% reported that their partner had a risky pregnancy and 22% had a peripartum complication. 9% describe an unsatisfactory or very unsatisfactory relationship with the mother of their child(ren). 51% have a personal and/or family history of depression and/or anxiety. 57% are overwhelmed in their role as fathers. 33% feel they have little or no social/emotional support. 5% have increased the consumption of alcohol/psychotropic medication and 94% report that their sleep pattern has been affected. 3.5% refer self-injurious thoughts or that they would be better off dead. 14% have considered requesting/consulting with a psychiatrist/psychologist since the arrival of the baby.In relation to PHQ 9, 5% present moderate/severe depression.ConclusionsIn conclusion, it seems relevant to think about a screening to investigate and identify early objective biomarkers and rapid intervention, not only in mothers but also in fathers and thus take a first step to broaden the view from the mother-child dyad to the triad, thus understanding that mental health does not exist in isolation, it is a contextual and relational phenomenon and also reduce the negative impact of this problem, such as: dysfunction and family well-being, marital satisfaction, growth and development of your child/ren . In this context, primary care health professionals (midwives and primary care doctors) could play a fundamental role in recognizing the importance of incorporating parents as relevant figures in health .Disclosure of InterestNone Declared

Background: this study aimed to describe and understand the experiences and health needs of women irregular migrants during emergency care provision upon arrival in Spain by small boat. Methods: a qualitative study based on Gadamer’s phenomenology was used. The data collection included 13 in-depth interviews with women irregular migrants and 10 in-depth interviews with key informants. The study took place in the Spanish Red Cross’ facilities between February 2017 and April 2018. Results: two main themes emerged from the data analysis: the need for emergency care focused on women irregular migrants with the sub-themes ‘Women irregular migrants as objects of sexual exploitation’ and ‘The mother-child dyad as the axis in human trafficking’; and developing an emergency care gender policy for women irregular migrants, with the subthemes ‘Healthcare in a police-controlled setting: detecting weaknesses’ and ‘Promoting screening and safety protocols focused on women irregular migrants’. Conclusions: women irregular migrants who arrive in Spain by small boat have specific needs and healthcare problems. Due to strict safety conditions during emergency care provision, rape and human trafficking can go unnoticed. Implications: interdisciplinary care protocols and new health policies that have a gender perspective are needed to improve the emergency care provided to women irregular migrants.

Abstract Introduction/Background Neonatal Abstinence Syndrome (NAS) occurs in newborns exposed to drugs in-utero. In Canada, maternal opiate use in pregnancy has been steadily rising resulting in as many as 1850 babies born with NAS per year. Management of babies born with NAS requires supportive, interdisciplinary care. Depending on the severity of NAS, babies may be cared for with non-pharmacological interventions or some may need to be admitted to the Neonatal Intensive Care Unit for extended hospital stays to receive medication and management of ongoing complex health care needs. Hospital and community health care providers have expressed concerns around the continuity of care for these babies in their stay in hospital and their transition to home. Objectives This study examined the experiences of hospital and community-based health care providers and families regarding the management of babies with NAS. The driving force behind our inquiry related to our interest in streamlining care for these babies in highly complex health and social systems. Design/Methods In total, 47 interdisciplinary participants were interviewed over a four-month period with individuals from Women’s and Child Health, Community, and family members. Interviewed transcripts were reviewed over several months and were completed in December 2019 using an inductive thematic analysis which culminated in the identification of an overarching theme linked with primary themes. ​ Results The study identified existing gaps in the management of these patients, determined how to improve communication between hospital and community networks, and provided a better understanding of the attitudes, perceptions and experiences of hospital and community personnel. The overarching theme identified was hope, with the primary themes being: system, mental health, mother/baby, judgement, and knowledge (see Figure 1). Several gaps identified in the system included fear, stigma, and language. Certain solutions proposed for improvement included focused care in a rooming in model for the mother and baby dyad, supporting mothers’ well-being, involving mothers and families, and supporting care providers in a family centered care model. In Figure 1, green lines indicate themes that are linked with and support hope, and red lines indicate themes that are barriers to hope. Conclusion This research demonstrates that programs and interventions implemented when working with mothers and babies with NAS must foster hope in mothers, families, and in the extended care provider team.

AbstractSuccessful social interactions between mothers and children are hypothesised to play a significant role in a child's social, cognitive and language development. Earlier research has confirmed, through structured experimental paradigms, that these interactions could be underpinned by coordinated neural activity. Nevertheless, the extent of neural synchrony during real‐life, ecologically valid interactions between mothers and their children remains largely unexplored.In this study, we investigated mother–child inter‐brain synchrony using a naturalistic free‐play paradigm. We also examined the relationship between neural synchrony, verbal communication patterns and personality traits to further understand the underpinnings of brain synchrony.Twelve children aged between 3 and 5 years old and their mothers participated in this study. Neural synchrony in mother–child dyads were measured bilaterally over frontal and temporal areas using functional Near Infra‐red Spectroscopy (fNIRS) whilst the dyads were asked to play with child‐friendly toys together (interactive condition) and separately (independent condition). Communication patterns were captured via video recordings and conversational turns were coded.Compared to the independent condition, mother–child dyads showed increased neural synchrony in the interactive condition across the prefrontal cortex and temporo‐parietal junction. There was no significant relationship found between neural synchrony and turn‐taking and between neural synchrony and the personality traits of each member of the dyad.Overall, we demonstrate the feasibility of measuring inter‐brain synchrony between mothers and children in a naturalistic environment. These findings can inform future study designs to assess inter‐brain synchrony between parents and pre‐lingual children and/or children with communication needs.

Abstract Objective This study aimed to describe informant discrepancies between mother and father reports of child vulnerability in youth with spina bifida (SB) and examine variables that were associated with these discrepancies. Methods Ninety-two parent dyads, with a child with SB (ages 8–15 years), were recruited as a part of a longitudinal study. Mothers and fathers completed questionnaires assessing parental perception of child vulnerability (PPCV), as well as medical and demographic information, behavioral aspects of the couple relationship, parenting stress, mental health of the parent, and child behavioral adjustment. The degree to which there was a parenting alliance was assessed with observational data. Mother–father discrepancies were calculated at the item level. Results Findings revealed that greater father mental health symptoms, parenting stress, and child behavior problems were associated with “father high and mother low” discrepancies in PPCV. There were also lower scores on observed parenting alliance when there were higher rates of “father high and mother low” discrepancies in PPCV. Conclusions For families of youth with SB, discrepancies in PPCV where fathers perceive high vulnerability and mothers perceive low vulnerability may be a “red flag” for the presence of other parental and child adjustment difficulties. Findings are discussed in terms of the Attribution Bias Context Model and underscore the importance of including fathers in research on families who have children with chronic health conditions.

Cette recherche se propose d'explorer, dans le cadre d'un Centre-Médico-Psycho-Pédagogique, les effets thérapeutiques d'un dispositif, nommé "atelier contes transculturels" réunissant des dyades mères-enfants, dont l'histoire est en lien avec la migration qu'elle soit récente ou plus ancienne. De nos expériences cliniques et de nos rencontres avec des enfants en difficulté vis-à-vis de la langue et des apprentissages, nous avons dégagé plusieurs constats. La question de la langue s'est imposée : quelles sont les langues parlées par les mères et les enfants, entre les mères et leurs enfants ? Qu'en est-il de la transmission ? Nous avons entendu aussi le besoin de parler chez ces mères, nous avons ressenti les repères vacillants, la perception d'un monde fragilisé, la vulnérabilité de ces enfants et de leurs mères. Ce dispositif rassemble plusieurs dyades mères-enfants aux origines culturelles ancrées au Maghreb, autour d'un même objet : le conte. Il est inspiré du modèle thérapeutique destiné à des groupes d'enfants, se concrétise par des dessins de dyades, des jeux de rôles et un partage de nourriture pour clore les séances. La démarche, qualitative et exploratoire, consiste en une analyse des données recueillies lors de 12 ateliers contes et de cinq entretiens semi-directifs réalisés à la fin du cycle thérapeutique. Les enregistrements, retranscrits ont été convertis en verbatims analysables sur les plans thématiques et discursifs. Nous avons co-créé, pour notre objet de recherche, une méthode adaptée à chaque type de données : analyse discursive pour ce qui est des données langagières issues du conte, analyse transculturelle des dessins de dyades et analyse thématique des entretiens. Nos résultats montrent une remobilisation de la parentalité psychique et des processus de transmission dans la pluralité linguistique. Ce qui est mis en évidence indique un lien fort entre affiliation et rapport aux langues. Le soin porté par le conte et par le groupe multi-culturel restaure le lien symbolique et active une autorisation à apprendre, tout comme il contribue à remettre la/les langue/s dans le contexte de leur usage authentique. La remobilisation de la (des) langue(s) et des représentations culturelles à travers le conte joue un rôle essentiel dans la restauration du lien mère-enfant et dans la renarcissisation à un niveau individuel
This research aims to explore, within the framework of a Centre-Medico-Psycho-Pedagogic, the therapeutic effects of a device, called "workshop transcultural tales" bringing together mother dyads mothers-children, whose history is related to recent or older migration. From our clinical experiences and our meetings with children in difficulty with language and learning, we have identified several findings. The question of language emerged: what languages are spoken by mothers and children, between mothers and their children? What about the transmission? We also heard the need to speak in these mothers, we felt the flickering cues, the perception of a fragile world, the vulnerability of these children and their mothers. This device brings together several mother-child dyads with cultural origins anchored in the Maghreb, around the same object: the tale. It is inspired by the therapeutic model for groups of children, and is concretized by dyad drawings, role-playing and food sharing to close the sessions. The qualitative and exploratory approach consists of an analysis of the data collected during 12 storytelling workshops and five semi-directional interviews conducted at the end of the therapeutic cycle. The recordings, transcribed, have been converted into verbatims that can be analyzed in thematic and discursive terms. We have co-created, for our research object, a method adapted to each type of data: discursive analysis in terms of language data from the tale, transcultural analysis of dyad drawings and thematic analysis of the interviews. Our results show a remobilization of psychic parenthood and transmission processes in linguistic plurality. What is highlighted indicates a strong link between affiliation and relationship to languages. The care taken by the tale and by the multi-cultural group restores the symbolic link and activates an authorization to learn, just as it helps to put the language/s in the context of their authentic use. The remobilization of the language(s) and cultural representations through the tale plays an essential role in the restoration of the mother-child bond and in the renarcissization at an individual level