R e gulator y Disor de r & Par e nt Child R e lation Dr - - PowerPoint PPT Presentation

R e gulator y Disor de r & Par e nt Child R e lation

Dr . Pe te r Sc he r nhar dt Unive r sity of Salzbur g

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Symptom-T r iad of R e gulator y Disor de r s

CHILD BEHAVIORAL ABNORMALITIES REGARDING ADAPTATION AND DEVELOPMENT TASKS DURING EARLY INFANCY INTERACTION DYSFUNCTIONAL INTERACTION PATTERN; MAINTENANCE AND ESCALATION; BURDENING OF RELATIONSHIP; PARENTS EXCESSIVE DEMAND SYNDROME IN THE MOTHER/ PARENTS; PROBLEMS ADAPTING TO PARENTING ROLE AND DIFFICULT CHILD

THE DIAGNOSIS OF EARLY INFANT REGULATION DISORDERS IS A DYSFUNCTION OF THE CHILD & THE PRIMARY PERSON OF REFERENCE & INTERACTION!

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Sample

• I

nte rve ntio n g ro up

• 24 pa rtic ipa nts (23mo th,1f) 


(b a b ie s:12g irls/ 12b o ys)

• Child‘ s a g e a t T

1: 1-15 mo nths (M=5.88, SD=4.03)

• Dia g no se d with re g ula tio n

diso rde r

• Re c ruite d thro ug h SPZ

T ra unste in

• pa re nt-c hild-

psyc ho the ra py

• Co ntro l g ro up
• 19 pa rtic ipa nts (17mo th,

2f) (b a b ie s:10g irls/ 9b o ys)

• Child‘ s a g e a t T

1 : 1-18 mo nths (M=8.11, SD=5.32)

• No dia g no se d diso rde rs
• Re c ruite d b y SPZ T

ra unste in & Unive rsity o f Sa lzb urg

• no inte rve ntio n

Aim of the Study

• Aim o f the study wa s to a sse ss the c o he re nc e s o f the

re g ula to ry diso rde r with the pa re nta l a nd psyc ho lo g ic a l stre ss, e mo tio n re g ula tio n, the q ua lity

• f the mo the r-c hild-inte ra c tio n, a s we ll a s the

e va lua tio n o f the e ffic a c y o f the the ra py.


• Ma in fo c us o f the study wa s the unde rsta nding a nd

c ha ng e o f mo the rs se nsitivity a nd the pa re nt-c hild- re la tio n-q ua lity (in dya dic sync hro ny a nd pa tte rns) in c o nne c tio n with the re g ula to ry diso rde r o f the ir c hild.

Conte nts of T he r apie

• Vide o b a se d inte ra c tio n a na lysis with a fo llo wing the ra py

to c ha ng e the dysfunc tio na l re la tio n-pa tte rns a nd to inc re a se the se nsitivity o f the mo the r (q ua lity o f the m-c - inte ra c tio n). 


• F

urthe r c o mpo ne nts we re psyc ho e duc a tio n a b o ut the de ve lo pme nta l (a de q ua te ) c o mpe te nc e s o f the c hild, ta ke -o ve r/ c ha ng e to the pe rspe c tive o f the c hild, se lf a wa re ne ss in the se lf- a nd c o -re g ula to ry ta sks, a s we ll a s the re fle c tio n a b o ut o wn a tta c hme nt/ c a re e xpe rie nc e s a nd its stra ig ht influe nc e to the inte ra c tio n with the b a b y.

Var iable s of Par e nts

• De pre ssio n -> E

PDS (E dinb urg h Po stna ta l De pre ssio n Sc a le s) (Co x, Ho lde n & Sa g o vsky,1987).

• Psyc ho lo g ic a l Sympto ms -> BSI

(Brie f Sympto m I nve nto ry) (F ra nke , 2000);

• Pa re nta l Stre ss -> PSI

(Pa re nta l Stre ss I nde x) / / E BI (E lte rn-Be la stung s-I nve nta r)(T rö ste r , 2011) (5 infa nt, 7 a dult sc a le s)

• De a ling with E

mo tio ns -> SE E (Ska le n zum E rle b e n vo n E mo tio ne n) (Be hr & Be c ke r , 2004)

Var iable s Inte r ac tion

• Dya dic -I

nte ra c tio n-Qua lity (Ca re I nde x, Critte nde n 2006)


• Se nsitiv, Co ntro l, Unre spo nsive (Adult

Sc a le s)

• Co o pe ra tive , Co mpulsive , Diffic ult,

Pa ssiv (Child Sc a le s)

R e sults

Par e ntal Str e ss (PSI/ E BI) IG & KG / / T 1

Psyc hologic al Symptoms 
 (BSI) IG & CG / / T 1

De pr e ssion (E PDS) IG & CC/ / T 1

Car e -Inde x Sc ale s IG & CG / / T 1

Inte r ve ntion Outc ome

Par e ntal Str e ss R e duc e d 
 (PSI/ E BI) / / IG; T 1->T 2->T 3)

Par e ntal Str e ss (Subsc ale s) R e duc e d 
 (PSI) / / IG; T 1->T 2)

Psyc hologic al Str e ss R e duc e d (BSI) / / IG; T 1->T 3

De pr e ssion R e duc e d 
 (E PDS) / / IG; T 1->T 3

Se nsitivity & Coope r ation impr

• ve d (IG; T

1->T 2)

Conc lusion

• Pa re nts o f b a b ie s with re g ula tio n diso rde rs (c rying o r/ a nd sle e p) a re , a t the

intro duc tio n, in a ll me a sure d a re a s sig nific a nt mo re b urne d tha n the pa re nts o f the c o ntro l g ro up. I n mo st o f the me a sure d psyc ho lo g ic a l fa c to rs the mo the rs we re a t the b o rde r to the pa tho lo g ic a l ra ng e , i.e . o ve r the a ve ra g e (no rm po pula tio n).

• Se nsitivity o f the pa re nts, c o o pe ra tio n o f the b a b ie s - a nd so the Dya dic -

I nte ra c tio n-Qua lity diffe re d sig nific a ntly b e twe e n the g ro ups a nd we re , a t the b e g inning (t1), in the c linic a l g ro up, in a c ha rg e d „inte rve ntio n ra ng e “.

• b y the inte rve ntio n, with so lutio n o f the re g ula tio n diso rde r

, the re wa s a sig nific a nt impro ve me nt in a ll a re a s o f ma te rna l psyc ho pa tho lo g y, a s we ll a s in the mo the r-c hild-re la tio n (inte ra c tio n q ua lity) b e twe e n the me a sure me nt po ints.

• a t t2, a fte r the inte rve ntio n the c linic a l mo the rs we re , e xc e pt de pre ssio n

(PSI / E BI ), a llo ve r in no rma l ra ng e a nd a t the le ve l o f the c o ntro l mo the rs. I n the c o ntro l g ro up we fo und no c ha ng e s/ va ria nc e s b e twe e n the me a sure me nt po ints.

F rankfurt, 2012 Cambridge , 2010 Be rtino ro , 2008 Miami, 2015

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