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Programs of prevention and treatment for mothers of preterm children: state of the art and perspectives in the light of the attachment theory
Author/s: Benedetta Vicino, Mauro Adenzato, Rita B. Ardito 
Year:  2015 Issue: 36 Language: Italian 
Pages:  18 Pg. 85-102 FullText PDF:  131 KB
DOI:  10.3280/QPC2015-036007
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Preterm birth is the second leading cause of death under five years of age and is a risk factor for the development of the child and an event potentially traumatic for parents. The main aim of this paper is to present programs of prevention and treatment developed for mothers of preterm-born children, whose effectiveness has been demonstrated and that have been developed within the framework of the attachment theory. Overall, the programs under consideration show some effectiveness in improving the quality of the mother-child relationship, in supporting child development, and improving the psychological distress of parents. However, the understanding of the mechanisms underlying the programs, the role played by the various risk and protective factors, and how to integrate these knowledge into an effective program of prevention and treatment remain open questions. Here we propose that a useful contribution would derive from a greater consideration of the mother’s state of mind with respect to attachment in designing and implementing these programs: to develop the intervention according to the specific maternal characteristics would facilitate the achievement of positive outcomes for the mother, for the preterm-born child, and for their relationship.
Keywords: Attachment, intervention program, prematurity, preterm birth, prevention

  1. Abidin R.R. (1986). Parenting Stress Index manual. Charlottesville: Pediatric Psychology Press.
  2. Achenbach T., Howell C., Aoki M., Rauh V. (1993). Nine-year outcome of the Vermont Intervention Program for low birth weight infants. Pediatrics, 91: 45-55.
  3. Affleck G., Tennet H., Rowe J. (1991). Infants in crisis. How parents cope with newborn intensive care and its aftermath. New York: Springer.
  4. Ainsworth M., Blehar M., Waters E., Wall S. (1978). Patterns of Attachment. Hillsdale, NJ: Erlbaum.
  5. Als H., Gilkerson L. (1997). The role of relationship-based developmentally supportive newborn intensive care in strengthening outcome of preterm infants. Seminars in Perinatology, 21: 178-189., DOI: 10.1016/S0146-0005(97)80062-
  6. Ardito R.B., Vicino B., Adenzato M. (2014). Nascita pretermine e attaccamento: Stili di interazione e profili psicologici. Attaccamento e Sistemi Complessi (Attachment and Complex System), 1: 43-56.
  7. Beckwith L. (1988). Intervention with disadvantaged parents of sick preterm infants. Journal of Psychiatry, 51: 242-247.
  8. Benzies K.M., Harrison M.J., Magill-Evans J. (2004). Parenting stress, marital quality, and child behavior problems at age 7 years. Public Health Nursing, 21: 111-121., DOI: 10.1111/j.0737-1209.2004.021204.
  9. Bieleninik L., Gold C. (2014). Early intervention for premature infants in neonatal intensive care unit. Acta Neuropsychologica, 12: 185-203., DOI: 10.5604/17307503.111184
  10. Borghini A., Habersaat S., Forcada-Guex M., Nessi J., Pierrehumbert B., Ansermet F., Muller-Nix C. (2014). Effects of an early intervention on maternal post-traumatic stress symptoms and the quality of mother-infant interaction: The case of preterm birth. Infant Behavior and Development, 37: 624-631., DOI: 10.1016/j.infbeh.2014.08.00
  11. Bowlby J. (1969). Attachment and loss. 1: Attachment. New York: Basic Books (trad. it: Attaccamento e perdita. 1: L’attaccamento alla madre. Torino: Boringhieri, 1999).
  12. Bowlby J. (1973). Attachment and loss. 2: Separation: anxiety and anger. New York: Basic Books (trad. it: Attaccamento e perdita. 2: La separazione dalla madre. Torino: Boringhieri, 2000).
  13. Bowlby J. (1979). The making and breaking of affectional bonds. London: Tavistock (trad. it.: Costruzione e rottura dei legami affettivi. Milano: Raffaello Cortina, 1982). Bowlby J. (1988). A secure base. London: Routledge (trad. it.: Una base sicura: applicazioni cliniche della teoria dell’attaccamento. Milano: Raffaello Cortina, 1989).
  14. Brazelton T.B., Nugent J.K. (1995). Neonatal Behavioral Assessment Scale (3rd ed.). Londra: Mac Keith.
  15. Brisch K.H., Buchheim A., Kohntop B., Kunzke D., Schmucker G., Kachele H., Pohlandt F. (1996) Early preventive psychotherapeutic intervention for parents of a premature infant with very low birth weight: The Ulm Study [Praventives psychotherapeutisches Interventionsprogramm fur Eltern nach der Geburt eines sehr kleinen Fruhgeborenen –Ulmer Modell. Randomisierte Langsschnittstudie]. Monatsschrift fur Kinderheilkunde, 144: 1206-1212., DOI: 10.1007/s00112005007
  16. Brisch K.H., Bechinger D., Beltzer S., Heinemann H. (2003). Early preventive attachmentoriented psychotherapeutic intervention program with parents of a very low birthweight premature infant: Results of attachment and neurological development. Attachment & Human Development, 5: 120-135., DOI: 10.1080/146167303100010850
  17. Brisch K.H., Bechinger D., Beltzer S., Heinemann H., Kachele H., Pohlandt F., Schmucker G., Bucheim A. (2005). Attachment quality in very low-birthweight premature infants in relation to maternal attachment representations and neurological development. Parenting: Science and Practice, 5: 11-31.
  18. Cassibba R., Coppola G., Costantino E. (2014). Il Video-feedback Intervention to Promote Positive Parenting (VIPP): caratteristiche, ambiti di applicazione ed efficacia. Attaccamento e Sistemi Complessi (Attachment and Complex System), 1: 45-63.
  19. Cassibba R., van IJzendoorn M., Coppola G., Bruno S., Costantini A., Gatto S., Elia L., Tota A. (2007). Supporting families with preterm children and children suffering from dermatitis. In: Juffer F., Bakermans-Kranenburg M.J., van IJzendoorn M.H., editors, Promoting positive parenting: An attachment-based intervention. Hillsdale, NJ: Lawrence Erlbaum Associates.
  20. Cassidy J., Shaver P.R. editors (2008). Handbook of attachment: Theory, research and clinical applications. New York: Guilford Press (trad. it.: Manuale dell’attaccamento: teoria, ricerca e applicazioni cliniche. Roma: Fioriti, 2010).
  21. Chin F., Teti D.M. (2013). Infants at double jeopardy: Socioeconomic, medical, and attachment-based predictors of maternal engagement with an early intervention program. Infant Mental Health Journal, 35: 420-434., DOI: 10.1002/imhj.2139
  22. Cho Y. Hirose T., Tomita N., Shirakawa S., Murase K., Komoto K., Nagayoshi M., Okamitsu M. (2013). Infant mental health intervention for preterm infants in Japan: Promotion of maternal health, mother-infant interactions, and social support by providing continuous home visits until the corrected infant age of 12 months. Infant Mental Health Journal, 24: 47-59., DOI: 10.1002/imhj.2135
  23. Coppola G., Cassibba R. (2010). Mothers’ social behaviours in the NICU during newborns’ hospitalization: An observational approach. Journal of Reproductive and Infant Psychology, 28: 200-211., DOI: 10.1080/0264683090329873
  24. Coppola G., Cassibba R., Bosco A., Papagna S. (2013). In search of social support in the NICU: Features, benefits and antecedent of parents’ tendency to share with others the premature birth of their baby. Journal of Maternal-Fetal and Neonatal Medicine, 26: 1737-1741., DOI: 10.3109/14767058.2013.79828
  25. Coppola G., Cassibba R., Costantini A. (2007). What can make the difference? Premature birth and maternal sensitivity at 3 months of age: The role of attachment organization, traumatic reaction and baby’s medical risk. Infant Behavior and Development, 30: 679-684., DOI: 10.1016/j.infbeh.2007.03.004
  26. Cox J.L., Holden J., Sagovsky R. (1987). Detection of postnatal depression: Development of a 10-item Postnatal Depression Scale. British Journal of Psychology, 150: 782-786.
  27. Cusson R.M., DeWeese M. (1992). Premie-talk: Understanding your premature baby’s behavior [video-tape]. University of Maryland at Baltimore School of Nursing.
  28. Deater-Deckard K., Bulkley J. (2000). Parent concerns in long-term follow-up. Seminars in Neonatology, 5: 171-178., DOI: 10.1053/siny.1999.000
  29. Evans T., Whittingham K., Sanders M., Colditz P., Boyd R.N. (2014). Are parenting interventions effective in improving the relationship between mothers and their preterm infants? Infant Behavior and Development, 37: 131-154., DOI: 10.1016/j.infbeh.2013.12.00
  30. Fava Vizziello G., Calvo V. (1997). La perdita della speranza. Effetti della nascita prematura sulla rappresentazione genitoriale e sullo sviluppo dell’attaccamento. SAGGI –Neuropsicologia Infantile Psicopedagogia Riabilitazione, 23: 15-35.
  31. Feldman R. (2002). Les programmes d’intervention pour les enfants prematures et leur impact sur le developpement: et trop et pas assez. Devenir, 14: 239-263., DOI: 10.3917/dev.023.023
  32. Field T., Diego M.A., Hernandez-Reif M., Deeds O., Figuereido B. (2006). Moderate versus light pressure massage therapy leads to greater weight gain in preterm infants. Infant Behavior and Development, 29: 574-578., DOI: 10.1016/j.infbeh.2006.07.01
  33. George C., Kaplan N., Main M. (1985). Adult Attachment Interview. Unpublished manuscript, Department of Psychology, University of California, Berkeley.
  34. Hesse E. (2008). The Adult Attachment Interview: protocol, method of analysis, and empirical studies. In: Handbook of attachment: theory, research and clinical application. New York: Guilford Press, Ed. 2. (trad. it.: L’Adult Attachment Interview: protocollo, metodologia di analisi e studi empirici. In: Manuale dell’attaccamento: teoria, ricerca e applicazioni cliniche. Roma: Giovanni Fioriti, 2010, pp. 637-690).
  35. Jotzo M., Poets C.F. (2005). Helping parents cope with the trauma of premature birth: An evaluation of Trauma-Preventive Psychological Intervention. Pediatrics, 115: 915-919., DOI: 10.1542/peds.2004-037
  36. Kaaresen P.I., Ronning J.A., Tunby J., Nordhov S.M., Ulvund S.E., Dahl L.B. (2008). A randomized controlled trial of an early intervention program in low birth weight children: Outcome at 2 years. Early Human Development, 84: 201-209., DOI: 10.1016/j.earlhumdev.2007.07.00
  37. Kaaresen P.I., Ronning J.A., Ulvund S.E., Dahl L.B. (2006). A randomized, controlled trial of the effectiveness of an early-intervention program in reducing parenting stress after preterm birth. Pediatrics, 118: e9-e19., DOI: 10.1542/peds.2005-149
  38. Lefkowitz D.S., Baxt C., Evans J.R. (2010). Prevalence and correlates of posttraumatic stress and postpartum depression in parents of infants in the Neonatal Intensive Care Unit (NICU). Journal of Clinical Psychology in the Medical Settings, 17: 230-237., DOI: 10.1007/s10880-010-9202-
  39. Main M., Hesse E. (1990). Parent’s unresolved traumatic experiences are related to infant disorganized attachment status: Is frightening and/or frightened paternal behavior the linking mechanism? In: Greenberg M.T., Cicchetti D., Cummings M., editors, Attachment in the preschool years. Chicago: Chicago University Press.
  40. McDonough S. (2005). Interaction guidance: Promoting and nurturing the caregiving relationship. In: Sameroff A.J., McDonough S.C., Rosenblum K.L., editors, Treating parentinfant relationship problems: Strategies for intervention. New York: Guildford Press. Melnyk B.M., Feinstein N.F., Alpert-Gillis L., Fairbainks E., Crean H.F., Sinkin R.A, Stone P.W., Small L., Gross S.J. (2006). Reducing premature infants’ length of stay and improving parents’ mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: A randomized, controlled trial. Pediatrics, 118: e1414-e1427., DOI: 10.1542/peds.2005-258
  41. Meyer E.C., Zeanah C.H., Boukydis C.F.Z., Lester, B.M. (1993). A clinical interview for parents of high-risk infants: Concept and applications. Infant Mental Health Journal, 14: 192-207.
  42. Milgrom J., Meitz A. (1988). Synchrony coding scale in maternal perceptions of infant temperament, maternal competency, mothering style and later mother-infant synchrony. Australia: Melbourne College of Advanced Education.
  43. Milgrom J., Westley D., Gemmill A.W. (2004). The mediating role of maternal responsiveness in some longer-term effects of postnatal depression on infant development. Infant Behavior and Development, 27: 443-454., DOI: 10.1016/j.infbeh.2004.03.00
  44. Newnham C.A., Milgrom J., Skouteris H. (2009). Effectiveness of a modified mother-infant transaction program on outcomes for preterm infants from 3 to 24 months of age. Infant Behavior and Development, 32: 17-26., DOI: 10.1016/j.infbeh.2008.09.00
  45. Owen M.T. (1992). The NICHD Study of early Child Care Mother-Infant Interaction Scales. Unpublished Work.
  46. Rauh V.A., Nurcombe B., Achenbach T., Howel C. (1990). The Mother-Infant Transaction Program. The content and implications of an intervention for the mothers of lowbirthweight infants. Clinics in Perinatology, 17: 31-45.
  47. Ravn I.H., Smith L., Lindemann R., Smeby N.A., Kyno N.M., Bunch E.H., Sandvik L. (2011). Effect of early intervention on social interaction between mothers and preterm infants at 12 months of age: A randomized controlled trial. Infant Behavior and Development, 34: 214-225., DOI: 10.1016/j.infbeh.2010.11.00
  48. Sameroff A., Chandler M., editors (1975). Reproductive risk and the continuum of caretaking casualty. Chicago: UCP.
  49. Sanson A., Prior M., Garino E., Oberklaid F., Sewell J. (1987). The structure of infant temperament: Factor analysis of the Revised Infant Temperament Questionnaire. Infant Behavior and Development, 10: 97-104., DOI: 10.1016/0163-6383(87)90009-
  50. Sanson A., Prior M., Oberklaid F. (1991). The structure of temperament from ages 3 to 7 years. Paper presented at the Society for Research in Child Development. Seattle: USA.
  51. Singer L.T., Salvator A., Guo S., Collin M., Lilien L., Baley, J. (1999). Maternal psychological distress and parenting stress after the birth of a very low-birth-weight infant. Journal of the American Medical Association, 281: 799-805., DOI: 10.1001/jama.281.9.79
  52. Teti D.M., Black M.M., Viscardi R., Glass P., C’Connel M.A., Baker L., Cusson R., Reiner Hess C. (2009). Intervention with African-American premature infants. Four month results of an early intervention program. Journal of Early Intervention, 31: 146-166., DOI: 10.1177/105381510933186
  53. Tooten A., Hall R.A.S., Hoffenkamp H.N., Braeken J., Vingerhoets Ad J.J.M., van Bakel H.J.A. (2014). Maternal and paternal infant representations: A comparison between parents of term and preterm infants. Infant Behavior and Development, 37: 366-379., DOI: 10.1016/j.infbeh.2014.05.00
  54. van Ijzendoorn M.H. (1995). Adult attachment representations, parental responsiveness and infant attachment: a meta-analysis on the predictive validity of the Adult Attachment Interview. Psychological Bullettin, 117: 387-403. Vigod S.N., Villegas L., Dennis C.L., Ross L.E. (2010). Prevalence and risk factors for postpartum depression among women with preterm and low-birth-weight infants: A systematic review. BJOG: An International Journal of Obstetrics and Gynecology, 117: 540- 550., DOI: 10.1111/j.1471-0528.2009.02493.
  55. Welch M.G., Hofer M.A., Stark R.I., Brunelli S.A., Stark R.I., Andrews H.F., Austin J., Myers M.M., the Family Nurture Intervention (FNI) Trial Group (2012). Family nurture intervention (FNI): Methods and treatment protocol of a randomized controlled trial in the NICU. BMC Pediatrics, 12: 1-17., DOI: 10.1186/1471-2431-12-1
  56. World Health Organization (2012). Born too soon: The global action report on preterm birth. Geneva: WHO.

Benedetta Vicino, Mauro Adenzato, Rita B. Ardito, Programs of prevention and treatment for mothers of preterm children: state of the art and perspectives in the light of the attachment theory in "QUADERNI DI PSICOTERAPIA COGNITIVA" 36/2015, pp. 85-102, DOI:10.3280/QPC2015-036007


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