Predictors of outcome in infant and toddlers functional or behavioral disorders after a brief parent-infant psychotherapy.
Identifieur interne : 000051 ( PubMed/Curation ); précédent : 000050; suivant : 000052Predictors of outcome in infant and toddlers functional or behavioral disorders after a brief parent-infant psychotherapy.
Auteurs : M J Hervé [France] ; M. Paradis ; C. Rattaz ; S. Lopez ; V. Evrard ; M. White-Koning ; M. MaurySource :
- European child & adolescent psychiatry [ 1435-165X ] ; 2009.
English descriptors
- KwdEn :
- Anxiety Disorders (diagnosis), Anxiety Disorders (psychology), Anxiety Disorders (therapy), Child Behavior Disorders (diagnosis), Child Behavior Disorders (psychology), Child Behavior Disorders (therapy), Child, Preschool, Depressive Disorder (diagnosis), Depressive Disorder (psychology), Depressive Disorder (therapy), Family Characteristics, Family Therapy (methods), Father-Child Relations, Feeding and Eating Disorders of Childhood (diagnosis), Feeding and Eating Disorders of Childhood (psychology), Feeding and Eating Disorders of Childhood (therapy), Female, Follow-Up Studies, Humans, Infant, Male, Mother-Child Relations, Paternal Behavior, Patient Dropouts (psychology), Psychotherapy, Brief (methods), Sleep Wake Disorders (diagnosis), Sleep Wake Disorders (psychology), Sleep Wake Disorders (therapy).
- MESH :
- diagnosis : Anxiety Disorders, Child Behavior Disorders, Depressive Disorder, Feeding and Eating Disorders of Childhood, Sleep Wake Disorders.
- methods : Family Therapy, Psychotherapy, Brief.
- psychology : Anxiety Disorders, Child Behavior Disorders, Depressive Disorder, Feeding and Eating Disorders of Childhood, Patient Dropouts, Sleep Wake Disorders.
- therapy : Anxiety Disorders, Child Behavior Disorders, Depressive Disorder, Feeding and Eating Disorders of Childhood, Sleep Wake Disorders.
- Child, Preschool, Family Characteristics, Father-Child Relations, Female, Follow-Up Studies, Humans, Infant, Male, Mother-Child Relations, Paternal Behavior.
Abstract
The efficacy of parent-child psychotherapies is widely recognized today. There are, however, less data on predictive factors for outcome in infants and toddlers and their parents. The aim of this study was to highlight predictive factors for outcome after a brief psychotherapy in a population of 49 infants and toddlers aged 3-30 months presenting functional or behavioral disorders. Two assessments were performed, the first before treatment and the second a month after the end of the therapy. These assessments included an evaluation of the child's symptoms, and of depressive or anxiety symptoms in the parents. The assessments after therapy show complete or partial improvement in the child's symptoms for nearly three quarters, and a decrease in the number of anxious and depressive mothers, and also in the number of depressive fathers. Three independent factors appear as predictive of unfavorable outcome for the child: frequency and intensity of behavioral problems and fears, and the absence of the father at more than two-thirds of consultations. The outcome for the mother is associated solely with her anxiety score at the start of the therapy. This study underlines the particular difficulties involved in the treatment of infants and toddlers presenting behavioral disturbances and emotional difficulties, and the value of involving the father in treatment.
DOI: 10.1007/s00787-009-0032-9
PubMed: 19452194
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Rattaz</name></author><author><name sortKey="Lopez, S" sort="Lopez, S" uniqKey="Lopez S" first="S" last="Lopez">S. Lopez</name></author><author><name sortKey="Evrard, V" sort="Evrard, V" uniqKey="Evrard V" first="V" last="Evrard">V. Evrard</name></author><author><name sortKey="White Koning, M" sort="White Koning, M" uniqKey="White Koning M" first="M" last="White-Koning">M. White-Koning</name></author><author><name sortKey="Maury, M" sort="Maury, M" uniqKey="Maury M" first="M" last="Maury">M. 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Fliche, 34295 Montpellier Cedex 5, France. mj-herve@chu-montpellier.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Child and Adolescent Psychiatry Department, St Eloi Hospital, CHU of Montpellier, 80 Avenue A. Fliche, 34295 Montpellier Cedex 5</wicri:regionArea></affiliation></author><author><name sortKey="Paradis, M" sort="Paradis, M" uniqKey="Paradis M" first="M" last="Paradis">M. Paradis</name></author><author><name sortKey="Rattaz, C" sort="Rattaz, C" uniqKey="Rattaz C" first="C" last="Rattaz">C. Rattaz</name></author><author><name sortKey="Lopez, S" sort="Lopez, S" uniqKey="Lopez S" first="S" last="Lopez">S. Lopez</name></author><author><name sortKey="Evrard, V" sort="Evrard, V" uniqKey="Evrard V" first="V" last="Evrard">V. Evrard</name></author><author><name sortKey="White Koning, M" sort="White Koning, M" uniqKey="White Koning M" first="M" last="White-Koning">M. White-Koning</name></author><author><name sortKey="Maury, M" sort="Maury, M" uniqKey="Maury M" first="M" last="Maury">M. Maury</name></author></analytic><series><title level="j">European child & adolescent psychiatry</title><idno type="eISSN">1435-165X</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anxiety Disorders (diagnosis)</term><term>Anxiety Disorders (psychology)</term><term>Anxiety Disorders (therapy)</term><term>Child Behavior Disorders (diagnosis)</term><term>Child Behavior Disorders (psychology)</term><term>Child Behavior Disorders (therapy)</term><term>Child, Preschool</term><term>Depressive Disorder (diagnosis)</term><term>Depressive Disorder (psychology)</term><term>Depressive Disorder (therapy)</term><term>Family Characteristics</term><term>Family Therapy (methods)</term><term>Father-Child Relations</term><term>Feeding and Eating Disorders of Childhood (diagnosis)</term><term>Feeding and Eating Disorders of Childhood (psychology)</term><term>Feeding and Eating Disorders of Childhood (therapy)</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Infant</term><term>Male</term><term>Mother-Child Relations</term><term>Paternal Behavior</term><term>Patient Dropouts (psychology)</term><term>Psychotherapy, Brief (methods)</term><term>Sleep Wake Disorders (diagnosis)</term><term>Sleep Wake Disorders (psychology)</term><term>Sleep Wake Disorders (therapy)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Anxiety Disorders</term><term>Child Behavior Disorders</term><term>Depressive Disorder</term><term>Feeding and Eating Disorders of Childhood</term><term>Sleep Wake Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Family Therapy</term><term>Psychotherapy, Brief</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Anxiety Disorders</term><term>Child Behavior Disorders</term><term>Depressive Disorder</term><term>Feeding and Eating Disorders of Childhood</term><term>Patient Dropouts</term><term>Sleep Wake Disorders</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Anxiety Disorders</term><term>Child Behavior Disorders</term><term>Depressive Disorder</term><term>Feeding and Eating Disorders of Childhood</term><term>Sleep Wake Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child, Preschool</term><term>Family Characteristics</term><term>Father-Child Relations</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Infant</term><term>Male</term><term>Mother-Child Relations</term><term>Paternal Behavior</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The efficacy of parent-child psychotherapies is widely recognized today. There are, however, less data on predictive factors for outcome in infants and toddlers and their parents. The aim of this study was to highlight predictive factors for outcome after a brief psychotherapy in a population of 49 infants and toddlers aged 3-30 months presenting functional or behavioral disorders. Two assessments were performed, the first before treatment and the second a month after the end of the therapy. These assessments included an evaluation of the child's symptoms, and of depressive or anxiety symptoms in the parents. The assessments after therapy show complete or partial improvement in the child's symptoms for nearly three quarters, and a decrease in the number of anxious and depressive mothers, and also in the number of depressive fathers. Three independent factors appear as predictive of unfavorable outcome for the child: frequency and intensity of behavioral problems and fears, and the absence of the father at more than two-thirds of consultations. The outcome for the mother is associated solely with her anxiety score at the start of the therapy. This study underlines the particular difficulties involved in the treatment of infants and toddlers presenting behavioral disturbances and emotional difficulties, and the value of involving the father in treatment.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19452194</PMID><DateCreated><Year>2009</Year><Month>10</Month><Day>28</Day></DateCreated><DateCompleted><Year>2010</Year><Month>01</Month><Day>19</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1435-165X</ISSN><JournalIssue CitedMedium="Internet"><Volume>18</Volume><Issue>12</Issue><PubDate><Year>2009</Year><Month>Dec</Month></PubDate></JournalIssue><Title>European child & adolescent psychiatry</Title><ISOAbbreviation>Eur Child Adolesc Psychiatry</ISOAbbreviation></Journal><ArticleTitle>Predictors of outcome in infant and toddlers functional or behavioral disorders after a brief parent-infant psychotherapy.</ArticleTitle><Pagination><MedlinePgn>737-46</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00787-009-0032-9</ELocationID><Abstract><AbstractText>The efficacy of parent-child psychotherapies is widely recognized today. There are, however, less data on predictive factors for outcome in infants and toddlers and their parents. The aim of this study was to highlight predictive factors for outcome after a brief psychotherapy in a population of 49 infants and toddlers aged 3-30 months presenting functional or behavioral disorders. Two assessments were performed, the first before treatment and the second a month after the end of the therapy. These assessments included an evaluation of the child's symptoms, and of depressive or anxiety symptoms in the parents. The assessments after therapy show complete or partial improvement in the child's symptoms for nearly three quarters, and a decrease in the number of anxious and depressive mothers, and also in the number of depressive fathers. Three independent factors appear as predictive of unfavorable outcome for the child: frequency and intensity of behavioral problems and fears, and the absence of the father at more than two-thirds of consultations. The outcome for the mother is associated solely with her anxiety score at the start of the therapy. This study underlines the particular difficulties involved in the treatment of infants and toddlers presenting behavioral disturbances and emotional difficulties, and the value of involving the father in treatment.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hervé</LastName><ForeName>M J</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Child and Adolescent Psychiatry Department, St Eloi Hospital, CHU of Montpellier, 80 Avenue A. Fliche, 34295 Montpellier Cedex 5, France. mj-herve@chu-montpellier.fr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Paradis</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Rattaz</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Lopez</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Evrard</LastName><ForeName>V</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>White-Koning</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Maury</LastName><ForeName>M</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2009</Year><Month>05</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Eur Child Adolesc Psychiatry</MedlineTA><NlmUniqueID>9212296</NlmUniqueID><ISSNLinking>1018-8827</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001008" MajorTopicYN="N">Anxiety Disorders</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002653" MajorTopicYN="N">Child Behavior Disorders</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName 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