[Action-research on the prevention of abuse in the very young child. Methodology and initial results].
Teams of pediatricians and psychiatrists are leading a joint action-research in public health which intends to develop and evaluate original modes of prevention of abuse and grave neglect concerning infants with medico-psychosocial high risk factors. The framework of this study is a randomized controlled trial on the modes of prevention. The sample, consisting of infants under one year of age and selected from their health certificate of the 8th day and 9th month, is divided into two groups: the treated group who benefited from specific preventive interventions and the control group who benefited from classic surveillance. The research was longitudinal and was centered on the study of mother-infant interactions at 3 months, 1 year, 2 years and 3 years of age. The dynamics in the action-research is illustrated by the evolution of the tool for assessment of early interactions and the refocusing of the research. From the analysis of the data from the phase of feasibleness, which included 114 infants, three main results have come out: definition of a "danger" pointer: dysharmonious mother-infant interactions at 3 months; a new risk factor was brought to light: "disrupted grand-parental family"; father's role in mother-infant interactions. These first results have had a major impact on the method for the active phase which is now in progress and intends to evaluate the new modes of prevention.
Job-Spira
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N
Unité de recherches INSERM U 292, Hôpital de Bicêtre, Le Kremlin-Bicêtre.
Lamour
M
M
Gabel
M
M
De Chambrun
J
J
Lebovici
S
S
D002649:Child Abuse / Q000517:prevention & control*; D005190:Family; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009034:Mother-Child Relations; D010290:Parents; D011247:Pregnancy / Q000523:psychology; D012107:Research Design; D012924:Social Conditions
Recherche-action sur la prévention de la maltraitance chez le très jeune enfant. Méthodologie et premiers résultats.