title: [The development of young children reared in an insulated sterile box: psychological problems and parental relationship].
abstract: Five children with severe immunodeficiency who received a transplantation of lymphoid cells were placed in a Trexler's isolator for several months during the time necessary to obtain an immunological reconstitution. We have observed these patients longitudinally (from 2 to 7 years), and have considered the various parameters necessary to preserve a satisfactory psychological development and a good adaptative capacity. Among these, the careful and affective attention of nurses and parental behaviour appeared to be the most important. Excellent development was obtained in three patients who had no severe organic difficulties and for whom the above parameters were positive. The cause of two unsatisfactory results seemed to be due to intricate multifactorial events, including parental deprivation.
mesh_terms: D002648:Child; D002673:Child, Hospitalized / Q000523:psychology*; D002675:Child, Preschool; D004780:Environment, Controlled; D005260:Female; D006801:Humans; D007153:Immunologic Deficiency Syndromes / Q000628:therapy*; D008137:Longitudinal Studies; D008221:Lymphoid Tissue / Q000637:transplantation; D008297:Male; D009732:Nursing Care; D010287:Parent-Child Relations; D012934:Social Isolation; D013242:Sterilization
vernacular_title: Le développement des jeunes enfants élevés en enceinte étanche stérile: problèmes psychologiques et relation parentale.