title: Mother's Emotional and Posttraumatic Reactions after a Preterm Birth: The Mother-Infant Interaction Is at Stake 12 Months after Birth.
abstract: OBJECTIVE
  Very preterm infants are known to be at risk of developmental disabilities and behavioural disorders. This condition is supposed to alter mother-infant interactions. Here we hypothesize that the parental coping with the very preterm birth may greatly influence mother-infant interactions.
  
  
  METHODS
  100 dyads were included in 3 university hospitals in France. Preterm babies at higher risk of neurodevelopmental sequelae (PRI>10) were excluded to target the maternal determinants of mother-infant interaction. We report the follow-up of this cohort during 1 year after very preterm birth, with regular assessment of infant somatic state, mother psychological state and the assessment of mother-infant interaction at 12 months by validated scales (mPPQ, HADS, EPDS, PRI, DDST and PIPE).
  
  
  RESULTS
  We show that the intensity of post-traumatic reaction of the mother 6 months after birth is negatively correlated with the quality of mother-infant interaction at 12 months. Moreover, the anxious and depressive symptoms of the mother 6 and 12 months after birth are also correlated with the quality of mother-infant interaction at 12 months. By contrast, this interaction is not influenced by the initial affective state of the mother in the 2 weeks following birth. In this particular population of infants at low risk of sequelae, we also show that the quality of mother-infant interaction is not correlated with the assessment of the infant in the neonatal period but is correlated with the fine motor skills of the baby 12 months after birth.
  
  
  CONCLUSIONS
  This study suggests that mothers' psychological condition has to be monitored during the first year of very preterm infants' follow-up. It also suggests that parental interventions have to be proposed when a post-traumatic, anxious or depressive reaction is suspected.
authors.affiliation: CHU Reims, Hôpital Robert Debré, Service de Psychothérapie de l'Enfant et de l'Adolescent, Reims, France.
authors.forename: Anne-Cécile
authors.initials: AC
authors.lastname: Petit
authors.affiliation: CHU Reims, Hôpital Robert Debré, Service de Psychothérapie de l'Enfant et de l'Adolescent, Reims, France.
authors.forename: Julien
authors.initials: J
authors.lastname: Eutrope
authors.affiliation: CHU Reims, Hôpital Robert Debré, Unité d'aide méthodologique, Reims, France.
authors.forename: Aurore
authors.initials: A
authors.lastname: Thierry
authors.affiliation: CHU Reims, American-Memorial-Hospital, Service de réanimation néonatale et néonatologie, Reims, France.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Bednarek
authors.affiliation: Centre d'Action Médico-Sociale Précoce, Reims, France.
authors.forename: Laurence
authors.initials: L
authors.lastname: Aupetit
authors.affiliation: CHU Nancy, Centre psychothérapique de Nancy, Service de pédopsychiatrie, Laxou, France.
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Saad
authors.affiliation: CHU de Besançon, Hôpital Saint Jacques, Service de psychiatrie de l'enfant et de l'adolescent, Besançon, France.
authors.forename: Lauriane
authors.initials: L
authors.lastname: Vulliez
authors.affiliation: CHU Nancy, Centre psychothérapique de Nancy, Service de pédopsychiatrie, Laxou, France.
authors.forename: Daniel
authors.initials: D
authors.lastname: Sibertin-Blanc
authors.affiliation: CHU de Besançon, Hôpital Saint Jacques, Service de psychiatrie de l'enfant et de l'adolescent, Besançon, France.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Nezelof
authors.affiliation: CHU Reims, Hôpital Robert Debré, Service de Psychothérapie de l'Enfant et de l'Adolescent, Reims, France.
authors.forename: Anne-Catherine
authors.initials: AC
authors.lastname: Rolland
mesh_terms: D003710:Demography; D004644:Emotions; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D009034:Mother-Child Relations / Q000523:psychology*; D011247:Pregnancy; D047928:Premature Birth / Q000523:psychology*; D014947:Wounds and Injuries / Q000523:psychology*