ABSTRACT
From unrecognized babies' pain, to new discoveries made on early emotional memory and sensory capacities, chronic pain in childhood remains a complex field still to be explored. Besides, the discovery of early fetal sensorial receptions is an opening to new understanding of the origin of psychological chronic pain from early childhood to adolescence. From the silent babies suffering of emotional regulation disorder to adolescents' chronic recurrent pains, a common point is the expression of a psychic disease through the body. Different therapeutic actions are described, because without treatment chronic or recurrent pains may lead to a real risk of intellectual, affective and drive impoverishment for the suffering child.
Subject(s)
Pain/etiology , Adolescent , Child , Child, Preschool , Emotions , History, 20th Century , History, 21st Century , Humans , Infant, Newborn , Pain/history , Pain/psychology , Pain Management/history , Pain Management/methods , Pain Measurement/history , Pain Measurement/methodsABSTRACT
This pilot study explores the effects of a brief individual psychoanalytic therapy on perinatal depressive symptoms. This intervention is based on the Geneva's mother-infant intervention model. A sample of 129 pregnant women was recruited in Geneva (Switzerland) and screened for depressive symptoms with two instruments: the 'Edinburgh postnatal depression scale' (EPDS) and the 'Dépistage anténatal de la dépression postnatale'. A group of 40 women presenting depressive symptoms (treatment group) participated in a four-session intervention called 'Psychotherapy centred on parenthood (PCP)'. It consists in two antenatal and two postnatal sessions and is focussed on changing problematic representations of parenthood. This treatment group was compared to a control group of 88 women without depressive symptoms and following the usual obstetrical care. The main outcome measure was EPDS at 3 and 6 months after delivery. The 'Global assessment functioning scale' was administered at the end of each therapeutic session. The 'Parent-infant relationship global assessment scale' was administered at the two postnatal sessions in order to explore if PCP was also effective in preventing the potential negative effects of depression on mother-infant relationship. Results show that in the treatment group (N = 31), EPDS scores dropped from 12.8 to 4.8; none of these women met the EPDS cut-off score of 12 at 3 and 6 months postpartum. Mother-infant relationship was well adapted for all 31 dyads at the end of the intervention. These results suggest that PCP is a promising intervention for treating perinatal depression and helping mothers engaging in parenting.
