Effectivness of skill training program based on Neuro- Dramatic Plays on Infants’ Mental Health

Authors
elham tavakoli 1
shahla pezeshk 1
janet hashemi azar 1
ali delavar 1
gholamreza sarami 2
1 allameh tabatabai
2 kharazmi university
10.18869/acadpub.rph.10.4.45
Abstract
To examine the impacts of a skill training program based on neuro- dramatic plays in attachment theory framework on infant mental health, 90 pregnant mothers were selected and randomly were divided into three groups: prenatal and postnatal group (30), postnatal group (30) and control group (30). Inclusion criteria in were maternal mental health, mothers’ age (20-35), mothers’ education (diploma-Ph.D.) and being first time mother. Infant mental health was evaluated when the infants were 6-month old using ADBB and an interview based on 0-3. Of the sample, 33% of postnatal group and 40% of control group had some signs of danger in ADBB; however the prenatal and postnatal group hadn’t any symptom. The results were consistent to interviews. As predicted, educating mothers to play and response to their infants from pregnancy could be an effective intervention on their infants’ mental health. It seemed neurodramatic plays could be an appropriate and effective treatment that could be enriched parenting training manuals and early preventions interventions for infants.
Keywords
mental health
Neuro- Dramatic Plays
Infancy
Prenatal Intervention
attachment
A, G. (1997). From Early Withdrawal Reaction to Infant Depression: A Baby Alone Does Exist. Infant mental health journal, 18(4), 339–349.
Abasi. E, T. M., Esmaily. H & Hasanabadi. H (2013). The effect of maternal–fetal attachment education on maternal mental health. Paper presented at the Turkish Journal of Medical Sciences.
Allen , G. (2013). Comment made at Westminster Social Policy Forum.
Appleton. J V, M. H., Oates. J, Kelly. C (2012). Evaluating health visitor assessments of mother–infant interactions: A mixed methods study. International Journal of Nursing Studies, 50(1), 5-15.
Baggett, K. M., Warlen, L., Hamilton, J.L., Roberts, J.L. & Staker, M. (2007). Screening Infant Mental Health Indicators: An Early Head Start Initiative. Infants & Young Children, 20(4), 300–310.
Barlow. J, M. A. S., Kirkpatrick. S, Ghate. D, Smith. M, Barnes. J (2008). Health-led Parenting Interventions in Pregnancy and Early Years.
Benson, L. B. H., M M (2009). Social and Emotional Development in Infancy and Early Childhood: Academic Press.
Berlin. L J, Z. Y., Amaya-Jackson. L, Greenberg. M T (2007). Enhancing Early Attachments: Theory, Research, Intervention, and Policy: The Guilford press.
Burtchen, N. e. a. (2013). Screening for sustained social withdrawal bahaviors in six –month-old infants during pediatric primary care visits: Results from an at-risk latino immigrant sample with high rates of maternal major depressive disorder. Infant mental health journal, 34(6), 542–552.
Cho. Y, H. T., Tomita. N, Shirakawa. S, Murase. K, Komoto. K et al (2013). Infant mental health intervention for preterm infants in Japan: Promotions of maternal mental health, mother–infant interactions, and social support by providing continuous home visits until the corrected infants age of 12 months. Infant mental health journal, 34(1), 47–59.
Dollberg, D. K., M. (2013). Correlates of Change in Post institutionalized Infants’ Sustained Social Withdrawal Behavior Following Adoption. Infant mental health journal, 34(6), 574–585.
Ebrahimi, A. M., H. Moosavi, GH. Bornamanesh, A. Yaghobi, M (2007). Psychometric Properties and Factor Structure of General Health Questionnaire 28 (GHQ-28) in Iranian Psychiatric Patients. Journal of Research in Behavioural Sciences, 5(1), 5-11.
Eccleson, M. Using the Brazelton Approach to Support Babies and Parents.
Egger., H. L. E., R.N (2010). Developmentally Sensitive Diagnostic Criteria for Mental Health Disorders in Early Childhood. American Psychologist, 66(2), 95–106.
Emde, R. N. (1988). Development terminable and interminable. I. Innate and motivational factors from infancy. International Journal of Psycho-Analysis, 69, 23–42.
Emde, R. N., Egger. H.L, Fenichel, E., Wise. A & Wright. B.K (2005). Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood DC: 0-3 organisation.
Eswi. A, K. A. (2012). Prenatal Attachment and Fetal Health Locus of Control among Low Risk and High Risk Pregnant Women. World Applied Sciences Journal, 18(4), 462-471.
Fraiberg, S. (1982). Pathological defences in infancy. Psychoanalytical Quarterly, 4, 612–635.
Greenspan. S I, W. S. (2006). Infant and Early Childhood Mental Health: A Comprehensive Developmental Approach to Assessment and Intervention.
Guedeney. A, G. N., Tereno. S, Dugravier. R, Greacen. T, Welniarz. B et al. (2011). The time of the infant, parent-infant desynchronization and attachment disorganization, Or how long does it take for a preventive action to be effective? , from Human Capital and Economic Opportunity: A Global Working Group
Guedeney. A, M. S. P. K. (2013). Social withdrawal behavior in infancy: A history of the concept and a review of published studies using the alarm distress baby scale. Infant mental health journal, 34(6), 516–531.
health, N. d. o. (2009). Improving mental health outcomes for parents and infants SAFE START guidelines.
J, G. A. F. (2001). A validity and reliability study of assessment and screening for sustained withdrawal reaction in infancy: The alarm distress baby scale. Infant mental health journal, 22(5), 559–575.
Lauren J.و Nelson F. Fazio, A. F. (1995). Emotional content of talk to the fetus and healthy coping behaviors during pregnancy. Infant mental health journal, 16(3), 179–191.
Letourneau. N, W. B., Duffett-Leger. L, Hegadoren. K, Tryphonopoulos. P (2011). Cortisol patterns of depressed mothers and their infants are related to maternal–infant interactive behaviours. Journal of Reproductive and Infant Psychology, 29(5), 439–459.
Lieberman. A E, V. H. P. (2009). Psychotherapy with Infants and Young Children: Repairing the Effects of Stress and Trauma on Early Attachment. J Can Acad Child Adolesc Psychiatry, 18(4).
MacLean, P. C. (2014). Mother- infant mutual eye gaze supports emotion regulationin infancy during the Still-Face paradigm. Infant Behavior & Development, 37, 512–522.
Mares. S, N. L., Warren. B & Cornish. K (2005). Clinical skills in infant mental health: ACER Press.
Matthey. S, C. R., Hales. A & Guedeney. (2013). A Description of the Modified Alarm Distress Baby Scale (m-ADBB): An Instrument to Assess for Infant Social Withdrawal. Infant mental health journal, 34(6), 602–609.
McFarland. J, S. A. L., Battle. C L, Hawes. K, Halloran. K, Lester. B M (2011). Major depressive disorder during pregnancy and emotional attachment to the fetus. Arch Womens Ment Health, 14, 425–434.
N, S. A. (2001). Effects of a secure attachment relationship on right brain development, affect regulation, and infant mental health. Infant mental health journal, 22(1-2), 7–66.
N, S. A. (2002). Dysregulation of the right brain: a fundamental mechanism of traumatic attachment and the psychopathogenesis of posttraumatic stress disorder. Australian and New Zealand Journal of Psychiatry, 36, 9–30.
P, R. (2011). Improving the mental health of infants, children and adolescents in Australia. Position Paper of the Australian Infant, Child, Adolescent and Family Mental Health Association.
Poggi Davis. E, G. L. M., Waffarn. F, Sandman. C A (2011). Prenatal maternal stress programs infant stress regulation. Journal of Child Psychology and Psychiatry, 52(2), 119–129.
Purra. K, M. M., Leppanen. J, Peltola. M, Salmelin. R, Luoma I, et al (2013). Associations Between Maternal Interaction Behavior, Maternal Perception of Infant Temperament, and Infant Social Withdrawal. Infant mental health journal, 34(6), 586–593.
Rafiee, B. A., M. Asadi, N. Zare, N (2013). Comparison of Attachment and Relaxation Training Effects on Anxiety in Third Trimester and Postpartum Depression among Primipara Women. Hayat Journal of School of Nursing and Midwifery, 19(1), 76-88.
Ramchandani. P G, D. J., Sethna. V, Psychogiou. L, Vlachos. H, Murray. L (2013). Do early father–infant interactions predict the onset of externalising behaviours in young children? Findings from a longitudinal cohort study. Journal of Child Psychology and Psychiatry, 54(1), 56–64.
Reichman, N. E. T., J.O (2003). Effects of psychosocial risk factors and prenatal interventions on birth weight: evidence from New Jersey’s Health Start program. Perspect Sex Reprod Health, 35(3), 130-137.
S, G. (2015). Why Love Matters? How affection shapes a baby’s brain: Brunner-Routledge.
S, G. A. L. (1997). Evaluation into the Relationship: Reflections on New Trends in Evaluation, Assessment, and Classification. Infant mental health journal, 18(2), 171–181.
S, J. (2010). Neuro-Dramatic-Play and attachment. British Journal of Play Therapy, 6, 35–50.
S, J. (2011). Healthy Attachments and Neuro-Dramatic-Play: Jessica Kingsley Publishers.
Schwichtenberg. A J, S. P. E. P., J (2013). Sleep and attachment in preterm infants. Infant mental health journal, 34(1), 37–46.
Slade., P. C., M (2010). A psychological plan for perinatal care. The British psychological society, 23, 194-197.
Swingler. M.M, P. N. B., Calkins. S.D & Bell. M.A. (2014). Maternal sensitivity and infant response to frustration: The moderating role of EEG asymmetry. Infant Behavior & Development, 37, 523–535.
Toosi, M. A., M. Zare, N. Sharif, F (2011). Effect of Attachment Training on Anxiety and Attachment Behaviors of first-time Mothers. Hayat Journal of School of Nursing and Midwifery, 17(3), 69-79.
Walsh, M. (2010). Gypsy Boy: One Boy’s Struggle to Escape from a Secret World. London: Hodder.
Welberg, L. S., J.R (2001). Prenatal Stress, Glucocorticoids and the Programming of the Brain. Journal of Neuroendocrinology, 13, 113-128.
Winnicott, D. (1964). The Maturational Processes and the Facilitating Environments: Studies in the Theory of Emotional Development. London: Hogarth.
Yum, M. C., . T. Velıskova, J & Velısek, L (2012). Prenatal stress promotes development of spasms in infant rats. Epilepsia, 53(3), 46–49.