Adapting an Evidence-Based Home Visiting Intervention for Mothers With Opioid Dependence: Modified Attachment and Biobehavioral Catch-up.
Adapting an Evidence-Based Home Visiting Intervention for Mothers With Opioid Dependence: Modified Attachment and Biobehavioral Catch-up.
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DOI：
10.3389/fpsyg.2021.675866
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发表时间：
2021
影响因子：
3.8
通讯作者：
Dozier M
中科院分区：
文献类型：
--
作者：
Labella MH;Eiden RD;Roben CKP;Dozier M
依赖阿片类药物的母亲所生的婴儿在出生时往往难以调节行为和生理。如果没有敏感的产妇护理，这些婴儿有可能在自我调节方面出现持续的问题。依赖阿片类药物的母亲可能会遇到与其药物使用有关的挑战（例如，不支持和/或有风险的环境、冲动控制和奖励系统问题），在缺乏有效干预的情况下，增加了父母不敏感的可能性。在本文中，我们描述了一种家访干预措施，我们已经调整，以提高敏感，响应量身定制的阿片类药物依赖的母亲的特定需求的治疗。最初的干预，依恋和生物行为追赶（ABC），是为6-24个月大的婴儿的母亲谁暴露在早期逆境。ABC已被证明可以增强敏感的养育方式以及儿童的行为和生物功能，其积极成果至少延伸到童年中期。阿片类药物依赖的母亲需要比ABC提供的更早的支持，因为接触阿片类药物的婴儿在出生时往往很脆弱。适应性干预（改良ABC或mABC）包括一次产前治疗和一次产后早期治疗，随后每2-3周进行10次治疗。特别是在最初的两次会议上，帮助母亲预测照顾婴儿的挑战，因为婴儿可能很难安抚，但仍然提供敏感的护理。mABC旨在帮助母亲认识到敏感反应的重要性，以帮助婴儿克服与阿片类药物暴露相关的发育风险。此外，mABC的结构是为了支持母亲的挑战，早期养育，特别是如果母亲自己没有父母敏感。在整个过程中，重点是帮助母亲养育痛苦的婴儿，注意婴儿的信号，并避免过度刺激或侵入性的行为。文中列举了一些案例，突出强调了与这一群体合作的挑战以及母亲取得的成就。
Infants born to mothers who are dependent on opioids often have difficulty regulating behavior and physiology at birth. Without sensitive maternal care, these infants are at risk for ongoing problems with self-regulation. Mothers who are dependent on opioids may experience challenges related to their substance use (e.g., unsupportive and/or risky environment, impulse control and reward system problems) that increase the likelihood of insensitive parenting in the absence of effective intervention. In this paper, we describe a home-visiting intervention we have adapted to enhance sensitive, responsive caregiving tailored to the specific needs of mothers with opioid dependence. The original intervention, Attachment and Biobehavioral Catch-up (ABC), was designed for mothers of infants aged 6–24 months who were exposed to early adversity. ABC has been shown to enhance sensitive parenting as well as children's behavioral and biological functioning, with positive outcomes extending into at least middle childhood. Mothers who are opioid dependent need earlier support than provided by ABC because opioid-exposed infants are often vulnerable at birth. The adapted intervention (modified ABC or mABC) includes one prenatal session and one early postnatal session, followed by 10 sessions every 2–3 weeks. In the initial two sessions in particular, mothers are helped to anticipate the challenges of caring for a baby who may be difficult to soothe while nonetheless providing sensitive care. mABC is intended to help mothers see the importance of responding sensitively so as to help infants overcome the developmental risks associated with opioid exposure. Additionally, mABC is structured to support mothers with the challenges of early parenting, especially if the mother herself was not parented sensitively. Throughout, the focus is on helping the mother nurture the distressed infant, attend to the infant's signals, and avoid behaving in overstimulating or intrusive ways. Case examples are presented that highlight both the challenges of working with this population as well as the gains made by mothers.
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影响因子：
4.6
作者：
Bernard K;Dozier M;Bick J;Lewis-Morrarty E;Lindhiem O;Carlson E
通讯作者：
Carlson E
影响因子：
5.6
作者：
Epstein, Richard A.;Bobo, William V.;Martin, Peter R.;Morrow, James A.;Wang, Wei;Chandrasekhar, Rameela;Cooper, William O.
通讯作者：
Cooper, William O.
DOI：
10.1007/s10560-009-0165-1
发表时间：
2009-08
期刊：
Child & adolescent social work journal : C & A
影响因子：
--
作者：
Dozier M;Lindhiem O;Lewis E;Bick J;Bernard K;Peloso E
通讯作者：
Peloso E
影响因子：
3.2
作者：
Alvarez-Monjaras M;Mayes LC;Potenza MN;Rutherford HJ
通讯作者：
Rutherford HJ
影响因子：
2.2
作者：
Cioffi, Camille C.;Leve, Leslie D.;Seeley, John R.
通讯作者：
Seeley, John R.