Objective To investigate the prevalence and nature of trauma symptoms in mothers fathers infants who had cardiac surgery. Method Parents underwent surgery before 3 months age were recruited at time 77 55 completed Acute Stress Disorder Scale 1 month after their infant was discharged from hospital. Results 26 (33.8%) 10 (18.2%) satisfied criteria for acute stress disorder. For all symptom clusters, except dissociation, significantly higher mean scores (and therefore levels symptoms) than did...

Abstract Background Parents are increasingly recognized as important partners in children's health care. Despite their involvement care, parental experiences of child's hospitalization have received little research attention. In this study we explored parents' perceptions what they found difficult, would like to be different and helpful during infant's surgery for the treatment congenital heart disease. Methods Structured interviews were conducted with 154 parents (91 mothers, 63 fathers)...

<h3>Objective</h3> The critical importance of a secure mother-infant attachment relationship for long-term physical and mental health the child is well established. Our study aim was to explore mothers' subjective experience after discharge from hospital following neonatal cardiac surgery. <h3>Design</h3> Participants were 97 infants who underwent surgery before age 3 months their mothers. Mothers completed Maternal Postnatal Attachment Scale (MPAS) Edinburgh Depression (EPDS) questionnaires...

Background: Gastro‐oesophageal reflux (GOR) is common in infants with persistent crying. Empirical treatment antireflux medications practice, although on clinical grounds it may be difficult to determine whether GOR abnormal. Aims: To examine the diagnostic accuracy of predictors pathological Methods: One hundred and fifty‐one (82 male; median age 2.5 months, range 0.5–8.2 months) crying were prospectively studied. Crying fussing charted for 24 h, parents completed a validated questionnaire...

To assess the effect of medical antireflux treatment, and an infant mental health consultation (IMHC), on persistent crying in infants maternal distress.Infants under 9 months age with crying, their mothers, were enrolled a randomized placebo-controlled trial. At enrollment, questionnaire demographic clinical details was completed by distress measured (Experience Motherhood Questionnaire; EMQ). Oesophageal 24-h pH monitoring performed all day 2. week 4, cry chart EMQ repeated conjunction...

Aim: To examine the physical and mental health outcomes at school‐age of a cohort children who participated in randomised clinical trial treatments for persistent crying infancy. Methods: Participants parents attended standard examination assessment children. Parents completed Strength Difficulties Questionnaire (SDQ), Child Health (CHQ), Forsyth Vulnerability Scale, Recent Life Events Questionnaire, RAND‐36 Status Inventory study questionnaire about medical socio‐demographic...

Abstract This article takes a human rights perspective with view to articulating the infant's when infant has been subjected abuse, neglect, or both and is reliant on state ensure his her health well‐being. When young child removed from parental care, important often difficult decisions have be made about subsequent contact between parent. We consider number of dilemmas which may arise for practitioners they are assisting welfare decision makers in relation contact, acknowledge limited...

<h3>Objective</h3> To determine the prevalence of postnatal depression (PND) in mothers young infants presenting to emergency department (ED). <h3>Design, setting and participants</h3> Prospective observational study PND aged 14 days 6 months with non-time-critical conditions ED a large tertiary paediatric hospital. <h3>Main outcome measures</h3> We assessed by applying self-administered validated screening tool, Edinburgh Postnatal Depression Scale (EPDS). Mothers patients were approached...

A discussion of adulthood in general and that individuals with severe cognitive impairments was presented. The meaning our culture raises issues regarding the disparity between status as an adult a person impairment. An examination traditional roles, rites, rituals (e.g., voting, marriage, consensual sex, moving out family home) provided. Personal deliberations on how first author intends to assist her daughter accessing these markers are included. Our overall goal this article is promote...

(1999). ‘Free to be playful’: Therapeutic work with infants. Infant Observation: Vol. 3, No. 1, pp. 47-62.

This clinical article presents an infant mental health approach to the treatment of feeding disorders in infants and toddlers that involves infant-parent psychotherapist directly working with infant's representations within psychotherapy sessions. The is informed by assessment emotional development, subjective experience, dynamics relationship. model therapeutically using play words draws upon concepts from D.W. Winnicott attachment theory as well principles psychodynamic posttraumatic...

Children who experience neglect and abuse are likely to have impaired brain development entrenched learning deficiencies. Early years interventions such as intensive education care for these children known the potential increase their human capital. The Years Education Program (EYEP) is a new program offered by Children's Protection Society (CPS) in Melbourne, Australia. EYEP targeted at needs of been or risk being abused neglected. It has dual focus seeking address consequences on...

To compare the efficacy of a new intervention 'Family Forward' with 'Usual Care' social work practice in optimising family appraisal child's acquired brain injury to ensure better adaptation during inpatient rehabilitation phase care and early transition home.Single site, prospective, sequential comparison group design.Families were recruited on admission an service based at tertiary paediatric hospital. The (n = 22; 29 parents) recruitment, data collection completed first (Phase 1),...

The focus of this discussion paper is on understanding and responding to unsettled behaviour in infants. authors have drawn published literature; a round table consultation with expert stakeholders representatives key agencies; interviews maternal child health nurses; information from the public domain; their own extensive experience working parents infants as practitioners researchers infant family well-being. At present there are divergent views about: • nature, determinants severity most...

To test the efficacy of a family intervention Family Forward in promoting early adaptation following child's acquired brain injury (ABI).Prospective, sequential comparison group design.Families children (n = 47) diagnosed with ABI received 25): two counselling sessions plus optional multi-family session per week or Usual Care 22) during their inpatient rehabilitation admission. outcomes were measured using Assessment Device (FAD-GF) and Management Measure (FAMM). Relationships between...

ABSTRACT Little is known about the immediate impact of neonatal cardiac surgery on emotional and behavioral functioning in infancy. This exploratory, qualitative study investigated if infants who underwent first 3 months life exhibited dysregulation or traumatic stress responses. Ninety‐one their mothers were recruited while inpatients. Mothers interviewed perceptionof illness, surgery, hospitalizationon infant 4 weeks after discharge. Responses analyzed by two coders using thematic...

This article describes a new and innovative social work intervention, Family Forward, designed to promote early adaptation of the family system after onset child's acquired brain injury. Forward is integrated into inpatient rehabilitation services provided injured child recognizes important role in outcomes parallel process recovery for following an informed by clinical practice, existing research pediatric injury, resiliency model adjustment adaptation, therapy theories approaches.

Excellent communication is essential for health professionals working with children. Teddy Bear Hospital (TBH) an innovative method of developing paediatric skills in health-care students. By exploring the child's perspective medical students' at TBH, we sought to better understand role TBH plays development students.Semi-structured interviews were conducted 31 children, aged 3-8 years old, who attending a run by third year students Royal Children's Melbourne. These recorded and transcribed...

Children with congenital heart disease (CHD) have poorer neurodevelopmental and psychological outcomes. The mechanisms underlying this remain unclear. One mechanism could be that the stressful experience of cardiac surgery early in life influences long-term hypothalamic-pituitary-adrenal (HPA) axis regulation. Dysregulation HPA has been linked to neurocognitive outcomes other study populations. This case-control aims compare HPA-axis regulation (circadian rhythm reactivity) using salivary...