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Master Thesis

Impacts des troubles de l’usage maternels sur les interactions précoces et efficacité des programmes de prise en charge intégratifs : revue non exhaustive de la littérature et synthèse des connaissances actuelles

Abstract : Each year in Europe, 6.5 to 11% of women with a substance use disorder (SUD) give birth to a child, and 59 to 70% of women in addiction programs in the United States have children. The consequences of substance use on infant development are well known and widely documented. Much less work is specifically devoted to the consequences of SUD on mother-child interactions, and even less on the neuro-physiopathological factors involved. However, early mother-infant interactions during the first year of life lay the basis for mental representations of the child in terms of interpersonal relationships, and play a major role in the social and emotional development of infants. The results of this non-exhaustive review of the literature underline the extent to which factors related to the newborn, in particular tonic and emotional dysregulation, may resonate with maternal defects in sensitivity and/or other maternal risk factors associated with SUD, reinforce each other, and aggravate in a vicious circle the difficulties of early interactions during the first year in these dyads. The neurobiological circuits of reward, stress and social affiliation are partially common, and may, under certain circumstances, respond preferentially to the psychoactive substance, which competes with the infant's needs and signals, thus diminishing maternal sensitivity. Integrative care programs offer joint management of maternal SUD and mother-infant interaction dysregulation, and significantly improve maternal skills and sensitivity, as well as the infant's relational skills. These programs are still very rare in France, and could improve the post-natal follow-up of these particularly vulnerable dyads.
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https://dumas.ccsd.cnrs.fr/dumas-03202311
Contributor : Médecine Ub <>
Submitted on : Monday, April 19, 2021 - 5:06:52 PM
Last modification on : Thursday, May 13, 2021 - 3:18:15 AM
Long-term archiving on: : Tuesday, July 20, 2021 - 7:20:03 PM

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  • HAL Id : dumas-03202311, version 1

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Anne Ros. Impacts des troubles de l’usage maternels sur les interactions précoces et efficacité des programmes de prise en charge intégratifs : revue non exhaustive de la littérature et synthèse des connaissances actuelles. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03202311⟩

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