Pediatric BD is often mis- or undiagnosed, although it often manifests with mood lability and sleep disturbances early in life. DSM BD criteria inconsistent with clinical findings require revision for pediatric application.
This randomized controlled trial examined the reflective functioning capacities of caregivers who have a child with a neurodevelopmental disorder between the ages of 2 years, 0 months and 6 years, 11 months. Children with a neurodevelopmental disorder receive a range of diagnoses, including Autism, however they all exhibit social communication challenges that can derail social relationships. Forty parent-child dyads in Barbados were randomly assigned to either a Developmental Individual-Difference, Relationship-Based/Floortime (DIR/FT) group (n=20), or a psycho-educational (wait-list) group (n=20) with parental reflective functioning measured before and after a 12-week DIRFloortime® treatment intervention. Results revealed significant gains in parental reflective functioning in the treatment group as compared to the psychoeducational (wait-list) group after the 12 week relationship-focused intervention.
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