Troubles de personnalité borderline/état-limite maternels et comportements d’attachement du bébé à 13 mois

Genet, Marie-Camille; Golse, Bernard; Devouche, Émmanuel; Apter, Gisèle

doi:10.3917/psye.612.0215

Cited by 6 publications

(2 citation statements)

References 36 publications

(23 reference statements)

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“…Potential impacts of maternal BPD on offspring are evident in infancy (Kiel et al, 2011), childhood (Stepp et al, 2011), adolescence (Barnow et al, 2013), and adulthood (Khoury et al, 2019). Longitudinal studies (Eyden et al, 2016; Genet et al, 2018; Lyons‐Ruth et al, 2013) have linked parental behaviors associated with BPD to the intergenerational transmission of a number of potential adverse outcomes including disorganized attachment styles, mental illness, suicidality, and aggression. Clearly, the early postnatal period is a pivotal time to break this cycle where necessary (Florange & Herpertz, 2019).…”

Section: Introductionmentioning

confidence: 99%

Mothers with borderline personality disorders' experiences of mother–infant dialectical behavior therapy

et al. 2022

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Background: Borderline personality disorder (BPD) is increasingly diagnosed in perinatal and infant settings, and research suggests that as well as an escalation of BPD symptoms in this period, these symptoms may also be detrimental to infant development. Providing tailored treatments during the postnatal period may help women and prevent an intergenerational cycle of emotional and interpersonal symptoms in infants. Mother–infant dialectical behavior therapy (MI‐DBT) has produced promising, yet inconsistent, improvements on quantitative scales of maternal mental health and the mother–infant relationship. The qualitative evaluation may provide complementary information. Aims: This study aimed to explore the subjective experiences of women who had completed MI‐DBT. Material and Methods: Thematic analysis of semistructured interviews conducted on 13 women undertaking MI‐DBT before, post, and 12 months after MI‐DBT were analyzed for themes. Results: Five major themes were identified. Overall, the women expressed that their emotional literacy and regulation improved after MI‐DBT, subsequently addressing key risks and challenges such as uncertainty around their child's cues, and low self‐esteem, and potentially improving the women's mentalization capability. Discussion and Conclusions: This study consolidates previous research on maternal BPD, and provides qualitative evidence of the benefits of MI‐DBT for mothers as both individuals and as parents with likely flow‐on effects for infants. Lived experience input for future adaptations was a valuable gain.

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Section: Introductionmentioning

confidence: 99%

Mothers with borderline personality disorders' experiences of mother–infant dialectical behavior therapy

et al. 2022

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“…Indeed, nearly 20% of mothers are concerned by the novel or reiterated occurrence of a psychiatric disorder during this time (1). The psychiatric disorders found, include a wide range of disorders: perinatal depressive and anxiety disorders, psychotic disorders, bipolar disorders often associated with personality disorders including Borderline Personality Disorder (2)(3)(4). Severe disorders are not rare, 2-3% of births are subject to major depressive episodes and close to 10% have after-effects of possibly associated traumas often linked to history of abuse and/or neglect (5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

Panda Unit, a Mother-Baby Unit Nested in a Neonatal Care Service

et al. 2022

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The PANDA unit is a full-time mother-baby hospitalization unit based on an original model of care for vulnerable dyads. It is located within a neonatal unit allowing tripartite care (perinatal psychiatry, neonatology and post-natal care). It thus differs from traditional mother-baby units in its close links with the other perinatal care actors, allowing comprehensive health and mental health care in the immediate post-partum period. Patients admitted to the Panda Unit may have been referred during the antenatal period or taken into care in an emergency if the mother's clinical condition requires it, in the aftermath of childbirth. During their stay, the dyads are evaluated daily by a perinatal psychiatrist. This includes assessment of maternal clinical state, the newborn's development and the quality of mother-infant interactions. During the first 6 months of use, 24 dyads have benefited from PANDA care. Three women among 5 were admitted during the antenatal period and almost one-third were aged under 21. The first primary diagnosis during the antepartum was major depressive disorder, two-fold that of personality disorder or bipolar disorder alone. At the end of PANDA stay, close to 3 women among 4 were back to their home with their child, and an out-of-home placement was mandated for 4 infants. PANDA unit is a step toward continuous and comprehensive integrative care. The mother and baby do not leave the maternity ward, and management of mother, baby, and their interactions can start immediately after birth. Considering the importance of the first months of life in the establishment of fundamental links and bonding, PANDA offers an innovative opportunity for what we hope will be both therapeutic and preventive for at-risk dyads. The detection, and ultimately prevention and management of risk of abuse and neglect is another major challenge that this unit hopes to address from the very beginning.

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