Predictors of infant foster care in cases of maternal psychiatric disorders

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• 作者：Nine M.-C. Glangeaud-Freudenthal (1) (2)
  Anne-Laure Sutter-Dallay (3) (4) (5)
  Anne-Claire Thieulin (1) (2)
  Véronique Dagens (6)
  Marie-Agathe Zimmermann (7)
  Alain Debourg (8)
  Corinne Amzallag (9)
  Odile Cazas (10)
  Rafa?le Cammas (11)
  Marie-Emmanuelle Klopfert (12)
  Christine Rainelli (13)
  Pascale Tielemans (14)
  Claudine Mertens (15)
  Michel Maron (16)
  Sylvie Nezelof (17)
  Fran?ois Poinso (18)
  
• 关键词：Mother and child separation ; Psychiatric disorders ; Risk factors for foster care ; Postpartum mother and baby hospitalization ; Multivariate analysis
• 刊名：Social Psychiatry and Psychiatric Epidemiology
• 出版年：2013
• 出版时间：April 2013
• 年：2013
• 卷：48
• 期：4
• 页码：553-561
• 全文大小：193KB
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• 作者单位：Nine M.-C. Glangeaud-Freudenthal (1) (2)
  Anne-Laure Sutter-Dallay (3) (4) (5)
  Anne-Claire Thieulin (1) (2)
  Véronique Dagens (6)
  Marie-Agathe Zimmermann (7)
  Alain Debourg (8)
  Corinne Amzallag (9)
  Odile Cazas (10)
  Rafa?le Cammas (11)
  Marie-Emmanuelle Klopfert (12)
  Christine Rainelli (13)
  Pascale Tielemans (14)
  Claudine Mertens (15)
  Michel Maron (16)
  Sylvie Nezelof (17)
  Fran?ois Poinso (18)
  
  1. INSERM, UMRS 953, Maternité de Port Royal, 53 avenue de l′Observatoire, 75014, Paris, France
  2. UPMC University Paris 06, UMRS 953, Paris, France
  3. Univ. de Bordeaux, U657, 33000, Bordeaux, France
  4. INSERM U657, 33000, Bordeaux, France
  5. Centre Hospitalier Charles Perrens, 33000, Bordeaux, France
  6. Mother-baby Unit, T. Roussel Hospital Center, Montesson, France
  7. Department of Psychiatry and Mental Health, Strasbourg University Hospitals, Strasbourg, France
  8. Perinatal Care Department, Le Vesinet Hospital, Le Vesinet, France
  9. Mother-Baby Psychomedical Unit, Creteil Intercommunal University Hospital, Créteil, France
  10. Psychiatric Department, P. Brousse Hospital, Villejuif, France
  11. Mother-Baby Hospital Unit, University Hospital Maison Blanche, Paris, France
  12. Mother-Baby Unit, J. Titeca Hospital Center, Brussels, Belgium
  13. Bergouignan Pavillon, Mother-Baby Unit, Esquirol Hospital Center, Limoges, France
  14. Mother-Baby Unit, Clairs Vallons Pediatric Center, Ottignies, Belgium
  15. Saint Camillus Psychiatric Hospital, Gent-SD, Belgium
  16. Psychiatry Department, Fontan Lille University Hospital, Lille, France
  17. Child Psychiatry Department, University Hospital Center, Besan?on, France
  18. Parent–Child Unit, Sainte-Marguerite Hospital, Aix-Marseille University, Marseille, France
  
• ISSN：1433-9285

文摘

Purpose Our aim was to investigate the factors associated with mother–child separation at discharge, after joint hospitalization in psychiatric mother–baby units (MBUs) in France and Belgium. Because parents with postpartum psychiatric disorders are at risk of disturbed parent–infant interactions, their infants have an increased risk of an unstable early foundation. They may be particularly vulnerable to environmental stress and have a higher risk of developing some psychiatric disorders in adulthood. Methods This prospective longitudinal study of 1,018 women with postpartum psychiatric disorders, jointly admitted with their infant to 16 French and Belgian psychiatric mother–baby units (MBUs), used multifactorial logistic regression models to assess the risk factors for mother–child separation at discharge from MBUs. Those factors include some infant characteristics associated with personal vulnerability, parents-pathology and psychosocial context. Results Most children were discharged with their mothers, but 151 (15?%) were separated from their mothers at discharge. Risk factors independently associated with separation were: (1) neonatal or infant medical problems or complications; (2) maternal psychiatric disorder; (3) paternal psychiatric disorder; (4) maternal lack of good relationship with others; (5) mother receipt of disability benefits; (6) low social class. Conclusions This study highlights the existence of factors other than maternal pathology that lead to decisions to separate mother and child for the child’s protection in a population of mentally ill mothers jointly hospitalized with the baby in the postpartum period.