mette vaever | University of Copenhagen (original) (raw)

Papers by mette vaever

Research Square (Research Square), Feb 28, 2024

Archives of Women's Mental Health, 2007

Background: Considering the adverse effects of postpartum depression on both mother and infant, a... more Background: Considering the adverse effects of postpartum depression on both mother and infant, a screening instrument for early diagnosis seems to be of importance. Aims: To assess the psychometric properties of the Persian version of Edinburgh Postnatal Depression Scale (EPDS) on a sample of Iranian postpartum women. Method: The EPDS was translated and back-translated in the standard method. The questionnaire was completed by 600 postpartum women. Hundred cases with an EPDS score of !9 and 100 cases with an EPDS of <9 were randomly selected for interview. Sensitivity, specificity, positive likelihood ratio, and receiver operating characteristics were calculated by comparing the EPDS sum score against the DSM-IV diagnoses. The correlation coefficient of the EPDS score with GHQ-12 score was calculated. Principal component analysis and internal consistency were assessed. Results: The best cutoff scores for major depression were 12=13 with a sensitivity and specificity of 95.3% and 87.9%, respectively. The correlation coefficient of the total score of the Persian version of EPDS with the GHQ-12 total score was 0.76 (P < 0.001). A two-factor solution was selected as the most appropriate model based on both values and the score plot. The coefficient alpha for the whole scale was 0.83. Conclusion: The Persian version of EPDS is a reliable and valid measure for detecting postpartum depression. Furthermore, it seems acceptable to patients and a valid screening instrument for depression in postpartum women.

Infant mental health journal, Oct 13, 2022

The parents' capacity to reflect upon the psychological processes in their child, termed parental... more The parents' capacity to reflect upon the psychological processes in their child, termed parental reflective functioning (PRF) can be impaired by parental mental health problems. The present study aimed to investigate the factor structure of an infant version of the Parental Reflective Functioning Questionnaire (PRFQ-I) in a low-risk sample of 259 Danish fathers of 1-11-month-old infants to investigate measurement invariance of the PRFQ-I between fathers and mothers; and to examine the association between PRF and paternal depressive symptoms, psychological distress, and parenting stress. Confirmatory factor analysis supported a three-factor model of the PRFQ-I. Multi-group factor analysis indicated partial measurement invariance. Multiple linear regressions showed that paternal depressive symptoms were not associated with PRF. There was an interaction effect of paternal depressive symptoms and general psychological distress on paternal interest and curiosity in their infant's mental state and certainty of infant mental state. Increased parenting stress was associated with impaired PRF on all three subscales of the PRFQ-I. These results provide further evidence for a multidimensional, brief assessment of paternal reflective skills and insight into how variability in paternal psychological functioning relates to impaired PRF in the postpartum period.

Nordic Psychology, Mar 28, 2023

Psyke and Logos, Dec 31, 2008

Early Child Development and Care, Jun 29, 2020

General rights Copyright and moral rights for the publications made accessible in the public port... more General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. • Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal ? Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.

Infant Behavior & Development, May 1, 2021

This study aimed to examine longitudinal developmental patterns in the daily amounts of screen ti... more This study aimed to examine longitudinal developmental patterns in the daily amounts of screen time and technoference in infants aged 2, 4, 7, and 11 months and to examine associations with maternal sociodemographic factors across all age groups. The results showed that the amount of screen time varied between 6 and 17 min a day, while interruptions in mother-infant interactions due to maternal use of digital technology occurred between 5 and 6 times a day. There was a significant increase in infant screen time from 2 to 4 months, from 4-7 months, and from 7-11 months, and in technoference from 2 to 4 months and from 4-7 months. Maternal age and household income were not associated with infant screen time, but maternal educational level was negatively associated with infant screen time throughout the first year. No associations were found between technoference and maternal age, maternal educational level, or household income. Future research focusing on infant screen time and technoference should aim at including samples that reflect the general population, include measures of screen time and technoference that do not rely on parental report, and include measures of the effects of early infant screen time and technoference on later development.

PLOS ONE, Dec 1, 2022

Pregnant women with psychosocial vulnerabilities should be offered perinatal interventions that i... more Pregnant women with psychosocial vulnerabilities should be offered perinatal interventions that include a parenting component to ameliorate the potential negative effects of maternal mental health problems and/or poor social network on parenting. One such intervention program is the Circle of Security-Parenting intervention (COS-P). The COS-P is a manualized video-based intervention that based on attachment theory seek to enhance maternal sensitivity and decrease the risk on insecure and disorganized attachment. We carried out a randomized controlled trial examining the efficacy of a perinatal adapted version of COS-P for women with psychosocial vulnerabilities (e.g. histories of mental health problems and/or poor social networks). Eligible participants (N = 78) were recruited to the study by midwives during regular prenatal sessions. Interventions were delivered individually at home by trained health nurses both pre and post birth. The primary outcome was maternal sensitivity assessed with the Coding Interactive Behavior Manual by blinded coders from video-recordings of mother-infant free play interactions. Secondary outcomes were mother-reported depressive symptoms, parental reflective functioning, parental stress, infant socio-emotional functioning, and maternal wellbeing. All outcomes were assessed at nine months infant age. We did not find an effect of the intervention on the primary outcome of maternal sensitivity (β =-0.08; 95% CI [-0.41, 0.26], p = .66). Neither did we find intervention effects on the secondary outcomes of depressive symptoms, parental reflective functioning, maternal well-being, or infant socio-emotional functioning. We did however find that the intervention decreased parental stress (β =-8.51; 95% CI [-16.6;-0.41], p = .04). The results are discussed in light of existing findings on the effect of COS-P and sample heterogeneity. Furthermore, we discuss the challenges of adapting the COS-P for pregnant women, some without prior experiences with caregiving. Future research with larger at-risk samples

Nordic Psychology, Aug 19, 2019

Research suggests that a parental trauma history may increase the risk of family violence and hav... more Research suggests that a parental trauma history may increase the risk of family violence and have a negative impact on parent/child dyadic functioning and on children's psychosocial adjustment. This study aimed at exploring mother/child dyadic functioning, and symptom levels in mothers and children's psychosocial adjustment in a sample of refugee families referred for treatment of family violence (N ¼ 21). The study entailed a mixed methods design consisting of a video recorded mother/child interaction using the structured observation method "the Marschak Interaction Method" and questionnaires. Children's psychosocial adjustment was measured using the Strengths and Difficulties Questionnaire. Mothers' symptom levels were measured by the Harvard Trauma Questionnaire and The Hopkins Symptom CheckList-25. Mother/child dyadic functioning was measured by the Marschak Interaction Method Rating System (MIMRS), and potential associations between scores on the MIMRS and mother/child symptom and psychosocial adjustment levels were explored using partial correlations. Results reveal that the majority of dyads showed signs of problematic/clearly dysfunctional behavior in one or more of the four domains: Structure, Engagement, Challenging and Nurture. Qualitative analyses of the material revealed a number of distinct ways in which the dyads' behavior was problematic/ clearly dysfunctional. An association between maternal symptom levels and scores on the MIMRS could not be confirmed. An association was confirmed between maternal symptoms of anxiety, depression and post-traumatic stress disorder and children's psychosocial maladjustment. Furthermore, an association was found between scores on the MIMRS and children's health-related quality of life. Findings from the study have clinical implications and emphasize the need for future research.

BMC Psychology, Apr 28, 2020

Background: Maternal mental well-being and social circumstances during pregnancy and early childh... more Background: Maternal mental well-being and social circumstances during pregnancy and early childhood impact the child's well-being and development. Supportive and sensitive parenting is one of the strongest predictors of positive emotional, social and behavioral outcomes for the child. Knowledge is needed about how to detect and support vulnerable families already during pregnancy and in the postnatal period. The aim of this study is to assemble and evaluate an interdisciplinary cross-sectoral intervention to promote maternal sensitivity among women with psychological or social vulnerabilities. Methods/design: This randomized controlled trial tests the efficacy of an intervention program in the perinatal period compared to care as usual in enhancing maternal sensitivity in a group of psychologically or socially vulnerable women in the Capital Region of Denmark. The intervention consists of four components: 1) detecting symptoms of mental illness in vulnerable pregnant women and initiating treatment if indicated, 2) strengthening parenting skills using the Circle of Security Parenting program, 3) supporting breastfeeding, and 4) sharing knowledge and organizing treatment pathways for families across sectors. Seventy-six families will be randomly assigned to the intervention or care-as-usual. Data will be obtained at study inclusion at 3-5 months of pregnancy, eight weeks after childbirth, and nine months after childbirth. The primary outcome is maternal sensitivity. Secondary outcomes include infant's socio-emotional development, parents' mentalization, parental stress, depressive symptoms, and parental wellbeing. Qualitative data will provide insight into the implementation process.

Pediatric Research, Mar 17, 2021

General rights Copyright and moral rights for the publications made accessible in the public port... more General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. • Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal ? Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.

European Neuropsychopharmacology, Aug 1, 2023

Tidsskrift for forskning i sygdom og samfund, Aug 2, 2016

Scandinavian Journal of Psychology, Sep 26, 2016

The purpose of this study was to investigate cultural differences between Danish and American chi... more The purpose of this study was to investigate cultural differences between Danish and American children at 2 and 3 years as measured with the developmental test Bayley‐III, and to investigate the Bayley‐III Language Scale validity. The Danish children (N = 43) were tested with the Bayley‐III and their parents completed an additional language questionnaire (the MacArthur‐Bates CDI). Results showed that scores from the Danish children did not differ significantly from the American norms on the Cognitive or Motor Scale, but the Danish sample scored significantly higher on the Language Scale. A comparison of the Bayley‐III Language subtests with the CDI showed that the two measures correlated significantly, but the percentile score from the CDI was significantly higher than the percentile score from the Bayley‐III Language subtests. This could be because the two instruments measure slightly different areas of language development, or because the Bayley‐III overestimates language development in Danish children. However, due to the limitations of the current study, further research is needed to clarify this issue.

Information-an International Interdisciplinary Journal, 2013

European Journal of Obstetrics & Gynecology and Reproductive Biology, Mar 1, 2022

Psyke and Logos, Dec 31, 2010

UDVIKLINGSPSYKOPATOLOGIEN OG DEN TRANSAKTIONELLE UDVIKLINGSMODEL introduceret og diskuteret i rel... more UDVIKLINGSPSYKOPATOLOGIEN OG DEN TRANSAKTIONELLE UDVIKLINGSMODEL introduceret og diskuteret i relation til tidlig udvikling og risiko Mette Vaever Denne artikel giver en generel introduktion til basale begreber og antagelser fra udviklingspsykopatologien. Artiklen praesenterer også den transaktionelle udviklingsmodel, som er central for den forståelse af udviklingsprocesser-både sunde og patologiske, der gør sig gaeldende inden for udviklingspsykopatologien. Begreberne og modellen eksemplificeres og diskuteres primaert i relation til undersøgelser og viden fra spaed-og småbørnsområdet vedrørende tidlig udvikling og risiko. Afslutningsvis belyser artiklen, hvordan udviklingspsykopatologien og den transaktionelle udviklingsmodel kan fungere som en konstruktiv forståelsesramme for tidlige forebyggende og sundhedsfremmende indsatser. Der peges på, at den kliniske forskning i behandling og forebyggelse kan give indsigter, som kan bidrage til nye teoretiske fremskridt og forståelse af psykiske lidelsers aetiologi og patogenese ad psykiske vanskeligheder .

Psyke and Logos, Dec 31, 2008

Artiklen praesenterer kort den historiske baggrund og udvalgte aspekter inden for den kliniske sp... more Artiklen praesenterer kort den historiske baggrund og udvalgte aspekter inden for den kliniske spaed-og småbarnspsykologi. En syntetiseret udviklings-og patologimodel introduceres. Her ses individets udvikling som resultat af en aktiv og kompliceret interaktionsraekke mellem medfødte biologiske dispositioner og miljømaessige påvirkninger. Fokus er ikke kun på barnets udvikling, men på udviklingen i hele det dynamiske omsorgsgiverspaedbarn-system, hvor udviklingsprocessen er bi-direktionel. Den kliniske spaed-og småbarnspsykologi ses i det bredere udviklingspsykopatologiske perspektiv for at understrege betydningen af at se årsager til (aetiologi) og udvikling af psykopatologi (patogenese) i et livslangt perspektiv. Longitudinelle prospektive studier giver øget mulighed for en empirisk afdaekning af sammenhaenge mellem spaed-og småbarnsalderens psykiske lidelser og senere psykopatologi. Herunder afdaekning af biologiske, psykosociale risiko-og beskyttelsesfaktorer og de involverede udviklingsmekanismer, som for eksempel i selv-og anden regulering. Dette har betydning for mulighederne for samfundsmaessige sundhedsfremmende indsatser, tidlig intervention og forebyggelse i forhold til spaed-og småbørn og deres mentale sundhed på laengere sigt.

European Journal of Developmental Psychology

Research Square (Research Square), Feb 28, 2024

Archives of Women's Mental Health, 2007

Background: Considering the adverse effects of postpartum depression on both mother and infant, a... more Background: Considering the adverse effects of postpartum depression on both mother and infant, a screening instrument for early diagnosis seems to be of importance. Aims: To assess the psychometric properties of the Persian version of Edinburgh Postnatal Depression Scale (EPDS) on a sample of Iranian postpartum women. Method: The EPDS was translated and back-translated in the standard method. The questionnaire was completed by 600 postpartum women. Hundred cases with an EPDS score of !9 and 100 cases with an EPDS of <9 were randomly selected for interview. Sensitivity, specificity, positive likelihood ratio, and receiver operating characteristics were calculated by comparing the EPDS sum score against the DSM-IV diagnoses. The correlation coefficient of the EPDS score with GHQ-12 score was calculated. Principal component analysis and internal consistency were assessed. Results: The best cutoff scores for major depression were 12=13 with a sensitivity and specificity of 95.3% and 87.9%, respectively. The correlation coefficient of the total score of the Persian version of EPDS with the GHQ-12 total score was 0.76 (P < 0.001). A two-factor solution was selected as the most appropriate model based on both values and the score plot. The coefficient alpha for the whole scale was 0.83. Conclusion: The Persian version of EPDS is a reliable and valid measure for detecting postpartum depression. Furthermore, it seems acceptable to patients and a valid screening instrument for depression in postpartum women.

Infant mental health journal, Oct 13, 2022

The parents' capacity to reflect upon the psychological processes in their child, termed parental... more The parents' capacity to reflect upon the psychological processes in their child, termed parental reflective functioning (PRF) can be impaired by parental mental health problems. The present study aimed to investigate the factor structure of an infant version of the Parental Reflective Functioning Questionnaire (PRFQ-I) in a low-risk sample of 259 Danish fathers of 1-11-month-old infants to investigate measurement invariance of the PRFQ-I between fathers and mothers; and to examine the association between PRF and paternal depressive symptoms, psychological distress, and parenting stress. Confirmatory factor analysis supported a three-factor model of the PRFQ-I. Multi-group factor analysis indicated partial measurement invariance. Multiple linear regressions showed that paternal depressive symptoms were not associated with PRF. There was an interaction effect of paternal depressive symptoms and general psychological distress on paternal interest and curiosity in their infant's mental state and certainty of infant mental state. Increased parenting stress was associated with impaired PRF on all three subscales of the PRFQ-I. These results provide further evidence for a multidimensional, brief assessment of paternal reflective skills and insight into how variability in paternal psychological functioning relates to impaired PRF in the postpartum period.

Nordic Psychology, Mar 28, 2023

Psyke and Logos, Dec 31, 2008

Early Child Development and Care, Jun 29, 2020

General rights Copyright and moral rights for the publications made accessible in the public port... more General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. • Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal ? Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.

Infant Behavior & Development, May 1, 2021

This study aimed to examine longitudinal developmental patterns in the daily amounts of screen ti... more This study aimed to examine longitudinal developmental patterns in the daily amounts of screen time and technoference in infants aged 2, 4, 7, and 11 months and to examine associations with maternal sociodemographic factors across all age groups. The results showed that the amount of screen time varied between 6 and 17 min a day, while interruptions in mother-infant interactions due to maternal use of digital technology occurred between 5 and 6 times a day. There was a significant increase in infant screen time from 2 to 4 months, from 4-7 months, and from 7-11 months, and in technoference from 2 to 4 months and from 4-7 months. Maternal age and household income were not associated with infant screen time, but maternal educational level was negatively associated with infant screen time throughout the first year. No associations were found between technoference and maternal age, maternal educational level, or household income. Future research focusing on infant screen time and technoference should aim at including samples that reflect the general population, include measures of screen time and technoference that do not rely on parental report, and include measures of the effects of early infant screen time and technoference on later development.

PLOS ONE, Dec 1, 2022

Pregnant women with psychosocial vulnerabilities should be offered perinatal interventions that i... more Pregnant women with psychosocial vulnerabilities should be offered perinatal interventions that include a parenting component to ameliorate the potential negative effects of maternal mental health problems and/or poor social network on parenting. One such intervention program is the Circle of Security-Parenting intervention (COS-P). The COS-P is a manualized video-based intervention that based on attachment theory seek to enhance maternal sensitivity and decrease the risk on insecure and disorganized attachment. We carried out a randomized controlled trial examining the efficacy of a perinatal adapted version of COS-P for women with psychosocial vulnerabilities (e.g. histories of mental health problems and/or poor social networks). Eligible participants (N = 78) were recruited to the study by midwives during regular prenatal sessions. Interventions were delivered individually at home by trained health nurses both pre and post birth. The primary outcome was maternal sensitivity assessed with the Coding Interactive Behavior Manual by blinded coders from video-recordings of mother-infant free play interactions. Secondary outcomes were mother-reported depressive symptoms, parental reflective functioning, parental stress, infant socio-emotional functioning, and maternal wellbeing. All outcomes were assessed at nine months infant age. We did not find an effect of the intervention on the primary outcome of maternal sensitivity (β =-0.08; 95% CI [-0.41, 0.26], p = .66). Neither did we find intervention effects on the secondary outcomes of depressive symptoms, parental reflective functioning, maternal well-being, or infant socio-emotional functioning. We did however find that the intervention decreased parental stress (β =-8.51; 95% CI [-16.6;-0.41], p = .04). The results are discussed in light of existing findings on the effect of COS-P and sample heterogeneity. Furthermore, we discuss the challenges of adapting the COS-P for pregnant women, some without prior experiences with caregiving. Future research with larger at-risk samples

Nordic Psychology, Aug 19, 2019

Research suggests that a parental trauma history may increase the risk of family violence and hav... more Research suggests that a parental trauma history may increase the risk of family violence and have a negative impact on parent/child dyadic functioning and on children's psychosocial adjustment. This study aimed at exploring mother/child dyadic functioning, and symptom levels in mothers and children's psychosocial adjustment in a sample of refugee families referred for treatment of family violence (N ¼ 21). The study entailed a mixed methods design consisting of a video recorded mother/child interaction using the structured observation method "the Marschak Interaction Method" and questionnaires. Children's psychosocial adjustment was measured using the Strengths and Difficulties Questionnaire. Mothers' symptom levels were measured by the Harvard Trauma Questionnaire and The Hopkins Symptom CheckList-25. Mother/child dyadic functioning was measured by the Marschak Interaction Method Rating System (MIMRS), and potential associations between scores on the MIMRS and mother/child symptom and psychosocial adjustment levels were explored using partial correlations. Results reveal that the majority of dyads showed signs of problematic/clearly dysfunctional behavior in one or more of the four domains: Structure, Engagement, Challenging and Nurture. Qualitative analyses of the material revealed a number of distinct ways in which the dyads' behavior was problematic/ clearly dysfunctional. An association between maternal symptom levels and scores on the MIMRS could not be confirmed. An association was confirmed between maternal symptoms of anxiety, depression and post-traumatic stress disorder and children's psychosocial maladjustment. Furthermore, an association was found between scores on the MIMRS and children's health-related quality of life. Findings from the study have clinical implications and emphasize the need for future research.

BMC Psychology, Apr 28, 2020

Background: Maternal mental well-being and social circumstances during pregnancy and early childh... more Background: Maternal mental well-being and social circumstances during pregnancy and early childhood impact the child's well-being and development. Supportive and sensitive parenting is one of the strongest predictors of positive emotional, social and behavioral outcomes for the child. Knowledge is needed about how to detect and support vulnerable families already during pregnancy and in the postnatal period. The aim of this study is to assemble and evaluate an interdisciplinary cross-sectoral intervention to promote maternal sensitivity among women with psychological or social vulnerabilities. Methods/design: This randomized controlled trial tests the efficacy of an intervention program in the perinatal period compared to care as usual in enhancing maternal sensitivity in a group of psychologically or socially vulnerable women in the Capital Region of Denmark. The intervention consists of four components: 1) detecting symptoms of mental illness in vulnerable pregnant women and initiating treatment if indicated, 2) strengthening parenting skills using the Circle of Security Parenting program, 3) supporting breastfeeding, and 4) sharing knowledge and organizing treatment pathways for families across sectors. Seventy-six families will be randomly assigned to the intervention or care-as-usual. Data will be obtained at study inclusion at 3-5 months of pregnancy, eight weeks after childbirth, and nine months after childbirth. The primary outcome is maternal sensitivity. Secondary outcomes include infant's socio-emotional development, parents' mentalization, parental stress, depressive symptoms, and parental wellbeing. Qualitative data will provide insight into the implementation process.

Pediatric Research, Mar 17, 2021

General rights Copyright and moral rights for the publications made accessible in the public port... more General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. • Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal ? Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.

European Neuropsychopharmacology, Aug 1, 2023

Tidsskrift for forskning i sygdom og samfund, Aug 2, 2016

Scandinavian Journal of Psychology, Sep 26, 2016

The purpose of this study was to investigate cultural differences between Danish and American chi... more The purpose of this study was to investigate cultural differences between Danish and American children at 2 and 3 years as measured with the developmental test Bayley‐III, and to investigate the Bayley‐III Language Scale validity. The Danish children (N = 43) were tested with the Bayley‐III and their parents completed an additional language questionnaire (the MacArthur‐Bates CDI). Results showed that scores from the Danish children did not differ significantly from the American norms on the Cognitive or Motor Scale, but the Danish sample scored significantly higher on the Language Scale. A comparison of the Bayley‐III Language subtests with the CDI showed that the two measures correlated significantly, but the percentile score from the CDI was significantly higher than the percentile score from the Bayley‐III Language subtests. This could be because the two instruments measure slightly different areas of language development, or because the Bayley‐III overestimates language development in Danish children. However, due to the limitations of the current study, further research is needed to clarify this issue.

Information-an International Interdisciplinary Journal, 2013

European Journal of Obstetrics & Gynecology and Reproductive Biology, Mar 1, 2022

Psyke and Logos, Dec 31, 2010

UDVIKLINGSPSYKOPATOLOGIEN OG DEN TRANSAKTIONELLE UDVIKLINGSMODEL introduceret og diskuteret i rel... more UDVIKLINGSPSYKOPATOLOGIEN OG DEN TRANSAKTIONELLE UDVIKLINGSMODEL introduceret og diskuteret i relation til tidlig udvikling og risiko Mette Vaever Denne artikel giver en generel introduktion til basale begreber og antagelser fra udviklingspsykopatologien. Artiklen praesenterer også den transaktionelle udviklingsmodel, som er central for den forståelse af udviklingsprocesser-både sunde og patologiske, der gør sig gaeldende inden for udviklingspsykopatologien. Begreberne og modellen eksemplificeres og diskuteres primaert i relation til undersøgelser og viden fra spaed-og småbørnsområdet vedrørende tidlig udvikling og risiko. Afslutningsvis belyser artiklen, hvordan udviklingspsykopatologien og den transaktionelle udviklingsmodel kan fungere som en konstruktiv forståelsesramme for tidlige forebyggende og sundhedsfremmende indsatser. Der peges på, at den kliniske forskning i behandling og forebyggelse kan give indsigter, som kan bidrage til nye teoretiske fremskridt og forståelse af psykiske lidelsers aetiologi og patogenese ad psykiske vanskeligheder .

Psyke and Logos, Dec 31, 2008

Artiklen praesenterer kort den historiske baggrund og udvalgte aspekter inden for den kliniske sp... more Artiklen praesenterer kort den historiske baggrund og udvalgte aspekter inden for den kliniske spaed-og småbarnspsykologi. En syntetiseret udviklings-og patologimodel introduceres. Her ses individets udvikling som resultat af en aktiv og kompliceret interaktionsraekke mellem medfødte biologiske dispositioner og miljømaessige påvirkninger. Fokus er ikke kun på barnets udvikling, men på udviklingen i hele det dynamiske omsorgsgiverspaedbarn-system, hvor udviklingsprocessen er bi-direktionel. Den kliniske spaed-og småbarnspsykologi ses i det bredere udviklingspsykopatologiske perspektiv for at understrege betydningen af at se årsager til (aetiologi) og udvikling af psykopatologi (patogenese) i et livslangt perspektiv. Longitudinelle prospektive studier giver øget mulighed for en empirisk afdaekning af sammenhaenge mellem spaed-og småbarnsalderens psykiske lidelser og senere psykopatologi. Herunder afdaekning af biologiske, psykosociale risiko-og beskyttelsesfaktorer og de involverede udviklingsmekanismer, som for eksempel i selv-og anden regulering. Dette har betydning for mulighederne for samfundsmaessige sundhedsfremmende indsatser, tidlig intervention og forebyggelse i forhold til spaed-og småbørn og deres mentale sundhed på laengere sigt.

European Journal of Developmental Psychology