Attachment is built primarily on the first interactions of the first 9 months of a baby's life. These first interactions and their effects of stress, pleasure and displeasure are retained to establish some of the baby's attachment behaviours and future relationships with others.
Extreme prematurity strongly modify these first interactions between parents and child. Very preterm child is separated from his parents and is placed in a stressful, technical and potentially painful environment.
Early interventions stimulate neuroplasticity and can positively affect the neurological development of very preterm infant. Tactile stimuli such as skin-to-skin contact and massages carried out by parents can be pleasant experiences that can support early interactions between parents and child.
very preterm child (born before 32 weeks of amenorrhoea)
parents agreeing to participate to the study
child born before 25 weeks of amenorrhoea
child with a birth weight less than 600 grams
child with congenital malformation
child with hemodynamic instability
Parallel
sensory-tonic stimulation
Behavioralsensory-tonic stimulation done by the parents to the child, five times a week during 15 minutes at each time
skin-to-skin contact
Behavioralskin-to-skin contact left free for parents
interactions between parents and child
Two free play sequences of 15 minutes will be filmed. The Coding Interactive Behavior (CIB; Feldman, 1998) contains 43 items (22 relating to parents, 16 relating to child and 5 related to parent-child dyad. Each item is rated from 1 (a little) to 5 (a lot). The Coding Interactive Behavior has 6 dimensions. The dimension "social commitment of the child" will be the primary outcome for this study.
Social cognition / Theory of mind
small stories involving the thinking and feelings of character
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