产妇创伤和相关精神病理学对产后六个月的非典型产妇行为和婴儿社交退缩的影响。

IF 3.3 2区心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL

Attachment & Human Development Pub Date : 2022-11-13 DOI:10.1080/14616734.2022.2142894

Nina Burtchen, Mar Alvarez-Segura, Sébastien Urben, Chiara Giovanelli, Alan L Mendelsohn, Antoine Guedeney, Daniel S Schechter

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引用次数: 0

摘要

有虐待史和家庭暴力史的母亲心理变态会增加儿童心理变态的风险。婴儿社交退缩是儿童焦虑和抑郁等不良发育结果的一个警告信号。目前仍不清楚与母亲创伤相关的精神病理学会如何影响产后六个月的婴儿社交退缩：方法：在一个高危社区样本中对 195 名妇女及其六个月大的婴儿进行了研究。对产妇的创伤史、创伤后应激障碍（PTSD）和重度抑郁障碍（MDD）进行了评估。根据录制的互动视频对母婴行为进行编码：结果：母性创伤与非典型母性行为 (AMB) 和婴儿社会退缩相关（p ≤ .001）。创伤后应激障碍和多发性抑郁症以及合并创伤后应激障碍/多发性抑郁症可预测 AMB 的增加（p ≤ .001），但只有母亲多发性抑郁症可预测婴儿的社交退缩（p ≤ .001）。产妇MDD对婴儿退缩的影响是由AMB介导的：结论：产后六个月时，产妇多发性抑郁症与婴儿退缩有关。AMB是早期干预的一个重要目标。

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Effects of maternal trauma and associated psychopathology on atypical maternal behavior and infant social withdrawal six months postpartum.

Maternal psychopathology given a history of maltreatment and domestic violence exposure increases the risk for child psychopathology. Infant social withdrawal is one warning sign of adverse developmental outcomes including child anxiety and depression. It remains unclear how maternal trauma-related psychopathology might affect infant social withdrawal six-months postpartum.

Methods: One-hundred ninety-five women and their six-month-old infants were studied in an at-risk community sample. Maternal trauma history, posttraumatic stress (PTSD) and major depressive (MDD) disorders were assessed. Maternal and infant behaviors were coded from videotaped interactions.

Results: Maternal trauma was correlated with atypical maternal behavior (AMB) and infant social withdrawal (p ≤ .001). PTSD and MDD, and comorbid PTSD/MDD predicted increased AMB (p ≤ .001) but only maternal MDD was predictive of infant social withdrawal (p ≤ .001). Effects of maternal MDD on infant withdrawal were mediated by AMB.

Conclusions: At six-months postpartum, maternal MDD was associated with infant withdrawal. AMB is an important target for early intervention.

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来源期刊

Attachment & Human Development PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

7.00

自引率

6.20%

发文量

期刊介绍： Attachment & Human Development is the leading forum for the presentation of empirical research, reviews and clinical case studies that reflect contemporary advances in attachment theory and research. The journal addresses the growing demand from the domains of psychology, psychiatry, psychotherapy and related disciplines including nursing and social work, for a clear presentation of ideas, methods and research based on attachment theory.