Hipwell A E, Goossens F A, Melhuish E C, Kumar R
Department of Psychiatry, Institute of Psychiatry, University of London, UK.
Dev Psychopathol. 2000 Spring;12(2):157-75. doi: 10.1017/s0954579400002030.
Eighty-two mother-infant dyads, comprising women with psychiatric disorder and individually matched controls, were followed up over the children's 1st year of life. The mothers with mental illness consisted of two subgroups: first, 25 severely mentally ill mothers who had been admitted to a psychiatric unit with their infants; and second, 16 mothers from a community sample meeting research diagnostic criteria for unipolar, nonpsychotic depression. With the exception of six dyads in the in-patient group, observations were made of the mother-infant interaction and the quality of the infant-mother attachment relationship at 12 months. The nature and course of the mothers' illness was also documented. Although few residual symptoms of maternal mental illness were detected at 1 year postpartum, interactional disturbances were evident among the case group dyads. A strong association was revealed between infant-mother attachment quality and maternal diagnosis; a manic episode of illness in the postpartum period was related to security in the attachment relationship, and psychotic or nonpsychotic depression was related to insecurity. Concurrent patterns of mother-infant interaction provided support for this finding.
82对母婴组合，包括患有精神疾病的女性及其各自匹配的对照组，在孩子1岁的生命历程中接受了随访。患有精神疾病的母亲分为两个亚组：第一组，25名患有严重精神疾病的母亲，她们曾带着婴儿入住精神病科；第二组，16名来自社区样本的母亲，符合单相非精神病性抑郁症的研究诊断标准。除住院组中的6对母婴组合外，在12个月时对母婴互动及母婴依恋关系质量进行了观察。母亲疾病的性质和病程也有记录。尽管产后1年时几乎未检测到母亲精神疾病的残留症状，但病例组母婴组合之间的互动干扰很明显。研究发现母婴依恋质量与母亲诊断之间存在强烈关联；产后躁狂发作与依恋关系的安全性有关，而精神病性或非精神病性抑郁症与不安全性有关。母婴互动的并发模式为这一发现提供了支持。
