Schuler M E, Nair P, Black M M, Kettinger L
Department of Pediatrics, University of Maryland School of Medicine, Baltimore 21201, USA.
J Clin Child Psychol. 2000 Sep;29(3):424-31. doi: 10.1207/S15374424JCCP2903_13.
Examined the effects of a home-based intervention on mother-infant interaction among drug-using women and their infants. At 2 weeks postpartum, mothers and infants were randomly assigned to either an intervention (n = 84) or a control (n = 87) group. Control families received brief monthly tracking visits, and intervention families received weekly visits by trained lay visitors. Mother-infant interaction was evaluated at 6 months through observation of feeding. Although there were no direct effects of the intervention, in the control group, mothers who continued to use drugs were less responsive to their babies than mothers who were drug free. In the intervention group, drug use was not associated with maternal responsiveness. Weekly home-based intervention may be a protective strategy for children of drug-using women because it disrupts the relation between ongoing maternal drug use and low maternal responsiveness.
研究了基于家庭的干预措施对吸毒妇女及其婴儿之间母婴互动的影响。产后2周时,母亲和婴儿被随机分为干预组(n = 84)或对照组(n = 87)。对照组家庭每月接受简短的跟踪探访,干预组家庭每周接受经过培训的非专业探访者的探访。在6个月时通过观察喂养情况对母婴互动进行评估。尽管干预措施没有直接效果,但在对照组中,继续吸毒的母亲对其婴儿的反应比不吸毒的母亲更少。在干预组中,吸毒与母亲的反应性无关。基于家庭的每周干预措施可能是吸毒妇女子女的一种保护策略,因为它打破了母亲持续吸毒与低反应性之间的关系。