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重新思考针对药物成瘾母亲的育儿干预措施:从行为管理到培养情感纽带。

Rethinking parenting interventions for drug-dependent mothers: from behavior management to fostering emotional bonds.

作者信息

Suchman Nancy, Mayes Linda, Conti Joanne, Slade Arietta, Rounsaville Bruce

机构信息

Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA.

出版信息

J Subst Abuse Treat. 2004 Oct;27(3):179-85. doi: 10.1016/j.jsat.2004.06.008.

DOI:10.1016/j.jsat.2004.06.008
PMID:15501370
Abstract

Mothers who are physically and/or psychologically dependent upon alcohol and illicit drugs are at risk for a wide range of parenting deficits beginning when their children are infants and continuing as their children move through school-age and adolescent years. Behavioral parent training programs for drug-dependent mothers have had limited success in improving parent-child relationships or children's psychological adjustment. One reason behavioral parenting programs may have had limited success is the lack of attention to the emotional quality of the parent-child relationship. Research on attachment suggests that the emotional quality of mother-child relationships is an important predictor of children's psychological development through school-age and adolescent years. In this paper, we present a rationale and approach for developing attachment-based parenting interventions for drug-dependent mothers and report preliminary data on the feasibility of offering an attachment-based parenting intervention in an outpatient drug treatment program for women.

摘要

身体和/或心理上依赖酒精和非法药物的母亲,从孩子婴儿期开始,一直到孩子进入学龄期和青少年时期,都面临着广泛的育儿缺陷风险。针对药物依赖母亲的行为式家长培训项目在改善亲子关系或孩子的心理调适方面成效有限。行为式育儿项目成效有限的一个原因是缺乏对亲子关系情感质量的关注。依恋关系研究表明,母婴关系的情感质量是孩子学龄期和青少年期心理发展的重要预测指标。在本文中,我们阐述了为药物依赖母亲制定基于依恋关系的育儿干预措施的基本原理和方法,并报告了在女性门诊药物治疗项目中提供基于依恋关系的育儿干预措施可行性的初步数据。

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