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准妈妈未解决的创伤是否能预测恐惧/令人恐惧的母亲行为?风险和保护因素。

Does expectant mothers' unresolved trauma predict frightened/frightening maternal behavior? Risk and protective factors.

作者信息

Jacobvitz Deborah, Leon Kimberly, Hazen Nancy

机构信息

Human and Developmental Family Sciences, University of Texas at Austin, Austin, TX 78712, USA.

出版信息

Dev Psychopathol. 2006 Spring;18(2):363-79. doi: 10.1017/S0954579406060196.

DOI:10.1017/S0954579406060196
PMID:16600059
Abstract

This prospective, longitudinal study explored the relationship between mothers unresolved/disorganized (U/d) attachment status and frightened/frightening (FR) maternal behavior and investigated possible variations due to whether mothers were U/d for loss versus abuse. The role of other factors that might predict maternal FR behavior was also examined. Pregnant women (n = 116) were administered the Adult Attachment Interview and later observed at home for 30-40 min interacting with their first-born 8-month-olds. Women classified as U/d with respect to loss and/or abuse displayed substantially higher levels of FR behavior with their infants than did mothers who were not classified as U/d (i.e., secure/autonomous, dismissing, or preoccupied), but these groups did not differ on maternal sensitivity. Mothers classified as U/d who had a secondary secure/autonomous classification also showed FR behavior but at low levels than U/d-insecure mothers. Independent of U/d status, mothers who had lost a parent, versus those who did not, more often displayed FR behavior with their infants. Finally, U/d loss fully mediated the association between loss of an attachment figure other than the parent and FR behavior, and partially mediated the relationship between loss of a parent and FR behavior.

摘要

这项前瞻性纵向研究探讨了母亲未解决/紊乱(U/d)的依恋状态与恐惧/令人恐惧(FR)的母亲行为之间的关系,并调查了由于母亲的U/d状态是因丧失亲人还是受虐待所致而可能存在的差异。还研究了其他可能预测母亲FR行为的因素的作用。对116名孕妇进行了成人依恋访谈,随后在家中观察她们与8个月大的头胎婴儿互动30至40分钟。在丧失亲人及/或受虐待方面被归类为U/d的女性与未被归类为U/d(即安全/自主、冷漠或多虑)的母亲相比,对婴儿表现出的FR行为水平要高得多,但这些群体在母亲敏感性方面没有差异。被归类为U/d但具有二级安全/自主分类的母亲也表现出FR行为,但水平低于U/d不安全型母亲。与U/d状态无关,失去父母的母亲比未失去父母的母亲更常对婴儿表现出FR行为。最后,U/d丧失完全介导了除父母之外的依恋对象丧失与FR行为之间的关联,并部分介导了父母丧失与FR行为之间的关系。

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