Brockington I F, Fraser C, Wilson D
The University of Birmingham, Bredenbury, UK.
Arch Womens Ment Health. 2006 Sep;9(5):233-42. doi: 10.1007/s00737-006-0132-1. Epub 2006 May 4.
This is a validation of a self-rating questionnaire designed to detect disorders of the mother-infant relationship. 125 subjects filled in the questionnaire, and were also interviewed using the 5(th) Edition of the Birmingham Interview for Maternal Mental Health. On the basis of these interviews and the case records, we made consensus diagnoses of various forms and degrees of mother infant relationship disorder, according to criteria published in this paper. We calculated specificity, sensitivity and positive predictive value of the four scale scores generated by the questionnaire. Scale 1 (a general factor) had a sensitivity of 0.82 for all mother-infant relationship disorders. Scale 2 (rejection and pathological anger) had a sensitivity of 0.88 for rejection of the infant, but only 0.67 for severe anger. The performance of scale 3 (infant-focused anxiety) was unsatisfactory. Scale 4 (incipient abuse) selected only a few mothers, but was of some value in identifying those at high risk of child abuse. Revision of the thresholds can improve sensitivity, especially of scale 2, where a cut-off point of 12 = normal, 13 = high better identifies mothers with threatened rejection. These new cut-off points would need validation in another sample.
这是一份旨在检测母婴关系障碍的自评问卷的验证研究。125名受试者填写了问卷，并接受了《伯明翰孕产妇心理健康访谈第5版》的访谈。基于这些访谈和病例记录，我们根据本文发表的标准，对各种形式和程度的母婴关系障碍达成了共识诊断。我们计算了问卷产生的四个量表分数的特异性、敏感性和阳性预测值。量表1（一个一般因素）对所有母婴关系障碍的敏感性为0.82。量表2（拒绝和病理性愤怒）对婴儿拒绝的敏感性为0.88，但对严重愤怒的敏感性仅为0.67。量表3（以婴儿为中心的焦虑）的表现不尽人意。量表4（初期虐待）仅筛选出少数母亲，但在识别有虐待儿童高风险的母亲方面具有一定价值。修订阈值可以提高敏感性，尤其是量表2，其中12分=正常，13分=高，这样能更好地识别有潜在拒绝行为的母亲。这些新的临界点需要在另一个样本中进行验证。
