抑郁母亲对其婴儿敏感性的相关因素：母亲、孩子及环境特征的作用。
Correlates of depressed mothers' sensitivity toward their infants: the role of maternal, child, and contextual characteristics.
作者信息
van Doesum Karin T M, Hosman Clemens M H, Riksen-Walraven J Marianne, Hoefnagels Cees
机构信息
Ms. van Doesum is with the Prevention Research Center, Department of Clinical Psychology, Radboud University Nijmegen and the Community Mental Health Center, RIAGG IJsselland; Dr. Hosman is with the Prevention Research Center, Department of Clinical Psychology, and Dr. Riksen-Walraven is with the Department of Developmental Psychology, Radboud University Nijmegen; and Dr. Hoefnagels is with the Department of Health Promotion, University of Maastricht, The Netherlands.
Ms. van Doesum is with the Prevention Research Center, Department of Clinical Psychology, Radboud University Nijmegen and the Community Mental Health Center, RIAGG IJsselland; Dr. Hosman is with the Prevention Research Center, Department of Clinical Psychology, and Dr. Riksen-Walraven is with the Department of Developmental Psychology, Radboud University Nijmegen; and Dr. Hoefnagels is with the Department of Health Promotion, University of Maastricht, The Netherlands.
出版信息
J Am Acad Child Adolesc Psychiatry. 2007 Jun;46(6):747-756. doi: 10.1097/CHI.0b013e318040b272.
OBJECTIVE
To examine various maternal, child, and contextual characteristics, as well as the number of risk factors present, to distinguish which factors explain variance in the sensitivity of depressed mothers toward their infants.
METHOD
Participants were depressed mothers (n = 84) with their infants ages 1 month up to 1 year. Mothers were videotaped while bathing their children. The recordings were rated using the sensitivity scale of the Emotional Availability Scales.
RESULTS
Three characteristics independently contributed to the explained variance in maternal sensitivity: level of education, feelings of parental incompetence, and family income. In addition, two subgroups were found to be particularly at risk: young mothers with high levels of depressive symptoms and low-income mothers who felt insecure about their parental competence. Together, these factors explained 23% of the variation in sensitivity in our sample of depressed mothers. The number of risk factors explained 9.8% of the variation in sensitivity.
CONCLUSIONS
The present results have implications for preventive interventions. Identifying specific groups at risk for low maternal sensitivity at an early stage may lead to favorable outcomes of targeted interventions that focus on enhancing depressed mothers' maternal sensitivity and feelings of parental competence.
目的
研究各种母亲、儿童及环境特征，以及存在的风险因素数量，以辨别哪些因素可解释抑郁母亲对其婴儿敏感性的差异。
方法
参与者为84名患有抑郁症的母亲及其1个月至1岁的婴儿。母亲们在给孩子洗澡时被录像。录像依据情感可及性量表的敏感性量表进行评分。
结果
三个特征独立地对母亲敏感性的解释变异有贡献：教育水平、父母无能力感和家庭收入。此外，发现两个亚组特别有风险：抑郁症状严重的年轻母亲和对自身育儿能力感到不安全的低收入母亲。这些因素共同解释了我们抑郁母亲样本中23%的敏感性变异。风险因素数量解释了9.8%的敏感性变异。
结论
目前的结果对预防性干预有启示。在早期识别出母亲敏感性低的特定风险群体，可能会使以提高抑郁母亲的母性敏感性和育儿能力感为重点的针对性干预取得良好效果。
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