Mäntymaa Mirjami, Puura Kaija, Luoma Ilona, Kaukonen Pälvi, Salmelin Raili K, Tamminen Tuula
Tampere University Hospital, Department of Child Psychiatry, Tampere, Finland.
Infant Behav Dev. 2008 Dec;31(4):606-13. doi: 10.1016/j.infbeh.2008.07.005. Epub 2008 Sep 6.
This study examined the association of infants' sustained social withdrawal with parents' self-reported current depressive symptoms and perceived mental health. Two hundred and sixty infants aged 4, 8 and 18 months were examined with the Baby Alarm Distress Scale (ADBB). Parents' depressive symptoms and perceived mental health during the preceding year were elicited through questionnaires. Mother's current depressive symptoms and father's perceived moderate or poor mental health during the preceding year both independently increased the infant's risk of withdrawal. When both parents had mental health problems, the infant was more likely to be withdrawn. Infant's social withdrawal should alert clinicians to examine parental mental health. Also, if the parent has mental health problems, the infant's social behavior and possible withdrawal should be examined. Families where both parents experience poor mental health should be identified, and treated, while the infants of these families in particular seem to be at risk for social withdrawal.
本研究探讨了婴儿持续性社交退缩与父母自我报告的当前抑郁症状及感知心理健康之间的关联。采用婴儿警报苦恼量表(ADBB)对260名4个月、8个月和18个月大的婴儿进行了检查。通过问卷调查了解父母在前一年的抑郁症状及感知心理健康状况。母亲当前的抑郁症状以及父亲在前一年感知到的中度或较差心理健康状况均独立增加了婴儿退缩的风险。当父母双方都有心理健康问题时,婴儿更有可能出现退缩。婴儿的社交退缩应提醒临床医生检查父母的心理健康状况。此外,如果父母有心理健康问题,应检查婴儿的社交行为及可能出现的退缩情况。应识别并治疗父母双方心理健康状况均较差的家庭,尤其是这些家庭的婴儿似乎有社交退缩的风险。