暴力暴露母亲及其幼儿临床样本中的扭曲母亲心理表征和非典型行为。
Distorted maternal mental representations and atypical behavior in a clinical sample of violence-exposed mothers and their toddlers.
作者信息
Schechter Daniel S, Coates Susan W, Kaminer Tammy, Coots Tammy, Zeanah Charles H, Davies Mark, Schonfeld Irvin S, Marshall Randall D, Liebowitz Michael R, Trabka Kimberly A, McCaw Jaime E, Myers Michael M
机构信息
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA.
出版信息
J Trauma Dissociation. 2008;9(2):123-47. doi: 10.1080/15299730802045666.
Abstract
OBJECTIVE
To determine whether maternal violence-related posttraumatic stress disorder (PTSD), reflective functioning (RF), and/or quality of mental representations of her child predict maternal behavior within a referred sample of interpersonal violence-exposed mothers and their children (ages 8-50 months).
METHOD
Forty-one dyads completed two videotaped visits including measures of maternal mental representations and behavior.
RESULTS
Negative and distorted maternal mental representations predicted atypical behavior (Cohen's d>1.0). While maternal PTSD and RF impacted mental representations, no significant relationships were found between PTSD, RF, and overall atypical caregiving behavior. Severity of maternal PTSD was however positively correlated with the avoidant caregiving behavior subscale.
CONCLUSIONS
Maternal mental representations of her child are useful risk-indicators that mark dysregulation of trauma-associated emotions in the caregiver.
摘要
目的
在一组人际暴力暴露母亲及其子女（8 - 50个月）的样本中，确定母亲与暴力相关的创伤后应激障碍（PTSD）、反思功能（RF）和/或其孩子心理表征的质量是否能预测母亲的行为。
方法
41对母婴完成了两次录像访谈，包括对母亲心理表征和行为的测量。
结果
消极和扭曲的母亲心理表征预示着非典型行为（科恩d>1.0）。虽然母亲的创伤后应激障碍和反思功能影响心理表征，但未发现创伤后应激障碍、反思功能与总体非典型养育行为之间存在显著关系。然而，母亲创伤后应激障碍的严重程度与回避型养育行为子量表呈正相关。
结论
母亲对孩子的心理表征是有用的风险指标，标志着照顾者中与创伤相关情绪的失调。
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本文引用的文献
1
Domestic violence, maternal parenting, maternal mental health, and infant externalizing behavior.家庭暴力、母亲育儿方式、母亲心理健康与婴儿外化行为
J Fam Psychol. 2006 Dec;20(4):544-52. doi: 10.1037/0893-3200.20.4.544.
2
Prevalence of dissociative disorders among women in the general population.普通人群中女性分离性障碍的患病率。
Psychiatry Res. 2007 Jan 15;149(1-3):169-76. doi: 10.1016/j.psychres.2006.01.005. Epub 2006 Dec 8.
3
Hypothalamic-pituitary-adrenal axis function in dissociative disorders, post-traumatic stress disorder, and healthy volunteers.分离性障碍、创伤后应激障碍及健康志愿者的下丘脑-垂体-肾上腺轴功能
Biol Psychiatry. 2007 Apr 15;61(8):966-73. doi: 10.1016/j.biopsych.2006.07.030. Epub 2006 Nov 29.
4
Interpretation biases in victims and non-victims of interpersonal trauma and their relation to symptom development.人际创伤受害者与非受害者的解释偏差及其与症状发展的关系。
J Anxiety Disord. 2007;21(4):554-67. doi: 10.1016/j.janxdis.2006.08.006. Epub 2006 Sep 11.
5
Making up is hard to do, especially for mothers with high levels of depressive symptoms and their infant sons.弥补是件难事，尤其是对于有高度抑郁症状的母亲及其年幼的儿子来说。
J Child Psychol Psychiatry. 2006 Jul;47(7):670-83. doi: 10.1111/j.1469-7610.2005.01545.x.
6
Dissociative symptoms and trauma exposure: specificity, affect dysregulation, and posttraumatic stress.分离症状与创伤暴露：特异性、情感失调及创伤后应激
J Nerv Ment Dis. 2006 Feb;194(2):78-82. doi: 10.1097/01.nmd.0000198139.47371.54.
7
Maternal mental representations of the child in an inner-city clinical sample: violence-related posttraumatic stress and reflective functioning.市中心临床样本中母亲对孩子的心理表征：与暴力相关的创伤后应激及反思功能
Attach Hum Dev. 2005 Sep;7(3):313-31. doi: 10.1080/14616730500246011.
8
Maternal reflective functioning, mother-infant affective communication, and infant attachment: exploring the link between mental states and observed caregiving behavior in the intergenerational transmission of attachment.母亲的反思功能、母婴情感交流与婴儿依恋：探究依恋代际传递中心理状态与观察到的养育行为之间的联系。
Attach Hum Dev. 2005 Sep;7(3):299-311. doi: 10.1080/14616730500245963.
9
The role of depression and dissociation in the link between childhood sexual abuse and later parental practices.抑郁和解离在童年期性虐待与后期养育方式之间的联系中所起的作用。
J Trauma Dissociation. 2005;6(1):71-97. doi: 10.1300/J229v06n01_05.
10
Interactions between mothers and children: impacts of maternal and child anxiety.母亲与孩子之间的互动：母婴焦虑的影响。
J Abnorm Psychol. 2004 Aug;113(3):471-6. doi: 10.1037/0021-843X.113.3.471.
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