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
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA.
J Trauma Dissociation. 2008;9(2):123-47. doi: 10.1080/15299730802045666.
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).
Forty-one dyads completed two videotaped visits including measures of maternal mental representations and behavior.
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.
Maternal mental representations of her child are useful risk-indicators that mark dysregulation of trauma-associated emotions in the caregiver.
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。
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。
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。
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。
