患有边缘型人格障碍的母亲如何与她们一岁大的婴儿相处。
How mothers with borderline personality disorder relate to their year-old infants.
作者信息
Hobson R Peter, Patrick Matthew P H, Hobson Jessica A, Crandell Lisa, Bronfman Elisa, Lyons-Ruth Karlen
机构信息
Developmental Psychopathology Research Unit, Tavistock Clinic and Institute of Child Health, University College, London, UK.
出版信息
Br J Psychiatry. 2009 Oct;195(4):325-30. doi: 10.1192/bjp.bp.108.060624.
BACKGROUND
Women with borderline personality disorder have conflictual interpersonal relations that may extend to disrupted patterns of interaction with their infants.
AIMS
To assess how women with borderline personality disorder engage with their 12 to 18-month-old infants in separation-reunion episodes.
METHOD
We videotaped mother-infant interactions in separation-reunion episodes of the Strange Situation test. The mothers were women with borderline personality disorder, with depression, or without psychopathological disorder. Masked ratings of maternal behaviour were made with the Atypical Maternal Behavior Instrument for Assessment and Classification.
RESULTS
As predicted, a higher proportion (85%) of women with borderline personality disorder than women in the comparison groups showed disrupted affective communication with their infants. They were also distinguished by the prevalence of frightened/disoriented behaviour.
CONCLUSIONS
Maternal borderline personality disorder is associated with dysregulated mother-infant communication.
背景
边缘型人格障碍女性存在冲突性的人际关系，这可能会延伸至与婴儿互动模式的紊乱。
目的
评估边缘型人格障碍女性在分离-团聚情境中与12至18个月大婴儿的互动方式。
方法
我们在陌生情境测试的分离-团聚情境中拍摄母婴互动视频。母亲们分为患有边缘型人格障碍的女性、患有抑郁症的女性或无精神病理障碍的女性。使用《非典型母婴行为评估与分类工具》对母亲的行为进行盲评。
结果
正如预期，与对照组女性相比，更高比例（85%）的边缘型人格障碍女性表现出与婴儿情感交流的紊乱。她们还以惊恐/迷失方向行为的普遍存在为特征。
结论
母亲的边缘型人格障碍与母婴沟通失调有关。
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