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焦虑依恋二元组的预防性干预及结果

Preventive intervention and outcome with anxiously attached dyads.

作者信息

Lieberman A F, Weston D R, Pawl J H

机构信息

University of California, San Francisco.

出版信息

Child Dev. 1991 Feb;62(1):199-209.

PMID:2022136
Abstract

Anxiously attached 12-month-olds and their mothers as assessed in the Strange Situation were randomly assigned to an intervention and a control group to test the hypothesis that infant-parent psychotherapy can improve quality of attachment and social-emotional functioning. Securely attached dyads comprised a second control group. Intervention lasted 1 year and ended when the child was 24 months. ANOVAs were used to compare the research groups at outcome. Intervention group toddlers were significantly lower than anxious controls in avoidance, resistance, and anger. They were significantly higher than anxious controls in partnership with mother. Intervention mothers had higher scores than anxious controls in empathy and interactiveness with their children. There were no differences on the outcome measures between the intervention and the secure control groups. The groups did not differ in maternal child-rearing attitudes. Within the intervention group, level of therapeutic process was positively correlated with adaptive scores in child and mother outcome measures.

摘要

在陌生情境中被评估为焦虑型依恋的12个月大婴儿及其母亲被随机分配到干预组和对照组,以检验婴儿-父母心理治疗能够改善依恋质量和社会情感功能这一假设。安全型依恋的二元组构成了第二个对照组。干预持续1年,在孩子24个月大时结束。使用方差分析来比较各研究组的结果。干预组幼儿在回避、抗拒和愤怒方面显著低于焦虑对照组。在与母亲的合作方面,他们显著高于焦虑对照组。干预组母亲在与孩子的同理心和互动性方面得分高于焦虑对照组。干预组和安全对照组在结果测量上没有差异。两组在母亲育儿态度上没有差异。在干预组中,治疗过程水平与儿童和母亲结果测量中的适应性得分呈正相关。

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