Despars Josée, Peter Camille, Borghini Ayala, Pierrehumbert Blaise, Habersaat Stéphanie, Müller-Nix Carole, Ansermet François, Hohlfeld Judith
Cleft Palate Craniofac J. 2011 Jul;48(4):419-24. doi: 10.1597/08-190. Epub 2010 Mar 25.
The announcement, prenatally or at birth, of a cleft lip and/or palate represents a challenge for the parents. The purpose of this study is to identify parental working internal models of the child (parental representations of the child and relationship in the context of attachment theory) and posttraumatic stress disorder symptoms in mothers of infants born with a cleft.
The study compares mothers with a child born with a cleft (n = 22) and mothers with a healthy infant (n = 36).
The study shows that mothers of infants with a cleft more often experience insecure parental working internal models of the child and more posttraumatic stress symptoms than mothers of the control group. It is interesting that the severity or complexity of the cleft is not related to parental representations and posttraumatic stress disorder symptoms. The maternal emotional involvement, as expressed in maternal attachment representations, is higher in mothers of children with a cleft who had especially high posttraumatic stress disorder symptoms, as compared with mothers of children with a cleft having fewer posttraumatic stress disorder symptoms.
Mothers of children with a cleft may benefit from supportive therapy regarding parent-child attachment, even when they express low posttraumatic stress disorder symptoms.
产前或出生时宣布唇裂和/或腭裂对父母来说是一项挑战。本研究的目的是确定父母对孩子的工作内在模型（在依恋理论背景下父母对孩子及其关系的表征）以及唇裂婴儿母亲的创伤后应激障碍症状。
该研究比较了有唇裂孩子的母亲（n = 22）和有健康婴儿的母亲（n = 36）。
研究表明，与对照组母亲相比，唇裂婴儿的母亲更常经历不安全的父母对孩子的工作内在模型，且创伤后应激症状更多。有趣的是，唇裂的严重程度或复杂性与父母的表征及创伤后应激障碍症状无关。与创伤后应激障碍症状较少的唇裂孩子的母亲相比，创伤后应激障碍症状特别高的唇裂孩子的母亲，其在母亲依恋表征中所表达的母亲情感投入更高。
即使唇裂孩子的母亲表现出低创伤后应激障碍症状，她们也可能从关于亲子依恋的支持性治疗中受益。
