Center for Child and Family Studies, Leiden University, Leiden, the Netherlands.
Dev Psychobiol. 2010 Jul;52(5):441-52. doi: 10.1002/dev.20446.
Both attachment insecurity and maternal depression are thought to affect infants' emotional and physiological regulation. In the current study, Strange Situation Procedure (SSP) attachment classifications, and cortisol stress reactivity and diurnal rhythm were assessed at 14 months in a prospective cohort study of 369 mother-infant dyads. Maternal lifetime depression was diagnosed prenatally using the Composite International Diagnostic Interview (CIDI). Insecure-resistant infants showed the largest increase in cortisol levels from pre- to post-SSP; the effect was even stronger when they had depressive mothers. Disorganized children showed a more flattened diurnal cortisol pattern compared to nondisorganized children. Findings are discussed from the perspective of a cumulative risk model.
依恋不安全感和产妇抑郁都被认为会影响婴儿的情绪和生理调节。在目前的前瞻性队列研究中，对 369 对母婴对子在 14 个月时进行了陌生情境程序（SSP）依恋分类以及皮质醇应激反应和昼夜节律的评估。使用复合国际诊断访谈（CIDI）在产前诊断产妇终生抑郁。不安全-抵抗型婴儿在 SSP 前后的皮质醇水平升高幅度最大；当他们有抑郁的母亲时，这种影响更强烈。与非组织化儿童相比，组织化儿童的日间皮质醇模式更为平坦。研究结果从累积风险模型的角度进行了讨论。
