Duke University, Durham, North Carolina, USA.
J Epidemiol Community Health. 2011 Jul;65(7):621-5. doi: 10.1136/jech.2009.097873. Epub 2010 Jul 26.
Long-standing theory suggests that quality of the mother's (or primary caregiver's) interaction with a child is a key determinant of the child's subsequent resilience or vulnerability and has implications for health in adulthood. However, there is a dearth of longitudinal data with both objective assessments of nurturing behaviour during infancy and sustained follow-up ascertaining the quality of adult functioning.
We used data from the Providence, Rhode Island birth cohort of the National Collaborative Perinatal Project (mean age 34 at follow-up, final N=482) to conduct a prospective study of the association between objectively measured affective quality of the mother-infant interaction and adult mental health. Infant-mother interaction quality was rated by an observer when infants were 8 months old, and adult emotional functioning was assessed from the Symptom Checklist-90, capturing both specific and general types of distress.
High levels of maternal affection at 8 months were associated with significantly lower levels of distress in adult offspring (1/2 standard deviation; b=-4.76, se=1.7, p<0.01). The strongest association was with the anxiety subscale. Mother's affection did not seem to be on the pathway between lower parental SES and offspring distress.
These findings suggest that early nurturing and warmth have long-lasting positive effects on mental health well into adulthood.
长期以来的理论表明,母亲(或主要照顾者)与孩子互动的质量是孩子后续适应能力或脆弱性的关键决定因素,对成年后的健康也有影响。然而,缺乏同时具有婴儿期养育行为的客观评估和持续随访以确定成人功能质量的纵向数据。
我们使用了来自罗德岛普罗维登斯的国家合作围产期项目(随访时的平均年龄为 34 岁,最终 N=482)的出生队列数据,进行了一项前瞻性研究,探讨了母婴互动中情感质量的客观测量与成人心理健康之间的关系。当婴儿 8 个月大时,观察者对婴儿-母亲互动质量进行评分,而成年情绪功能则通过症状清单-90 进行评估,同时捕捉特定和一般类型的困扰。
8 个月时母亲的情感水平较高与成年子女的困扰程度显著降低相关(1/2 标准差;b=-4.76,se=1.7,p<0.01)。与焦虑子量表的相关性最强。母亲的情感似乎并不是父母 SES 较低与子女困扰之间的途径。
这些发现表明,早期的养育和温暖对成年后的心理健康有持久的积极影响。