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母亲对婴儿痛苦敏感度的预测因素

Predictors of Maternal Sensitivity to Infant Distress.

作者信息

Leerkes Esther M

机构信息

Esther M. Leerkes, The University of North Carolina at Greensboro, PO Box 26170, Greensboro, NC 27402-6170,

出版信息

Parent Sci Pract. 2010 Jul 1;10(3):219-239. doi: 10.1080/15295190903290840.

Abstract

OBJECTIVE

The present study was designed to examine the extent to which mothers' emotional (i.e., empathy, negative emotions) and cognitive (i.e., accurate detection of distress, goals about infant crying, and emotion efficacy) responses to infant distress are related to maternal sensitivity in tasks designed to elicit infant distress. Mothers' emotional and cognitive responses to distress were assessed both prenatally in response to unfamiliar infants and postnatally in response to own infant. The extent to which prenatal and postnatal measures correlated with one another and with sensitivity to distress was examined. DESIGN: One-hundred and one mothers were interviewed prenatally about their responses to videotapes of crying infants, then videotaped interacting with their own infants at 6-months postpartum in two emotionally arousing tasks during which maternal sensitivity and infant distress were rated, and participated in a video-recall interview about their thoughts and feelings during the emotionally arousing tasks. RESULTS: Mothers' prenatal and postnatal goals in relation to infant distress and emotional reactions to infant distress were the most consistent predictors of sensitivity, but prenatal accurate detection of infant distress also predicted sensitivity. Furthermore, mothers' goals, emotional reactions to crying, and accurate distress detection buffered maternal sensitivity from the negative effect of observed infant distress. That is, infant distress was less strongly negatively associated with sensitivity when mothers had more infant-oriented goals, reported fewer negative emotions in response to infant crying, or were skilled at detecting infant distress. CONCLUSIONS: Assessing mothers' emotional and cognitive responses to infant distress provides insights into the origins of sensitivity to infant distress. Methodological issues relevant to assessing mothers' emotional and cognitive responses to infant distress are raised.

摘要

目的

本研究旨在探讨母亲对婴儿痛苦的情绪反应(如同感、负面情绪)和认知反应(如准确察觉痛苦、关于婴儿啼哭的目标以及情绪效能)在旨在引发婴儿痛苦的任务中与母亲敏感性相关的程度。在产前针对陌生婴儿以及产后针对自己的婴儿,对母亲对痛苦的情绪和认知反应进行了评估。研究了产前和产后测量结果彼此之间以及与对痛苦的敏感性之间的相关程度。

设计

101名母亲在产前接受访谈,询问她们对哭泣婴儿录像带的反应,然后在产后6个月时,在两项引发情绪的任务中与自己的婴儿进行互动并录像,期间对母亲的敏感性和婴儿的痛苦程度进行评分,并且参与了关于她们在引发情绪任务期间的想法和感受的视频回忆访谈。

结果

母亲在产前和产后与婴儿痛苦相关的目标以及对婴儿痛苦的情绪反应是敏感性最一致的预测指标,但产前准确察觉婴儿痛苦也能预测敏感性。此外,母亲的目标、对啼哭的情绪反应以及准确的痛苦察觉减轻了观察到的婴儿痛苦对母亲敏感性的负面影响。也就是说,当母亲有更多以婴儿为导向的目标、对婴儿啼哭报告的负面情绪较少或者善于察觉婴儿痛苦时,婴儿痛苦与敏感性之间的负相关就没那么强烈。

结论

评估母亲对婴儿痛苦的情绪和认知反应有助于深入了解对婴儿痛苦敏感性的根源。提出了与评估母亲对婴儿痛苦情绪和认知反应相关的方法学问题。

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