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母亲的个性与婴儿气质。

Mother's personality and infant temperament.

机构信息

Institute of Medical Psychology, Faculty of Medicine, University of Coimbra, Rua Larga, 3004-504 Coimbra, Portugal.

出版信息

Infant Behav Dev. 2011 Dec;34(4):552-68. doi: 10.1016/j.infbeh.2011.06.009. Epub 2011 Jul 29.

Abstract

We examined if perfectionism and the perception of being an anxious person were associated with more negative infant temperament ratings by the mothers. 386 women (mean age=30.08; standard deviation=4.21) in their last trimester of pregnancy completed the Multidimensional Perfectionism Scale (MPS), the Beck Depression Inventory-II (BDI-II) and an item about their perception of being or not an anxious person. The Portuguese version of the Diagnostic Interview for Genetic Studies and the Operational Criteria Checklist for Psychotic Illness were used to generate diagnoses according to DSM-IV and ICD-10 criteria. After delivery, women completed eight items of the Difficult Infant Temperament Questionnaire (developed by our team) and filled in, again, the BDI-II and were interviewed with the DIGS. Women with depression (DSM-IV/ICD-10) and probable cases of depression using different cut-offs adjusted to Portuguese prevalence (BDI-II), in pregnancy and postpartum, were excluded. The Difficult Infant Temperament Questionnaire showed to have factorial validity and internal consistency. There was a statistically significant negative correlation between perfectionism total scale score and item 6 from the temperament scale ("is your baby irritable or fussy?"). Considering MPS 3-factor solution found for pregnancy there was also a statistically significant negative correlation between SOP and the same item. Women with low SOP differed from those with medium and high SOP in the total temperament score. Moreover, the low SOP group differed from the medium group on items three and four scores. There were no significant associations with SPP, which is the dimension more closely associated with negative outcomes. There was an association between anxiety trait status (having it or not) and scoring low, medium or high in the infant temperament scale. The proportion of anxious vs. non-anxious women presenting a high score on the infant temperament scale was higher (24.2% vs. 12.9%). Linear regressions showed that SOP (low vs. medium/high) offered a significant contribution to the prediction of total temperament scale score and items 3 and 4 scores, but a logistic regression did not confirm trait anxiety as a significant predictor of mother's infant temperament perception. Concluding, a major result concerns the fact that higher levels of adaptive perfectionism (i.e. SOP) are associated (and predict) a less negative view of their infant's temperament. These results on the effect of mother's anxiety and perfectionism on the child temperament perception might have treatment implications. As perfectionism is not always maladaptive, some of its positive features could be used to enhance women's self-efficacy/sense of parental competence in their role as mothers and positive affect towards their infants. Also, antenatal interventions aimed at minimising anxiety could help to optimise infant temperament outcomes, which could, eventually, also, lead to subsequent maternal and infant mental health better outcomes.

摘要

我们研究了完美主义和焦虑感是否会导致母亲对婴儿气质的评价更负面。386 名处于妊娠晚期的女性(平均年龄=30.08;标准差=4.21)完成了多维完美主义量表(MPS)、贝克抑郁量表-II(BDI-II)和一项关于她们是否焦虑的项目。根据 DSM-IV 和 ICD-10 标准,使用葡萄牙语版的遗传研究诊断访谈和精神病操作性标准检查表来生成诊断。分娩后,女性完成了我们团队开发的 8 项困难婴儿气质问卷(Difficult Infant Temperament Questionnaire)项目,并再次填写 BDI-II,并接受 DIGS 访谈。患有抑郁症(DSM-IV/ICD-10)和使用不同截止值的可能抑郁症病例(BDI-II)的女性在妊娠和产后期间被排除在外。困难婴儿气质问卷具有因子有效性和内部一致性。完美主义总分与气质量表第 6 项(“你的宝宝是否易怒或烦躁?”)呈显著负相关。考虑到怀孕期间发现的 MPS 3 因素解决方案,自我导向和同一项目之间也存在显著的负相关。低 SOP 的女性与中、高 SOP 的女性在气质总分上存在差异。此外,低 SOP 组在第 3 项和第 4 项得分上与中 SOP 组存在差异。与 SPP 无显著关联,SPP 与负面结果的关联更为密切。特质焦虑状态(有或没有)与婴儿气质量表中得分低、中或高之间存在关联。在婴儿气质量表上表现出高分的焦虑症女性与非焦虑症女性的比例更高(24.2%比 12.9%)。线性回归显示,低 SOP(中/高)对预测总气质量表评分和第 3 项和第 4 项评分有显著贡献,但逻辑回归并未证实特质焦虑是母亲婴儿气质感知的显著预测因子。总之,一个主要结果是,更高水平的适应性完美主义(即 SOP)与对婴儿气质的更负面看法相关(并预测)。这些关于母亲焦虑和完美主义对儿童气质感知影响的研究结果可能具有治疗意义。由于完美主义并不总是适应不良的,因此可以利用其积极特征来增强女性在母亲角色中的自我效能感/父母能力感和对婴儿的积极影响。此外,旨在减轻焦虑的产前干预措施有助于优化婴儿气质结果,最终也能改善母婴心理健康结果。

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