Department of Psychological and Brain Sciences, University of California, Santa Barbara, CA 93106, USA.
Dev Psychol. 2012 Sep;48(5):1443-9. doi: 10.1037/a0027303. Epub 2012 Feb 13.
Mothers of medically at-risk infants were randomly assigned to a Healthy Start intervention (HV) or a cognitive reframing intervention (HV+). Outcome measures were taken at the conclusion of the intervention (1 year) and at the 3-year follow-up visit. At age 3, children in the HV+ condition (in comparison with those in the HV condition) showed fewer aggression problems (as measured by the Child Behavior Checklist). Maternal emotional unavailability (as measured by combined scores on the Beck Depression Inventory and avoidance items on the Conflict Tactics Scale) at the 1-year visit mediated the effects of the intervention on children's aggression at age 3. Findings suggest that an early, cognitively based intervention may lead to reduced child aggression as a result of increased maternal social-emotional availability within the caregiving relationship.
患有医学风险的婴儿的母亲被随机分配到健康启动干预组（HV）或认知重构干预组（HV+）。在干预结束时（1 年）和 3 年随访时进行了结果测量。在 3 岁时，HV+条件下的儿童（与 HV 条件下的儿童相比）表现出较少的攻击问题（通过儿童行为检查表测量）。在 1 年就诊时，母亲的情感不可用（通过贝克抑郁量表的综合得分和冲突策略量表上的回避项目来衡量），这在干预对儿童 3 岁时的攻击行为的影响中起到了中介作用。研究结果表明，早期的基于认知的干预措施可能会由于照顾关系中母亲的社会情感可用性增加，从而减少儿童的攻击行为。
