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养育自我效能感:与母亲抑郁、婴儿行为和成人依恋的关系。

Parenting self-efficacy: links with maternal depression, infant behaviour and adult attachment.

机构信息

Karitane, PO Box 241, Villawood, NSW, 2163, Australia.

出版信息

Early Hum Dev. 2013 Apr;89(4):249-56. doi: 10.1016/j.earlhumdev.2013.01.008. Epub 2013 Feb 8.

Abstract

BACKGROUND

This study examined predictors of parenting self-efficacy (PSE) in a sample of first-time mothers during the first year after childbirth and evaluated the effect of a brief, intensive, mother-infant residential intervention on PSE and infant behaviour.

METHODS

83 primiparous women with infants aged 0-12 months admitted to a residential parent-infant program participated in a structured clinical interview for DSM-IV diagnosis of depressive and anxiety disorders and completed questionnaires assessing psychological distress, adult attachment and childhood parenting experiences. During their residential stay, nurses recorded infant behaviour using 24-hour charts.

RESULTS

Results showed PSE to be inversely correlated with maternal depression, maternal anxiety and attachment insecurity. Low levels of parental abuse during childhood, avoidant attachment, male infant gender and depressive symptom severity were found to predict low PSE. Major depression mediated the relation between attachment insecurity and PSE, but there were no links between PSE and infant behaviour. After the intervention, there was a significant improvement in PSE, with abusive parenting during childhood and depressive symptom severity being predictive of change.

CONCLUSIONS

This study highlights the links between maternal psychopathology and maternal background factors such as childhood parenting experiences and attachment style in the development of postnatal PSE. Directions for future research are discussed.

摘要

背景

本研究考察了产后第一年初产妇样本中育儿自我效能感(PSE)的预测因素,并评估了一项简短、密集的母婴同住住院干预对 PSE 和婴儿行为的影响。

方法

83 名初产妇及其年龄在 0-12 个月的婴儿参加了一项结构式临床访谈,以DSM-IV 诊断抑郁和焦虑障碍,并完成了评估心理困扰、成人依恋和儿童育儿经历的问卷。在住院期间,护士使用 24 小时图表记录婴儿的行为。

结果

结果表明,PSE 与母亲的抑郁、焦虑和依恋不安全感呈负相关。研究发现,儿童时期父母虐待程度低、回避型依恋、男婴性别和抑郁症状严重程度预测 PSE 较低。重度抑郁症中介了依恋不安全感和 PSE 之间的关系,但 PSE 与婴儿行为之间没有联系。干预后,PSE 显著改善,儿童时期受虐待的育儿经历和抑郁症状严重程度是变化的预测因素。

结论

本研究强调了母亲心理病理学与母亲背景因素(如儿童时期的育儿经历和依恋风格)之间的联系,这些因素在产后 PSE 的发展中起作用。讨论了未来研究的方向。

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