Schedle A, Fricker H S
Psychologisches Institut Universität Fribourg, Switzerland.
Eur J Pediatr. 1990 May;149(8):587-91. doi: 10.1007/BF01957700.
Hyperbilirubinaemia (HyB) is the most common health disturbance in the neonatal period. The aim of this prospective study is to determine whether HyB and/or phototherapy (PhT) together with transient separation during the neonatal period are associated with impaired mother-child attachment after the 1st year of life. We divided 107 healthy term infants into three groups: 29 markedly icteric infants who underwent PhT (mother-child separation), 40 mildly icteric infants without PhT and a control group of 38 nonicteric infants. At the age of 1 year a paediatric examination and a Denver test were performed, and the mother-infants pairs were observed in Ainsworth's strange situation. The results show a similar distribution of the attachment patterns in the three different groups of infants. HyB and PhT do not negatively seem to affect the quality of attachment. Analysis of additional aspects showed that maternal coping and her perception of the child appear to be more important antecedents of the quality of attachment after the 1st year of life.
高胆红素血症（HyB）是新生儿期最常见的健康问题。这项前瞻性研究的目的是确定新生儿期的高胆红素血症和/或光疗（PhT）以及短暂分离是否与1岁后母婴依恋受损有关。我们将107名健康足月儿分为三组：29名接受光疗的明显黄疸婴儿（母婴分离）、40名未接受光疗的轻度黄疸婴儿和38名无黄疸婴儿组成的对照组。在1岁时进行了儿科检查和丹佛测试，并在安斯沃思陌生情境中观察母婴对。结果显示，三组不同婴儿的依恋模式分布相似。高胆红素血症和光疗似乎不会对依恋质量产生负面影响。对其他方面的分析表明，母亲的应对方式及其对孩子的看法似乎是1岁后依恋质量更重要的影响因素。
