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母婴精神分析治疗随机对照试验的长期随访:对儿童的影响

A long-term follow-up of a randomized controlled trial of mother-infant psychoanalytic treatment: outcomes on the children.

作者信息

Salomonsson Majlis Winberg, Sorjonen Kimmo, Salomonsson Björn

机构信息

Karolinska Institutet.

出版信息

Infant Ment Health J. 2015 Jan-Feb;36(1):12-29. doi: 10.1002/imhj.21478. Epub 2014 Dec 1.

DOI:10.1002/imhj.21478
PMID:25451617
Abstract

A randomized controlled trial (RCT) compared two groups of mother-infant dyads in a Stockholm sample. One had received mother-infant psychoanalytic treatment (MIP group) and the other Child Health Center care (CHCC group). Effects were found on mother-reported depression and expert-rated mother-infant relationship qualities and maternal sensitivity. When the children were 4½ years old, they were followed up with assessments of attachment representations, socioemotional development, and global functioning. They also were divided into two types according to individual characteristics and psychological well-being: the "OK" and the "Troubled" children. Of 80 dyads in the mother-infant RCT, data were gathered from 66 cases approximately 3½ years after treatment. The children in the MIP group had better results on global functioning. There were more OK children in the MIP group and more Troubled children in the CHCC group. No other between-group differences were found. A relatively brief mother-infant psychotherapy seemed to help the children function better and be less troubled 3½ years after therapy.

摘要

一项随机对照试验(RCT)在斯德哥尔摩的样本中比较了两组母婴二元组。一组接受母婴精神分析治疗(MIP组),另一组接受儿童健康中心护理(CHCC组)。研究发现,在母亲报告的抑郁、专家评定的母婴关系质量和母亲敏感性方面有效果。当孩子4岁半时,对他们进行了依恋表征、社会情感发展和整体功能的评估随访。他们还根据个体特征和心理健康状况分为两种类型:“正常”儿童和“问题”儿童。在母婴随机对照试验的80个二元组中,在治疗后约3年半从66个案例中收集了数据。MIP组的儿童在整体功能方面有更好的结果。MIP组中正常儿童更多,CHCC组中问题儿童更多。未发现其他组间差异。相对简短的母婴心理治疗似乎有助于儿童在治疗后3年半功能更好且问题更少。

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