Siqveland Torill S, Haabrekke Kristin, Wentzel-Larsen Tore, Moe Vibeke
Department of Psychology, University of Oslo, Norway.
Department of Psychology, University of Oslo, Norway; National Network for Infant Mental Health in Norway, The Center for Child and Adolescent Mental Health, Eastern and Southern Norway, Norway.
Infant Behav Dev. 2014 Nov;37(4):772-86. doi: 10.1016/j.infbeh.2014.09.003. Epub 2014 Nov 11.
The aim of this study was to investigate the development of mother-infant interaction patterns from 3 to 12 months among three groups of mother-baby pairs recruited during pregnancy: one group from residential substance abuse treatment (n=28), a second group from psychiatric outpatient treatment (n=22), and a third group from well-baby clinics (n=30). The mother-infant interaction at 3 and 12 months was assessed by the Parent-Child Early Relational Assessment (PCERA), which consists of maternal, child and dyadic subscales (Clark, 2006). Linear mixed effects models were used to analyze group differences and the changes in mother-infant interaction from 3 to 12 months. At 3 months, pairwise comparisons showed that the group with psychiatric problems had significantly more difficulties in the mother-infant interaction than the two other groups. The group with substance abuse problems was not significantly different from the two other groups. At 12 months, the mother-infant pairs in the substance abuse group showed significantly more relational disturbances than the non-clinical pairs, as well as a poorer affective quality of interaction than the dyads in the group with psychiatric problems. Analysis of change from 3 to 12 months showed that difficulties in the interaction increased among the mother-baby pairs in the substance abuse group, while improvements were displayed in the two other groups. These results underline that mother-infant pairs at double risk due to maternal substance abuse and other non-optimal factors, are in need for long-term follow up in order to prevent the development of negative interactional patterns.
本研究的目的是调查孕期招募的三组母婴对中母婴互动模式从3个月到12个月的发展情况：一组来自住院药物滥用治疗机构（n = 28），第二组来自精神科门诊治疗机构（n = 22），第三组来自健康婴儿诊所（n = 30）。通过亲子早期关系评估（PCERA）对3个月和12个月时的母婴互动进行评估，该评估包括母亲、孩子和二元子量表（克拉克，2006年）。使用线性混合效应模型分析组间差异以及从3个月到12个月母婴互动的变化。在3个月时，两两比较显示，有精神问题的组在母婴互动中比其他两组有更多显著困难。有药物滥用问题的组与其他两组没有显著差异。在12个月时，药物滥用组的母婴对显示出比非临床组更多的关系障碍，并且与有精神问题组的二元组相比，互动的情感质量更差。对3个月到12个月变化的分析表明，药物滥用组的母婴对互动困难增加，而其他两组则有所改善。这些结果强调，由于母亲药物滥用和其他非最佳因素而面临双重风险的母婴对需要长期随访，以防止负面互动模式的发展。
