复杂情况下的育儿：早产是否为不太理想的父母行为发展提供了背景？
Parenting in Complex Conditions: Does Preterm Birth Provide a Context for the Development of Less Optimal Parental Behavior?
作者信息
Hoffenkamp Hannah N, Braeken Johan, Hall Ruby A S, Tooten Anneke, Vingerhoets Ad J J M, van Bakel Hedwig J A
机构信息
International Victimology Institute Tilburg, Tilburg University, Centre for Educational Measurement, University of Oslo, Department of Developmental Psychology, Department of Medical and Clinical Psychology and Department of Tranzo, Tilburg University, Dimence: Centre for Infant Mental Health, and Herlaarhof: Centre for Child and Adolescent Psychiatry
International Victimology Institute Tilburg, Tilburg University, Centre for Educational Measurement, University of Oslo, Department of Developmental Psychology, Department of Medical and Clinical Psychology and Department of Tranzo, Tilburg University, Dimence: Centre for Infant Mental Health, and Herlaarhof: Centre for Child and Adolescent Psychiatry.
出版信息
J Pediatr Psychol. 2015 Jul;40(6):559-71. doi: 10.1093/jpepsy/jsv007. Epub 2015 Feb 19.
OBJECTIVE
To examine the predictive value of parent, infant, and contextual factors related to preterm childbirth for later parenting behaviors.
METHODS
Mothers (n = 217) and fathers (n = 204) of term, moderately preterm, and very preterm infants were interviewed 1 month postpartum using the Clinical Interview for Parents of high-risk infants (CLIP), to assess their experiences and perceptions related to the pregnancy, delivery, infant, hospitalization, support system, and their narratives. Their responses were factor analyzed and entered into prediction models of parental behaviors (National Institute of Child Health and Human Development observations) 6 months postpartum.
RESULTS
Preterm birth was associated with negative experiences and concerns in parents. Regression analyses revealed, however, that irrespective of preterm birth, negative and unrealistic parental perceptions predicted less sensitive, more intrusive, and more withdrawn behavior.
CONCLUSIONS
Not prematurity per se, but particularly the presence of negative perceptions in parents, is predictive of difficulties in parent-infant interaction. The CLIP is a potentially useful instrument to identify families at risk.
目的
探讨与早产相关的父母、婴儿及环境因素对后期养育行为的预测价值。
方法
对足月儿、中度早产儿和极早产儿的母亲（n = 217）和父亲（n = 204）在产后1个月使用高危婴儿父母临床访谈（CLIP）进行访谈，以评估他们与妊娠、分娩、婴儿、住院、支持系统相关的经历和看法以及他们的叙述。对他们的回答进行因子分析，并纳入产后6个月父母行为的预测模型（美国国立儿童健康与人类发展研究所观察法）。
结果
早产与父母的负面经历和担忧有关。然而，回归分析显示，无论是否早产，父母的负面和不切实际的看法预示着较少的敏感行为、较多的侵扰行为和较多的退缩行为。
结论
预测母婴互动困难的并非早产本身，尤其是父母存在负面看法。CLIP是识别有风险家庭的一种潜在有用工具。
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