From the Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit; the Department of Psychology, Eastern Michigan University, Ypsilanti; the Department of Psychology, Wichita State University, Wichita, Kan.; and the Department of Psychology, University of Detroit Mercy, Detroit.
Am J Psychiatry. 2016 Feb 1;173(2):138-46. doi: 10.1176/appi.ajp.2015.15020173. Epub 2015 Sep 11.
For at-risk (single parent, low income, low support) mothers, healthy adaptation and the ability to manage stress have clear implications for parenting and the social-emotional well-being of their young offspring. The purpose of this longitudinal study was to examine associations between defense mechanisms in pregnant women and their toddlers' attachment security, social-emotional, and behavioral adjustment.
Participants were 84 pregnant women during their last trimester of pregnancy, recruited from community agencies primarily serving low-income families. Women were followed prospectively from pregnancy through 2 years after birth and completed several multimethod assessments during that period. Observations of mother-child interactions were also coded after the postnatal visits.
Multiple regression analyses revealed that mothers' defense mechanisms were significantly associated with several toddler outcomes. Mature, healthy defenses were significantly associated with greater toddler attachment security and social-emotional competence and fewer behavior problems, and less mature defenses (disavowal in particular) were associated with lower levels of attachment security and social-emotional competence. Associations remained significant, or were only slightly attenuated, after controlling for demographic variables and partner abuse during pregnancy.
The study findings suggest that defensive functioning in parents preparing for and parenting toddlers influences the parent-child attachment relationship and social-emotional adjustment in the earliest years of life. Possible mechanisms for these associations may include parental attunement and mentalization, as well as specific caregiving behavior toward the child. Defensive functioning during times of increased stress (such as the prenatal to postnatal period) may be especially important for understanding parental influences on the child.
对于处于高危(单亲、低收入、低支持)环境下的母亲来说,健康适应和应对压力的能力对其养育方式以及幼儿的社会情感健康有着重要的影响。本纵向研究旨在探讨孕妇的防御机制与幼儿的依恋安全性、社会情感和行为适应之间的关联。
参与者为 84 名处于妊娠晚期的孕妇,主要从为低收入家庭提供服务的社区机构中招募而来。这些孕妇在妊娠期间以及产后 2 年内接受了前瞻性随访,并在此期间完成了多项多方法评估。在产后访视后还对母婴互动进行了观察。
多元回归分析显示,母亲的防御机制与幼儿的多个结果显著相关。成熟、健康的防御机制与较高的幼儿依恋安全性和社会情感能力以及较少的行为问题显著相关,而不太成熟的防御机制(特别是否认)与较低的依恋安全性和社会情感能力相关。在控制了人口统计学变量和妊娠期间的伴侣虐待后,这些关联仍然显著,或仅略有减弱。
研究结果表明,准备迎接和养育幼儿的父母的防御功能会影响亲子依恋关系和生命早期的社会情感适应。这些关联的可能机制包括父母的共鸣和心理化,以及对孩子的特定照顾行为。在压力增加时期(如产前到产后期间)的防御功能可能对理解父母对孩子的影响尤为重要。