Waters Sara F, Hagan Melissa J, Rivera Luisa, Lieberman Alicia F
Department of Human Development, Washington State University, Vancouver, Vancouver, Washington, USA.
Department of Psychiatry, Child Trauma Research Program, University of California, San Francisco, San Francisco, California, USA.
J Trauma Stress. 2015 Oct;28(5):426-33. doi: 10.1002/jts.22043. Epub 2015 Sep 29.
The current study investigated maternal sensitivity in a treatment-seeking sample of predominately Latina, low-income pregnant women with histories of interpersonal trauma exposure. Pregnant women (N = 52; M = 27.08 years, SD = 5.66) who enrolled in a study of a perinatal adaptation of child-parent psychotherapy reported on their posttraumatic stress symptoms and child-rearing attitudes at baseline and again at 6-months postpartum. Maternal sensitivity was measured via observational coding of a free-play episode at 6-months postpartum. Two thirds of mothers exhibited healthy levels of maternal sensitivity, M > 4.0 (range = 2.5-7.0). The results of multiple linear regression predicting maternal sensitivity, R(2) = .26, indicated that greater improvements in child-rearing attitudes over the course of treatment predicted higher levels of maternal sensitivity, β = .33, whereas improvements in posttraumatic stress symptoms over the course of treatment did not, β = -.10. Mothers' attitudes regarding parenting during the perinatal period may be a mechanism by which intervention fosters healthy mother-infant relationship dynamics. Thus, parenting attitudes are a worthy target of intervention in vulnerable families.
本研究调查了以人际创伤暴露史为主的拉丁裔低收入孕妇寻求治疗样本中的母亲敏感性。参与围产期亲子心理治疗研究的孕妇（N = 52；M = 27.08岁，SD = 5.66）在基线时以及产后6个月再次报告了她们的创伤后应激症状和育儿态度。通过对产后6个月自由玩耍情节的观察编码来测量母亲敏感性。三分之二的母亲表现出健康水平的母亲敏感性，M > 4.0（范围 = 2.5 - 7.0）。预测母亲敏感性的多元线性回归结果，R(2) = .26，表明在治疗过程中育儿态度的更大改善预测了更高水平的母亲敏感性，β = .33，而在治疗过程中创伤后应激症状的改善则没有，β = -.10。母亲在围产期对育儿的态度可能是干预促进健康母婴关系动态的一种机制。因此，育儿态度是弱势家庭干预的一个有价值的目标。
