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自闭症谱系障碍、其他精神疾病和发育迟缓儿童早期母婴互动中的情感可及性

EMOTIONAL AVAILABILITY IN EARLY MOTHER-CHILD INTERACTIONS FOR CHILDREN WITH AUTISM SPECTRUM DISORDERS, OTHER PSYCHIATRIC DISORDERS, AND DEVELOPMENTAL DELAY.

作者信息

Gul Hesna, Erol Nese, Akin Duygu Pamir, Gullu Belgin Ustun, Akcakin Melda, Alpas Başak, Öner Özgür

机构信息

Ankara University School of Medicine.

出版信息

Infant Ment Health J. 2016 Mar-Apr;37(2):151-9. doi: 10.1002/imhj.21558. Epub 2016 Feb 19.

Abstract

Emotional availability (EA) is a method to assess early parent-child dyadic interactions for emotional awareness, perception, experience, and expression between child and parent that describe global relational quality (Z. Biringen & M. Easterbrooks, 2012). The current study aimed to examine the effects of an infant's diagnosis of autism spectrum disorders (ASDs), other psychiatric disorders (OPD), and developmental delay (DD) on the maternal EA Scale (EAS; Z. Biringen & M. Easterbrooks, 2012; Z. Biringen, J.L. Robinson, & R.N. Emde, 2000) scores and the relative contributions of infant's age, gender, diagnosis, developmental level, and maternal education on EAS scores in a clinical Turkish sample. Three hundred forty-five infant-mother dyads participated in this study. Results of the research indicated that EAS adult scores were associated with maternal education and infant's diagnosis whereas child scores were associated with infant's age, diagnosis, and developmental level. Infants' involvement and responsiveness to the mother were lower in the group with ASD. Children with OPD, particularly when their mothers have lower education, might be at increased risk of having problems in parent-child interactions. Young ASD subjects with developmental delay are in greatest need of support to increase reactions toward their mother. These findings underscore the importance of using all of the EA dimensions rather than only one measure on children in high-risk populations.

摘要

情感可用性(EA)是一种评估亲子二元互动早期情况的方法,用于考察孩子与父母之间在情感意识、感知、体验和表达方面的情况,这些方面描述了整体关系质量(Z. 比林根和M. 伊斯特布鲁克斯,2012年)。本研究旨在探讨婴儿被诊断为自闭症谱系障碍(ASD)、其他精神障碍(OPD)和发育迟缓(DD)对母亲情感可用性量表(EAS;Z. 比林根和M. 伊斯特布鲁克斯,2012年;Z. 比林根、J.L. 罗宾逊和R.N. 恩德,2000年)得分的影响,以及在一个土耳其临床样本中,婴儿年龄、性别、诊断、发育水平和母亲教育程度对EAS得分的相对贡献。345对母婴二元组参与了本研究。研究结果表明,EAS成人得分与母亲教育程度和婴儿诊断有关,而儿童得分与婴儿年龄、诊断和发育水平有关。患有ASD的组中婴儿对母亲的参与度和反应性较低。患有OPD的儿童,尤其是当其母亲教育程度较低时,在亲子互动中出现问题的风险可能会增加。患有发育迟缓的年轻ASD受试者最需要支持以增加对母亲的反应。这些发现强调了在高危人群中对儿童使用所有EA维度而非仅一项指标的重要性。

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