Huth-Bocks Alissa C, Guyon-Harris Katherine, Calvert Maegan, Scott Syreeta, Ahlfs-Dunn Sarah
Eastern Michigan University.
University of Arkansas.
Infant Ment Health J. 2016 May;37(3):208-21. doi: 10.1002/imhj.21559. Epub 2016 Apr 15.
Severe disruptions in the caregiving system can lead to disorganized caregiving characterized by maternal helplessness and fear. Such caregivers abdicate their caregiving role and fail to provide protection to the child. The measurement of disorganized caregiving has historically been limited to lengthy, labor-intensive interviews, indicating a need for other feasible tools to assess this important construct. Furthermore, few studies have investigated correlates of disorganized caregiving. Participants included 120 diverse, primarily economically disadvantaged women who were part of a longitudinal study examining psychosocial risk factors before and after the birth of a child. Participants completed the Caregiving Helplessness Questionnaire (CHQ; C. George & J. Solomon, 2011) along with measures assessing maternal mental health, trauma exposure, parenting stress, and infant socioemotional adjustment. Results indicated that caregiver helplessness and fear, based on the CHQ, were positively associated with maternal depression, parenting stress, and perceptions of infant socioemotional problems. Importantly, results also revealed significant associations between current maternal trauma experiences and mothers' reports of helplessness and fear. Findings from the present study indicate that the CHQ may be a valid screening tool for disorganized caregiving among mothers of infants. In addition, a number of maternal experiences may be related to disorganized caregiving following the birth of a child.
照护系统的严重紊乱会导致以母亲无助和恐惧为特征的混乱照护。这类照护者放弃其照护角色，未能为孩子提供保护。从历史上看，对混乱照护的测量仅限于冗长、耗费人力的访谈，这表明需要其他可行的工具来评估这一重要概念。此外，很少有研究调查混乱照护的相关因素。参与者包括120名背景各异、主要为经济上处于不利地位的女性，她们参与了一项纵向研究，该研究考察孩子出生前后的心理社会风险因素。参与者完成了照护无助问卷（CHQ；C. 乔治和J. 所罗门，2011年）以及评估母亲心理健康、创伤暴露、育儿压力和婴儿社会情感适应的测量。结果表明，基于CHQ的照护者无助和恐惧与母亲抑郁、育儿压力以及对婴儿社会情感问题的认知呈正相关。重要的是，结果还揭示了当前母亲创伤经历与母亲报告的无助和恐惧之间的显著关联。本研究结果表明，CHQ可能是筛查婴儿母亲中混乱照护情况的有效工具。此外，一些母亲的经历可能与孩子出生后的混乱照护有关。
