Culley B S, Perrin E C, Chaberski M J
J Pediatr Health Care. 1989 Sep-Oct;3(5):237-45. doi: 10.1016/0891-5245(89)90003-5.
This study explores a possible precursor of the vulnerable child syndrome, a constellation of behaviors thought to develop as a result of excessive parental anxiety. Healthy 3-year-old children who had been born prematurely were compared to children born at term, using a single instrument. Mothers of premature infants reported a significantly greater sense of vulnerability about their children than did mothers of term infants. Antecedents and correlates of vulnerability are explored. Mothers with more education reported a greater sense of vulnerability than did less well-educated mothers, while mothers who reported greater well-being and marital satisfaction reported a lower sense of vulnerability. A greater sense of vulnerability was associated with more behavior problems and more somatic and internalizing symptoms. The data have important implications for nurses caring for infants in neonatal intensive care units, as well as in pediatric ambulatory and hospital settings.
本研究探讨了易受伤害儿童综合征的一种可能先兆，这是一组被认为因父母过度焦虑而产生的行为。使用单一工具，将早产的健康3岁儿童与足月出生的儿童进行比较。早产婴儿的母亲比足月婴儿的母亲报告了对自己孩子明显更强的脆弱感。对脆弱性的前因和相关因素进行了探讨。受教育程度较高的母亲比受教育程度较低的母亲报告了更强的脆弱感，而报告幸福感和婚姻满意度较高的母亲报告的脆弱感较低。更强的脆弱感与更多的行为问题以及更多的躯体和内化症状相关。这些数据对在新生儿重症监护病房以及儿科门诊和医院环境中护理婴儿的护士具有重要意义。
