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临床抑郁和非抑郁母亲对婴儿哭声的反应。

Response to Infant Cry in Clinically Depressed and Non-Depressed Mothers.

作者信息

Esposito Gianluca, Manian Nanmathi, Truzzi Anna, Bornstein Marc H

机构信息

Department of Psychology and Cognitive Science, University of Trento, Rovereto, Trentino, Italy.

Division of Psychology, School of Humanities and Social Sciences, Nanyang Technological University, Singapore.

出版信息

PLoS One. 2017 Jan 3;12(1):e0169066. doi: 10.1371/journal.pone.0169066. eCollection 2017.

Abstract

BACKGROUND

Bowlby and Ainsworth hypothesized that maternal responsiveness is displayed in the context of infant distress. Depressed mothers are less responsive to infant distress vocalizations (cry) than non-depressed mothers. The present study focuses on acoustical components of infant cry that give rise to responsive caregiving in clinically depressed (n = 30) compared with non-depressed mothers (n = 30) in the natural setting of the home.

METHODS

Analyses of infant and mother behaviors followed three paths: (1) tests of group differences in acoustic characteristics of infant cry, (2) tests of group differences of mothers' behaviors during their infant's crying, and (3) tree-based modeling to ascertain which variable(s) best predict maternal behaviors during infant cry.

RESULTS

(1) Infants of depressed mothers cried as frequently and for equal durations as infants of non-depressed mothers; however, infants of depressed mothers cried with a higher fundamental frequency (f0) and in a more restricted range of f0. (2) Depressed mothers fed, rocked, and touched their crying infants less than non-depressed mothers, and depressed mothers were less responsive to their infants overall. (3) Novel tree-based analyses confirmed that depressed mothers engaged in less caregiving during their infants' cry and indicated that depressed mothers responded only to cries at higher f0s and shorter durations. Older non-depressed mothers were the most interactive with infants.

CONCLUSIONS

Clinical depression affects maternal responsiveness during infant cry, leading to patterns of action that appear poorly attuned to infant needs.

摘要

背景

鲍尔比和安斯沃思假设,母亲的反应性体现在婴儿痛苦的情境中。与非抑郁母亲相比,抑郁母亲对婴儿痛苦的发声(哭泣)反应较少。本研究聚焦于在家庭自然环境中,与非抑郁母亲(n = 30)相比,临床抑郁母亲(n = 30)对哪些婴儿哭声的声学成分会产生反应性照料行为。

方法

对婴儿和母亲行为的分析遵循三条路径:(1)测试婴儿哭声声学特征的组间差异;(2)测试母亲在婴儿哭泣期间行为的组间差异;(3)基于树的建模,以确定哪些变量最能预测母亲在婴儿哭泣期间的行为。

结果

(1)抑郁母亲的婴儿与非抑郁母亲的婴儿哭泣频率相同,持续时间相等;然而,抑郁母亲的婴儿哭泣时基频更高,且基频范围更窄。(2)抑郁母亲给哭泣婴儿喂奶、摇晃和抚摸的次数比非抑郁母亲少,总体上对婴儿的反应也更少。(3)新的基于树的分析证实,抑郁母亲在婴儿哭泣时给予的照料较少,并表明抑郁母亲只对较高基频和较短持续时间的哭声做出反应。年龄较大的非抑郁母亲与婴儿的互动最多。

结论

临床抑郁症会影响母亲在婴儿哭泣时的反应性,导致其行为模式似乎与婴儿需求不太匹配。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87a8/5207505/1f9e187c9f22/pone.0169066.g001.jpg

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