Kersten-Alvarez Laura E, Hosman Clemens M H, Riksen-Walraven J Marianne, Van Doesum Karin T M, Hoefnagels Cees
Radboud University Nijmegen and Indigo/Pro Persona, The Netherlands.
Radboud University Nijmegen and Maastricht University, The Netherlands.
Infant Ment Health J. 2011 May;32(3):362-376. doi: 10.1002/imhj.20301.
Improving depressed mothers' sensitivity is assumed to be a key element in preventing adverse outcomes for children of such mothers. This meta-analysis examines the short-term effectiveness of preventive interventions in terms of enhancing depressed mothers' sensitivity toward their child and investigates what type of intervention is most effective. Thirteen interventions, reported in 10 controlled outcome studies, met the inclusion criteria (N = 918). Meta-analytic results showed a small to medium, significant mean effect size (g = 0.32) with large variation in individual effect sizes (-0.56-1.76). Interventions including baby massage were highly effective in improving maternal sensitivity (g = 0.85). In contrast, individual therapy for the mother proved ineffective in terms of improving maternal sensitivity (g = -0.00). Two other significant predictors of greater effect sizes were the inclusion of a support group and the use of a higher number of intervention methods; however, the significance of these results was largely accounted for by one single study. Our meta-analysis confirms that depressed mothers' sensitivity can be improved by preventive intervention and suggests that baby massage may be an effective intervention method to evoke short-term changes in maternal sensitivity. It is unclear whether these changes are maintained over time.
提高抑郁母亲的敏感性被认为是预防此类母亲的孩子出现不良后果的关键因素。本荟萃分析考察了预防性干预在增强抑郁母亲对其孩子的敏感性方面的短期效果，并探究哪种类型的干预最为有效。10项对照结局研究报告的13种干预措施符合纳入标准（N = 918）。荟萃分析结果显示，平均效应量为小到中等且显著（g = 0.32），个体效应量差异较大（-0.56 - 1.76）。包括婴儿按摩在内的干预措施在提高母亲敏感性方面非常有效（g = 0.85）。相比之下，事实证明，针对母亲的个体治疗在提高母亲敏感性方面无效（g = -0.00）。效应量更大的另外两个显著预测因素是纳入支持小组和使用更多的干预方法；然而，这些结果的显著性很大程度上由一项单一研究所解释。我们的荟萃分析证实，预防性干预可以提高抑郁母亲的敏感性，并表明婴儿按摩可能是一种有效的干预方法，可引起母亲敏感性的短期变化。目前尚不清楚这些变化是否会随着时间的推移而持续存在。
