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对母亲产前对婴儿的表征与母婴依恋之间的一致和不一致进行社会情境理解。

A social-contextual understanding of concordance and discordance between maternal prenatal representations of the infant and infant-mother attachment.

作者信息

Huth-Bocks Alissa C, Theran Sally A, Levendosky Alytia A, Bogat G Anne

机构信息

Eastern Michigan University.

Wellesley College.

出版信息

Infant Ment Health J. 2011 Jul;32(4):405-426. doi: 10.1002/imhj.20304. Epub 2011 Jun 20.

DOI:10.1002/imhj.20304
PMID:28520170
Abstract

This prospective study examined the relationship between maternal prenatal representations of the infant and later infant-mother attachment, including contextual factors related to concordance and discordance among dyads over time. Participants were 173 pregnant women between the ages of 18 and 40 who were interviewed during their last trimester of pregnancy and 2 and 13 months after birth. Maternal representations were assessed by the Working Model of the Child Interview during pregnancy (WMCI; C.H. Zeanah, D. Benoit, L. Hirshberg, M.L. Barton, & C. Regan, 1994), and infant-mother attachment was assessed through the Strange Situation procedure (M.D.S. Ainsworth, M. Blehar, E. Waters, & S. Wall, 1978) when infants were 13 months old. There was substantial discordance between maternal and infant classifications, although a significant concordance rate was found when classifications were collapsed into balanced/secure and nonbalanced/insecure groups based on prenatal representations and postnatal infant attachment groups (60%; χ = 6.90, p < .01; κ .20). As expected, discordance between maternal representations and infant-mother attachment was meaningfully related to contextual risk factors, maternal depression, and infant behaviors.

摘要

这项前瞻性研究考察了母亲孕期对婴儿的表征与后期母婴依恋之间的关系,包括随着时间推移,二元组中一致性和不一致性相关的背景因素。研究对象为173名年龄在18至40岁之间的孕妇,在她们怀孕晚期以及产后2个月和13个月时接受访谈。孕期通过儿童访谈工作模型(WMCI;C.H. 泽纳、D. 贝努瓦、L. 赫什伯格、M.L. 巴顿和C. 里根,1994)评估母亲的表征,婴儿13个月大时通过陌生情境程序(M.D.S. 安斯沃思、M. 布莱尔、E. 沃特斯和S. 沃尔,1978)评估母婴依恋。母婴分类之间存在显著不一致,不过当根据产前表征和产后婴儿依恋组将分类合并为平衡/安全组和非平衡/不安全组时,发现了显著的一致率(60%;χ = 6.90,p <.01;κ =.20)。正如预期的那样,母亲表征与母婴依恋之间的不一致与背景风险因素、母亲抑郁和婴儿行为存在有意义的关联。

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