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产后依恋、养育方式与精神分裂症特质的相关性研究。

Investigation of associations between attachment, parenting and schizotypy during the postnatal period.

机构信息

Department of Health Research, Lancaster University, United Kingdom.

Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, United Kingdom.

出版信息

J Affect Disord. 2017 Oct 1;220:86-94. doi: 10.1016/j.jad.2017.05.040. Epub 2017 May 31.

Abstract

BACKGROUND

Parenting can be a stressful experience particularly for people with mental health problems or people who experienced abuse or attachment difficulties in their own childhoods. This study examined the relationships between earlier trauma, attachment, parenting and schizotypy in a non-clinical sample, with the specific hypothesis that parenting stress and competence would mediate any association between trauma, attachment and schizotypy.

METHODS

One hundred and thirty-four first time parents with a child under 12 months old completed the following questionnaires online: the Experiences of Close Relationships Scale - Short Form (ECR-S), the Schizotypal Personality Questionnaire - Brief, Revised (SPQ-BR) the Parenting Stress Scale, the Parenting Sense of Competence Scale (PSOC) and the Adverse Childhood Experiences (ACE) Questionnaire.

RESULTS

Parenting stress mediated the association between attachment and schizotypy, though parenting competence did not have a significant effect as a mediator in a parallel model. Childhood trauma was associated with attachment and schizotypy but did not correlate with the parenting variables.

LIMITATIONS

The study utilised a cross-sectional design and self-report measures which limits the ability to make causal inferences from the results. However, findings warrant replication in clinical samples with psychosis.

CONCLUSIONS

The study adds to the understanding of what may exacerbate schizotypal symptoms in the first 12 months postpartum as parental attachment insecurity and parental stress together predicted elevated self-reported experiences of schizotypal symptoms.

摘要

背景

育儿可能是一种压力很大的经历,尤其是对于那些有心理健康问题或在自己的童年时期经历过虐待或依恋困难的人。本研究在非临床样本中检查了早期创伤、依恋、育儿和精神分裂症之间的关系,具体假设是育儿压力和能力会在创伤、依恋和精神分裂症之间的任何关联中起中介作用。

方法

134 名有 12 个月以下孩子的初为人父母者在线完成了以下问卷:亲密关系经历量表-短版(ECR-S)、精神分裂症人格问卷-简短版修订版(SPQ-BR)、育儿压力量表、育儿能力感量表(PSOC)和不良童年经历(ACE)问卷。

结果

育儿压力中介了依恋和精神分裂症之间的关系,但在平行模型中,育儿能力并没有作为中介产生显著影响。儿童期创伤与依恋和精神分裂症有关,但与育儿变量无关。

局限性

该研究采用了横断面设计和自我报告的测量方法,这限制了从结果中得出因果推论的能力。然而,这些发现值得在有精神病的临床样本中进行复制。

结论

该研究增加了对产后 12 个月内哪些因素可能加重精神分裂症症状的理解,因为父母依恋不安全感和育儿压力共同预测了自我报告的精神分裂症症状体验升高。

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