Puura Kaija, Guedeney Antoine, Mäntymaa Mirjami, Tamminen Tuula
Tampere University and University Hospital, Finland.
Hôpital Bichat-Claude Bernard, AP/HP Paris.
Infant Ment Health J. 2007 Jul;28(4):409-421. doi: 10.1002/imhj.20144.
The object of this paper was to study how the Baby Alarm Distress Scale (ADBB), developed as a simple screening tool for front line professionals working with infants, correlates with the more detailed assessment method of the Global Rating Scale (GRS) for Mother-Infant Interaction at two and four months. A sample of 127 eight- to eleven-week-old infants was videotaped in free interaction with their mothers, and infant interaction behavior was rated with both methods by independent researchers. Compared to the GRS infant scales the sensitivity of the ADBB, using the recommended cutoff point of 5 or more, was 0.77 and specificity 0.80. In further analyses it was found that deviant ratings of two items of the ADBB, the quality of eye contact between the infant and the caregiver and assessment of the sense of relationship between the infant and the caregiver, were the items most strongly associated with poor interaction skills of the infant on the GRS. Mothers of infants found deviant in the ADBB performed more poorly in the interaction with their infants when compared to mothers of infants found healthy in the ADBB. For the purpose of detecting deviations in infant interaction skills as signs of possible problems in early parent-infant interaction the ADBB seems to be a sufficiently sensitive and specific instrument. However, the results of this study still need to be tested with larger samples and against other observation methods.
本文的目的是研究作为一线从事婴儿工作的专业人员的一种简单筛查工具而开发的婴儿警报苦恼量表（ADBB），与全球母婴互动评定量表（GRS）在婴儿两个月和四个月时更详细的评估方法之间的相关性。对127名8至11周大的婴儿与其母亲自由互动的情况进行了录像，独立研究人员用这两种方法对婴儿的互动行为进行了评分。与GRS婴儿量表相比，ADBB使用推荐的临界值5分及以上时，敏感性为0.77，特异性为0.80。在进一步分析中发现，ADBB的两个项目评分异常，即婴儿与照顾者之间的眼神交流质量以及对婴儿与照顾者之间关系感觉的评估，是与婴儿在GRS上互动技能差最密切相关的项目。与ADBB评定为健康的婴儿的母亲相比，ADBB评定为异常的婴儿的母亲在与婴儿互动时表现更差。为了检测婴儿互动技能的偏差作为早期母婴互动中可能存在问题的迹象，ADBB似乎是一种足够敏感和特异的工具。然而，本研究的结果仍需用更大的样本并与其他观察方法进行验证。
