Dollberg Daphna, Feldman Ruth, Keren Miri, Guedeney Antoine
Bar-Ilan University and Geha Psychiatric Hospital, Israel.
Bar-Ilan University.
Infant Ment Health J. 2006 May;27(3):292-309. doi: 10.1002/imhj.20093.
To examine the relations between infants' sustained withdrawal behavior and children's mental health status and maternal and child relational behavior, 36 clinic-referred and 43 control infants were evaluated. Families were visited at home, mother-child free play and feeding interactions were videotaped, and mothers completed self-report measures. Interactions were coded for sustained withdrawal using the Alarm Distress Baby Scale (ADBB; Guedeney and Fermanian, 2001) and for global relational patterns with the Coding of Interactive Behavior (CIB; Feldman, 1998). Higher ADBB scores were found for the referred group, with many infants (38.9% ) scoring above the clinical cutoff (vs. 11.6% in the control group). More negative relational patterns were found for the withdrawn group in terms of higher maternal intrusiveness, lower reciprocity, and lower child involvement. Associations were found between maternal and child behavior during play and feeding and child sustained withdrawal behavior at play. Sustained withdrawal also was associated with unpredictable child temperament and lower sense of parental self-efficacy. Maternal depressive symptoms were higher in the referred group and correlated with maternal and child relational patterns. The findings contribute to the construct and discriminant validity of the CIB and the ADBB coding systems, and suggest that sustained withdrawal may serve as a risk indicator for early socioemotional disorders.
为了探究婴儿持续退缩行为与儿童心理健康状况以及母婴关系行为之间的关系，对36名临床转诊婴儿和43名对照婴儿进行了评估。研究人员到这些家庭进行家访，对母婴自由玩耍和喂食互动进行录像，母亲们完成了自我报告测量。互动行为使用警报痛苦婴儿量表（ADBB；Guedeney和Fermanian，2001）对持续退缩进行编码，并使用互动行为编码（CIB；Feldman，1998）对整体关系模式进行编码。结果发现，转诊组的ADBB得分更高，许多婴儿（38.9%）得分高于临床临界值（对照组为11.6%）。在退缩组中发现了更多消极的关系模式，表现为母亲的侵扰性更高、互动性更低以及孩子的参与度更低。在玩耍和喂食过程中，母婴行为与孩子在玩耍时的持续退缩行为之间存在关联。持续退缩还与难以预测的儿童气质以及较低的父母自我效能感有关。转诊组中母亲的抑郁症状更严重，且与母婴关系模式相关。这些发现有助于CIB和ADBB编码系统的结构效度和区分效度，并表明持续退缩可能是早期社会情感障碍的一个风险指标。
