Rosenblum Katherine, Lawler Jamie, Alfafara Emily, Miller Nicole, Schuster Melisa, Muzik Maria
Department of Psychiatry, University of Michigan, Rachel Upjohn Building, 4250 Plymouth Rd, Ann Arbor, MI, 48109, USA.
Center for Human Growth and Development, University of Michigan, Ann Arbor, MI, USA.
Child Psychiatry Hum Dev. 2018 Jun;49(3):372-384. doi: 10.1007/s10578-017-0757-5.
A key mechanism of risk transmission between maternal risk and child outcomes are the mother's representations. The current study examined the effects of an attachment-based, trauma-informed parenting intervention, the Mom Power (MP) program, in optimizing maternal representations of high-risk mothers utilizing a randomized, controlled trial design (NCT01554215). High-risk mothers were recruited from low-income community locations and randomized to either the MP Intervention (n = 42) or a control condition (n = 33) in a parallel design. Maternal representations were assessed before and after the intervention using the Working Model of the Child Interview. The proportion of women with balanced (secure) representations increased in the MP group but not in the control group. Parenting Reflectivity for mothers in the treatment group significantly increased, with no change in the control condition. Participation in the MP program was associated with improvements in a key indicator of the security of the parent-child relationship: mothers' representations of their children.
母亲风险与儿童结局之间风险传递的一个关键机制是母亲的表征。本研究采用随机对照试验设计（NCT01554215），考察了一种基于依恋、创伤知情的育儿干预措施——“妈妈力量”（MP）项目，对优化高危母亲的母亲表征的效果。高危母亲从低收入社区招募，采用平行设计随机分为MP干预组（n = 42）或对照组（n = 33）。干预前后使用儿童访谈工作模型评估母亲的表征。MP组中具有平衡（安全）表征的女性比例增加，而对照组没有。治疗组母亲的育儿反思能力显著提高，而对照组没有变化。参与MP项目与亲子关系安全性的一个关键指标的改善有关：母亲对其子女的表征。
