Phipps S, Drotar D, Joseph C, Geiss C, Doershuk C
Department of Psychology, Case Western Reserve University, Cleveland, Ohio.
J Dev Behav Pediatr. 1989 Feb;10(1):7-12.
Mothers of 30 infants who had experienced an emergency apnea episode and were placed on a home apnea monitor were studied longitudinally, using measures of mood disturbance (anxiety, depression, hostility, fatigue, vigor and confusion). Mothers were assessed at the time of hospitalization immediately following the apnea episode, after approximately one month of home monitoring, and after three months of home monitoring. Measures of family resources, health locus of control, and coping style, involving preference for information under situations of threat, were obtained as predictor variables. A high level of mood disturbance was seen initially, but this was transient, diminishing significantly after the first month of monitoring. Level of family resources was highly predictive of mood disturbance throughout the study period, while health locus of control beliefs were predictive of changes in mood disturbance over time. These findings suggest a means for identifying families at higher risk for maladaptive responses, and in need of more intensive psychosocial support.
对30名经历过紧急呼吸暂停发作并在家中使用呼吸暂停监测仪的婴儿的母亲进行了纵向研究，采用了情绪障碍测量方法（焦虑、抑郁、敌意、疲劳、活力和困惑）。在呼吸暂停发作后立即住院时、在家监测约一个月后以及在家监测三个月后对母亲进行评估。获取了家庭资源、健康控制点和应对方式的测量数据，其中应对方式涉及在威胁情况下对信息的偏好，作为预测变量。最初观察到较高水平的情绪障碍，但这是短暂的，在监测的第一个月后显著减少。在整个研究期间，家庭资源水平对情绪障碍具有高度预测性，而健康控制点信念则对情绪障碍随时间的变化具有预测性。这些发现提示了一种识别具有适应不良反应高风险且需要更强化心理社会支持的家庭的方法。
