a Department of Psychology , DePaul University , Chicago , USA.
b Women and Infants Mental Health Program, Department of Psychiatry and Center for Human Growth & Development , University of Michigan , Michigan , USA.
Attach Hum Dev. 2018 Jun;20(3):272-286. doi: 10.1080/14616734.2018.1446735. Epub 2018 Mar 14.
The current study evaluated whether maternal insightfulness can buffer the negative influence of postpartum stressful life events on maternal parenting behaviors. Participants were 125 mother-infant dyads (55% boys) who present a subsample of a larger longitudinal study on maternal maltreatment during childhood and its impact on peripartum maternal adjustment. Women were primarily white and middle class. At 4 months postpartum, mothers reported on the stressful life events experienced after the child's birth and current depressive symptoms. At 6 months postpartum, maternal parenting quality was assessed using videotaped mother-infant interactions and maternal insightfulness was evaluated using the Insightfulness Assessment. Insightfulness significantly moderated the effect of postpartum stressful events on maternal parenting behaviors. Mothers who were insightful displayed high levels of positive parenting during interactions with their infant regardless of the amount of stressful life events experienced. In contrast, mothers classified as non-insightful showed less positive parenting as they experienced more stressful life events. Findings highlight the protective role of maternal insightfulness in the face of postpartum stress, and suggest that efforts to enhance insightfulness during the early postpartum period may be particularly relevant for women in high-risk contexts.
本研究评估了产妇洞察力是否可以缓冲产后应激性生活事件对产妇育儿行为的负面影响。参与者为 125 对母婴对子(55%为男孩),他们是一项关于儿童期受虐待及其对围产期产妇适应影响的更大纵向研究的子样本。女性主要是白人,中产阶级。在产后 4 个月时,母亲报告了孩子出生后经历的应激性生活事件和当前的抑郁症状。在产后 6 个月时,使用录像带记录的母婴互动评估了母亲的育儿质量,使用洞察力评估评估了母亲的洞察力。洞察力显著调节了产后应激性生活事件对母亲育儿行为的影响。无论经历多少应激性生活事件,洞察力强的母亲在与婴儿互动时表现出高水平的积极育儿行为。相比之下,被归类为洞察力差的母亲在经历更多应激性生活事件时表现出较少的积极育儿行为。研究结果强调了产妇洞察力在面对产后压力时的保护作用,并表明在产后早期阶段增强洞察力的努力对于高风险环境中的女性尤为重要。