Georg Anna, Schröder Paul, Cierpka Manfred, Taubner Svenja
Institut für Psychosoziale Prävention Universitätsklinikum Heidelberg Bergheimer Straße 54 69115 Heidelberg Deutschland Institut für Psychosoziale Prävention am Universitätsklinikum Heidelberg.
Prax Kinderpsychol Kinderpsychiatr. 2018 Jul;67(5):421-441. doi: 10.13109/prkk.2018.67.5.421.
Parental Reflective Functioning and its Relation to Parenting Stress in a Sample with Early Regulatory Disorders Parents' capacity to reflect on their child as a mental agent, is defined as an important competence for the early parent-infant relationship. One way to operationalize this is parental reflective functioning (PRF) that distinguishes between mentalizing and non-mentalizing modes of reflection. Until today PRF has not been investigated in samples of infants/toddlers with early regulatory disorders. Goal of the present study is to investigate PRF by comparing a clinical group with parents of infants/toddlers with early regulatory disorders (N = 98) with a healthy control group (N = 27) and testing if PRF is related to parenting stress, past mental illness of the mother, and stress factors related to pregnancy and birth. A semi-structured clinical interview, the Parenting Stress Index, the Symptom-Check-List-90R-S, the Parental Reflective Functioning Questionnaire, and an anamnestic questionnaire were used. Compared to the control group, mothers of infants/toddlers with early regulatory disorders reported significant more prementalizing. Prementalizing in the total sample was significantly predicted by parenting stress, accounting for 16.3 % of the variance. None of the other independent variables significantly predicted prementalizing. Results are discussed in relation to early regulatory disorders and implications for clinical practice.
父母反思功能及其与患有早期调节障碍样本中育儿压力的关系 父母将孩子视为具有心理活动的个体进行反思的能力，被定义为早期亲子关系中的一项重要能力。实现这一点的一种方法是父母反思功能（PRF），它区分了心理化和非心理化的反思模式。到目前为止，尚未在患有早期调节障碍的婴幼儿样本中对PRF进行研究。本研究的目的是通过比较一个临床组（98名患有早期调节障碍婴幼儿的父母）和一个健康对照组（27名）来研究PRF，并测试PRF是否与育儿压力、母亲过去的精神疾病以及与怀孕和分娩相关的压力因素有关。使用了半结构化临床访谈、育儿压力指数、症状自评量表90R-S、父母反思功能问卷和一份记忆问卷。与对照组相比，患有早期调节障碍婴幼儿的母亲报告的前心理化显著更多。育儿压力显著预测了总样本中的前心理化，占方差的16.3%。其他自变量均未显著预测前心理化。结合早期调节障碍对结果进行了讨论，并探讨了其对临床实践的启示。
