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[早期干预背景下影响学龄前儿童心理理论发展的因素]

[Factors Influencing Theory of Mind Development in Preschoolers within the Context of Early Interventions].

作者信息

Dähne Verena, Klein Annette M, Jungmann Tanja, Sierau Susan, Kliem Sören

机构信息

Universität Leipzig Klinik und Poliklinik für Psychiatrie, Psychotherapie und Psychosomatik des Kindes- und Jugendalters Liebigstraße 20a 04103 Leipzig Deutschland Universität Leipzig, Klinik und Poliklinik für Psychiatrie, Psychotherapie und Psychosomatik des Kindes- und Jugendalters.

International Psychoanalytic University Berlin Stromstraße 1 10555 Berlin Deutschland International Psychoanalytic University Berlin.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2018 Jul;67(5):442-461. doi: 10.13109/prkk.2018.67.5.442.

Abstract

Factors Influencing Theory of Mind Development in Preschoolers within the Context of Early Interventions The Theory of Mind (ToM) competency is closely related to the child's cognitive, language, and socio-emotional development. In early interventions, skills and developmental processes associated with ToM development are often primary intervention targets, but empirical support for direct or indirect influences of early interventions on ToM development is missing so far. Within the home visiting program "Pro Kind" N = 755 families were accompanied by professionals from the last trimester of pregnancy until the child's second birthday. In the present follow-up study we investigated influences of treatment, pre- and postnatal family environment, parental competencies and child competencies on the ToM ability in a sample of n = 39 five-year-old children using Ctree analyses. Prenatal and current parental stress as well as an enriched family learning environment, and children's language competencies in interaction with temperament significantly predicted ToM competency. The treatment had no direct influence on ToM development. Thus, the results argue for the urgent need to address maternal stress regulation and mentalizing competencies in early interventions during pregnancy, as well as to focus on promoting positive stimulating learning environments and language development after the child's birth.

摘要

早期干预背景下影响学龄前儿童心理理论发展的因素 心理理论(ToM)能力与儿童的认知、语言和社会情感发展密切相关。在早期干预中,与ToM发展相关的技能和发展过程通常是主要干预目标,但迄今为止,早期干预对ToM发展的直接或间接影响缺乏实证支持。在“Pro Kind”家访项目中,755个家庭从怀孕最后三个月到孩子两岁生日一直有专业人员陪伴。在本次随访研究中,我们使用Ctree分析,在一个由39名五岁儿童组成的样本中,调查了治疗、产前和产后家庭环境、父母能力和儿童能力对ToM能力的影响。产前和当前的父母压力、丰富的家庭学习环境以及儿童在与气质互动中的语言能力显著预测了ToM能力。治疗对ToM发展没有直接影响。因此,研究结果表明迫切需要在孕期早期干预中解决母亲的压力调节和心理化能力问题,以及在孩子出生后关注促进积极刺激的学习环境和语言发展。

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