Greve Kathrin, Müller Jörg Michael, Albers Carolin C, Romer Georg, Achtergarde Sandra
Klinik für Kinder- und Jugendpsychiatrie UKM Universitätsklinikum Münster Schmeddingstraße 50 48149 Münster Deutschland UKM Universitätsklinikum Münster.
Prax Kinderpsychol Kinderpsychiatr. 2020 Jan;69(1):22-39. doi: 10.13109/prkk.2020.69.1.22.
The quality of mother-child interaction and relationship is an essential risk factor for the development of mental disorders at preschool age. We examine maternal emotional competence and maternal level of psychopathology as predictors for the quality of mother-child relationship. At the beginning of their treatment a clinical sample of mother-child-dyads at the Child Psychiatric Family Day Hospital in Münster was assessed concerning the emotional competence of mothers (EKF), the maternal psychopathology (SCL) and the mother-child relationship quality, the latter with three different instruments reflecting the mother's, the child's and the therapist's perspective (PIR-GAS, SKEI, M-PCR). The mothers showed decreased results in the EKF scales emotional regulation, recognition of emotions and in the EKF-overall-score and presented a higher level of maternal psychopathology compared to the normal population. There is a direct relation between emotional regulation and the M-PCR scales affective bond and functional-conflict. Besides the direct influence of the maternal psychopathology, the expected moderator effect of emotional expressiveness and the M-PCR scale functional-conflict, reported by mothers, was apparent. Certain aspects of the emotional competence of mothers and their psychopathology show an influence on mother-child relationship quality. The method and the perspective of assessment are crucial to the results.
母婴互动及关系的质量是学龄前儿童发生精神障碍的一个重要风险因素。我们考察母亲的情绪能力和母亲的精神病理学水平,将其作为母婴关系质量的预测因素。在治疗开始时,对明斯特儿童精神科家庭日间医院的一组母婴临床样本进行了评估,内容包括母亲的情绪能力(EKF)、母亲的精神病理学状况(SCL)以及母婴关系质量,后者通过反映母亲、孩子和治疗师观点的三种不同工具进行评估(PIR-GAS、SKEI、M-PCR)。与正常人群相比,母亲们在EKF量表的情绪调节、情绪识别及EKF总分方面得分较低,且母亲的精神病理学水平较高。情绪调节与M-PCR量表的情感联结和功能冲突之间存在直接关系。除了母亲精神病理学的直接影响外,母亲报告的情绪表达和M-PCR量表功能冲突的预期调节作用也很明显。母亲情绪能力的某些方面及其精神病理学状况对母婴关系质量有影响。评估方法和评估视角对结果至关重要。