Cardiff University Centre for Human Developmental Science, School of Psychology, Cardiff University, Cardiff, UK.
Centre for Trials Research, Cardiff University, Cardiff, UK.
Infant Ment Health J. 2020 Jul;41(4):463-476. doi: 10.1002/imhj.21849. Epub 2020 Feb 11.
A mother's propensity to refer to internal states during mother-child interactions is important for her child's developing social understanding. However, adolescent mothers are less likely to reference internal states when interacting with their children. We investigated whether young mothers' references to internal states are promoted by the Family Nurse Partnership (FNP) intervention, an intensive home-visiting programme designed to support adolescent mothers in England. We also investigated family, maternal, and child factors associated with young mothers' references to inner states during interactions with their children. Adolescent mothers (n = 483, aged ≤ 19 years when recruited in pregnancy) and their children participated in an observational substudy of a randomized controlled trial investigating the impact of FNP compared to usual care. Mother-child dyads were video-recorded during free play, and mothers' speech was coded for use of internal state language (references to cognitions, desires, emotions, intentions, preferences, physiology, and perception). We found no differences in mothers' use of internal state language between the FNP and usual care groups. A sample-wide investigation identified that other features of mothers' language and relationship status with the child's father were associated with internal state language use. Findings are discussed with reference to targeted interventions and implications for future research.
母亲在与孩子互动时倾向于提及内在状态，这对孩子发展社会理解能力很重要。然而，青少年母亲在与孩子互动时较少提及内在状态。我们研究了家庭护士合作（FNP）干预是否可以促进年轻母亲对内在状态的提及，FNP 是一项旨在支持英国青少年母亲的强化家庭探访计划。我们还研究了与年轻母亲在与孩子互动时提及内在状态相关的家庭、产妇和儿童因素。青少年母亲（n=483，招募时年龄≤19 岁）及其子女参与了一项随机对照试验的观察性子研究，该试验调查了 FNP 与常规护理相比的影响。在自由玩耍期间，对母婴对子进行录像，对母亲的言语进行编码，以记录其使用内在状态语言（提及认知、欲望、情感、意图、偏好、生理和感知）的情况。我们发现 FNP 组和常规护理组的母亲使用内在状态语言没有差异。对样本范围的调查确定，母亲语言的其他特征以及与孩子父亲的关系状况与内在状态语言的使用有关。研究结果与靶向干预措施和对未来研究的意义有关。
