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6 至 24 个月婴儿高强度恐惧和恐惧调节的发展:母亲敏感性和抑郁症状的调节作用。

Development of Infant High-Intensity Fear and Fear Regulation from 6 to 24 Months: Maternal Sensitivity and Depressive Symptoms as Moderators.

机构信息

Department of Human Development & Family Science, College of Health and Human Science, Florida State University, Sandels 225, 120 Convocation Way, Tallahassee, FL, 32306, US.

出版信息

Res Child Adolesc Psychopathol. 2021 Nov;49(11):1473-1487. doi: 10.1007/s10802-021-00842-9. Epub 2021 Jun 25.

Abstract

This study tested bidirectional relations between infant high-intensity fear and fear regulation over 1.5 years, and maternal sensitivity and depressive symptoms as moderators. Participants were 1,292 mother-infant pairs prospectively assessed at three times when infants were 6, 15, and 24 months old. Infant high-intensity fear and fear regulation (avoidance, orienting to mother, attention regulation, and self-soothing) were observed during the Mask Task at each of these time points. Likewise, mothers reported their depressive symptoms, and their sensitivity was observed in a separate mother-child interaction task at each time point. Conditional multilevel growth models revealed that highly avoidant infants exhibited less initial high-intensity fear, but faster growth in high-intensity fear over time. Furthermore, highly avoidant infants exhibited more concurrent high-intensity fear when their mothers demonstrated low sensitivity. Unexpectedly, when their mothers were highly depressed, infants who used more attention regulation demonstrated more rapid growth of high-intensity fear over time. Finally, when their mothers were not depressed, infants exhibiting more high-intensity fear oriented more to their mothers concurrently. When their mothers reported high depressive symptoms over time, infants with more high-intensity fear initially oriented less to their mothers but more rapidly increased orienting to their mothers over time. Findings reveal the interplay between infant and maternal factors over time in development of infant high-intensity fear. In particular, maternal sensitivity protected highly fearful infants by rapidly reducing fear reactivity despite infant avoidance. In contrast, high maternal depressive symptoms introduced both immediate and enduring risks for infant fear development. Clinical implications are discussed.

摘要

本研究测试了婴儿高强度恐惧与恐惧调节之间在 1.5 年内的双向关系,并探讨了母亲敏感性和抑郁症状作为调节因素的作用。参与者是 1292 对母婴对,他们在婴儿 6、15 和 24 个月时分别进行了三次前瞻性评估。在每个时间点的面具任务中观察婴儿的高强度恐惧和恐惧调节(回避、面向母亲、注意力调节和自我安慰)。同样,母亲报告了她们的抑郁症状,在每个时间点的单独母婴互动任务中观察到了她们的敏感性。条件多层增长模型显示,高回避的婴儿表现出较低的初始高强度恐惧,但随着时间的推移,高强度恐惧的增长速度更快。此外,当母亲表现出低敏感性时,高回避的婴儿表现出更多的同时高强度恐惧。出乎意料的是,当母亲高度抑郁时,更多使用注意力调节的婴儿随着时间的推移表现出更高强度恐惧的更快增长。最后,当母亲没有抑郁时,表现出更多高强度恐惧的婴儿同时更多地将注意力转向母亲。当母亲随时间报告更高的抑郁症状时,最初对母亲的关注度较低但随着时间的推移对母亲的关注度增加更快的婴儿具有更高的高强度恐惧。研究结果揭示了婴儿和母亲因素随时间在婴儿高强度恐惧发展中的相互作用。特别是,尽管婴儿回避,但母亲的敏感性通过快速降低恐惧反应保护了高度恐惧的婴儿。相比之下,高母亲抑郁症状为婴儿的恐惧发展带来了即时和持久的风险。讨论了临床意义。

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