Okitundu-Luwa Daniel, Imbula Essam Brigitte, Sombo Ayanne Marie-Thérèse, Ndjukendi Omba Ally, Otete Djamba Franck, Kayembe Kalula Tharcisse, Kamanga Mbuyi Timothée, Guedeney Antoine, Kashala-Abotnes Espérance
Unités de Neurologie Pédiatrique et de Neuropsychologie, Département de Neurologie, Centre Neuro Psycho Pathologique du Mont-Amba, Faculté de Médecine, Université de Kinshasa, B.P.825, Kinshasa, Democratic Republic of the Congo.
Service de Psychiatrie Femme et Enfants, Département de psychiatrie, Centre Neuro Psycho Pathologique du Mont-Amba, Faculté de Médecine, Université de Kinshasa, Kinshasa, Democratic Republic of the Congo.
Eur Child Adolesc Psychiatry. 2023 Mar;32(3):427-437. doi: 10.1007/s00787-021-01873-9. Epub 2021 Sep 18.
Little is known about the relationship between maternal affectivity, social withdrawal and temperament in infants in low-income countries. The goal of the study was to assess the prevalence of social withdrawal behavior in infants aged 8 ± 2.3 months and to explore associations between maternal affectivity during pregnancy and postpartum, infant social withdrawal (as a sign of stress) and 'difficult' temperament as assessed by the mothers. 458 mother-infant dyads were recruited in the city's public mother and child health-care centers. The eight items of the Alarm Distress Baby scale (8-ADBB) and the five-item M (modified) ADBB (M-ADBB) were used to assess sustained withdrawal behavior (ISSWB). The Goldberg Depression and Anxiety Scales were used to assess maternal affectivity and mental well-being. A specially designed questionnaire was used to identify stressful events faced by the mother during pregnancy. The ELDEQ-QCB was used to assess the degree of difficulty in managing the baby. Using the M-ADBB, we found a striking figure of 69.2% for ISSWB with 8-ABB (range 0-29) and 72.7% with the M-ADBB (range 0-10). ISSWB was linked to negative maternal affectivity and to high incidence of stressful events for the mothers, and to the child being viewed as 'difficult' by the mother. Positive prenatal affectivity was a protective factor of ISSWB (OR 0.46). Results are compared with previous studies in Africa. Early screening for ISSWB and identification of factors affecting maternal mental well-being could help in early intervention and increase the chances of better child development.
在低收入国家，对于母亲情感、社交退缩与婴儿气质之间的关系知之甚少。本研究的目的是评估8±2.3个月婴儿社交退缩行为的发生率，并探讨孕期和产后母亲情感、婴儿社交退缩（作为压力迹象）以及母亲所评估的“难养型”气质之间的关联。在该市的公共母婴保健中心招募了458对母婴二元组。使用警报苦恼婴儿量表（8-ADBB）的八项内容和五项修正版ADBB（M-ADBB）来评估持续性退缩行为（ISSWB）。使用戈德堡抑郁和焦虑量表来评估母亲的情感和心理健康。使用一份专门设计的问卷来确定母亲在孕期所面临的压力事件。使用ELDEQ-QCB来评估照料婴儿的困难程度。使用M-ADBB，我们发现ISSWB在8-ABB量表（范围0-29）中的发生率高达69.2%，在M-ADBB量表（范围0-10）中的发生率为72.7%。ISSWB与母亲的负面情感、母亲经历压力事件的高发生率以及母亲认为孩子“难养”有关。产前积极情感是ISSWB的保护因素（比值比0.46）。将结果与非洲以往的研究进行了比较。对ISSWB进行早期筛查并确定影响母亲心理健康的因素有助于早期干预，并增加儿童获得更好发育的机会。
