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母亲在婴儿生命的第一年对婴儿的照顾表现:与产前和同期的反思功能的关联。

Maternal caregiving representations of the infant in the first year of life: Associations with prenatal and concurrent reflective functioning.

机构信息

Merrill-Palmer Skillman Institute, Wayne State University, Detroit, Michigan, USA.

Department of Psychology Michigan State University, East Lansing, Michigan, USA.

出版信息

Infant Ment Health J. 2022 Mar;43(2):311-327. doi: 10.1002/imhj.21951. Epub 2021 Dec 8.

DOI:10.1002/imhj.21951
PMID:34879170
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9435997/
Abstract

Few studies have examined whether maternal caregiving representations are associated with maternal reflective functioning (MRF), especially when MRF is evaluated longitudinally beginning in pregnancy. This study addresses this gap by evaluating whether prenatal and postnatal MRF are associated with mothers' caregiving representations assessed at 7 months postpartum, and by exploring theoretically unexpected MRF scores in each of the representational categories. Forty-seven mothers were recruited during their last trimester of pregnancy from an obstetrics clinic at a university hospital located in a large mid-western city in the United States. During pregnancy, mothers completed the Pregnancy Interview, and at 7 months postpartum they completed the Parent Development Interview (PDI) and the Working Model of the Child Interview. Results indicate that higher prenatal and postnatal MRF increased the odds of being classified as balanced versus disengaged. At 7 months, MRF also increased the odds of being balanced vs. distorted. Ten mothers who were classified as balanced or distorted had unexpected prenatal MRF scores, and six mothers had unexpected MRF scores when representations were assessed concurrently. Mothers classified as balanced with low MRF scores tended to have a low level of education, whereas mothers classified as distorted with high MRF scores had responses that were hostile, helpless, and role-reversed.

摘要

很少有研究探讨母婴照护的代表性是否与母婴反射功能(MRF)有关,尤其是当 MRF 从怀孕开始就进行纵向评估时。本研究通过评估产前和产后 MRF 是否与产后 7 个月时母亲的母婴照护代表性评估有关,并探讨每个代表性类别中理论上意想不到的 MRF 评分,来填补这一空白。47 名母亲在美国中西部一个大城市的一所大学医院的妇产科接受招募。在怀孕期间,母亲们完成了妊娠访谈,产后 7 个月时,她们完成了父母发展访谈(PDI)和儿童工作模型访谈。结果表明,较高的产前和产后 MRF 增加了被归类为平衡型与不参与型的可能性。在 7 个月时,MRF 也增加了被归类为平衡型与歪曲型的可能性。10 名被归类为平衡型或歪曲型的母亲有意外的产前 MRF 评分,而 6 名母亲在同时评估代表性时 MRF 评分意外。被归类为低 MRF 评分的平衡型母亲往往受教育程度较低,而被归类为高 MRF 评分的歪曲型母亲则表现出敌对、无助和角色颠倒的反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9106/9435997/57943711d413/nihms-1831886-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9106/9435997/57943711d413/nihms-1831886-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9106/9435997/57943711d413/nihms-1831886-f0001.jpg

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Dev Psychopathol. 2022 Aug;34(3):755-763. doi: 10.1017/S0954579420001674. Epub 2021 Mar 2.
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Infant mental health home visiting: intervention dosage and therapist experience interact to support improvements in maternal reflective functioning.婴儿心理健康家访:干预剂量与治疗师经验相互作用,以支持母亲反思功能的改善。
Attach Hum Dev. 2022 Feb;24(1):53-75. doi: 10.1080/14616734.2020.1865606. Epub 2021 Jan 11.
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