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母亲抑郁症状与儿童行为问题:依恋安全性作为保护因素。

Maternal depressive symptoms and child behavior problems: Attachment security as a protective factor.

机构信息

Department of Psychology, University of Maryland, College Park, MD, USA.

Department of Psychology, University of Virginia, Charlottesville, VA, USA.

出版信息

Dev Psychopathol. 2023 May;35(2):678-688. doi: 10.1017/S0954579421001802. Epub 2022 Jan 31.

Abstract

Maternal depressive symptoms (MDS) have been linked to both child internalizing and externalizing behavior problems. Theory suggests that child attachment security may be a protective factor against the negative effects of MDS. This study examined child attachment security as a buffer of the link between MDS and child internalizing and externalizing behavior problems at two time points in a predominantly African American sample. Participants included mothers ( = 164; = 29.68 years; 76% African American) and their preschool-aged children (60% girls; = 44.67 months) recruited from four Head Start centers in low-income neighborhoods in Baltimore, Maryland. MDS were concurrently associated with child internalizing and externalizing behavior problems at both time points. No significant main effects of child attachment security on behavior problems emerged; however, child attachment moderated the association between MDS and child internalizing behavior problems at Time 2, such that MDS predicted greater child internalizing problems when attachment security was low, and the effect was attenuated when attachment security was high. No interaction emerged for child externalizing problems. Findings suggest that secure attachment in early childhood can serve as a protective factor in the context of parental risk. We discuss implications for intervention and the intergenerational transmission of psychopathology.

摘要

产妇抑郁症状 (MDS) 与儿童的内化和外化行为问题都有关联。理论表明,儿童的依恋安全性可能是对 MDS 负面影响的一种保护因素。本研究在马里兰州巴尔的摩低收入社区的四个 Head Start 中心招募了母亲(n=164;年龄=29.68 岁;76%为非裔美国人)及其学龄前儿童(60%为女孩;年龄=44.67 个月),在两个时间点上,以检验儿童依恋安全性是否可以缓冲 MDS 与儿童内化和外化行为问题之间的联系。在两个时间点上,MDS 与儿童的内化和外化行为问题均存在关联。儿童依恋安全性对行为问题没有显著的主效应;然而,在第二时间点,儿童依恋调节了 MDS 与儿童内化行为问题之间的关系,即当依恋安全性较低时,MDS 预测儿童内化问题会更严重,而当依恋安全性较高时,这种影响会减弱。儿童外化问题没有出现交互作用。研究结果表明,在父母风险的背景下,幼儿时期的安全依恋可以作为一种保护因素。我们讨论了干预措施和精神病理学代际传递的意义。

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