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产妇瓦解反应量表(MDRS):编制与初步验证。

The Maternal Disintegrative Responses Scale (MDRS): Development and initial validation.

机构信息

School of Social Work, Bar-Ilan University, Ramat Gan, Israel.

出版信息

J Clin Psychol. 2023 Feb;79(2):415-430. doi: 10.1002/jclp.23414. Epub 2022 Jul 9.

Abstract

OBJECTIVE

This study aimed to design and examine the validity of the Maternal Disintegrative Responses Scale (MDRS) to assess intrusive thoughts and dissociative experiences in the postpartum period.

METHOD

A convenience sample of 455 mothers whose babies were up to 12 months old completed the MDRS and a series of questionnaires assessing postnatal depression (Edinburgh Postnatal Depression Scale [EPDS]), childbirth-related post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), and general symptoms of dissociation.

RESULTS

The final scale consists of eight items tapping two dimensions, intrusive thoughts and dissociative experiences, and displays good psychometric properties. Both factors were found to be related to EPDS, PTSD OCD, and general symptoms of dissociation. Primiparous women scored higher than multiparous women on both dimensions, and mothers of infants up to 3 months old scored higher on dissociative experiences than those whose infants were aged 4-12 months.

CONCLUSIONS

The MDRS can contribute to the theoretical and practical conceptualization and assessment of these phenomena.

摘要

目的

本研究旨在设计并检验 Maternal Disintegrative Responses Scale(MDRS)的有效性,以评估产后期间的侵入性思维和分离体验。

方法

采用方便取样法,对 455 名婴儿年龄在 12 个月以下的母亲进行了 MDRS 及一系列问卷评估,包括产后抑郁(爱丁堡产后抑郁量表 [EPDS])、与分娩相关的创伤后应激障碍(PTSD)、强迫症(OCD)和一般分离症状。

结果

最终的量表由八项条目组成,分别涉及侵入性思维和分离体验两个维度,具有良好的心理测量学特性。两个因素都与 EPDS、PTSD、OCD 和一般分离症状有关。初产妇在两个维度上的得分均高于经产妇,婴儿年龄在 3 个月以下的母亲在分离体验上的得分高于婴儿年龄在 4-12 个月的母亲。

结论

MDRS 可以为这些现象的理论和实践概念化和评估做出贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6de/10084293/bf92530f2e0e/JCLP-79-415-g001.jpg

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