School of Nursing, University of North Carolina at Chapel Hill, NC, United States.
School of Nursing, University of North Carolina at Chapel Hill, NC, United States.
J Pediatr Nurs. 2023 Sep-Oct;72:26-35. doi: 10.1016/j.pedn.2023.03.010. Epub 2023 Apr 8.
The purpose of this study was to investigate if social adversity is associated with mother reported emotional dysregulation behaviors and trajectories during infancy and early childhood.
DESIGN & METHODS: A secondary data analysis from the Durham Child Health and Development study study included 206 child-mother dyads. Three models were used to explore the relationship between social adversity and mother reported emotional dysregulation during infancy (Infant Behavior Questionnaire-Revised) and early childhood (Child Behavior Checklist - Dysregulation Profile). Linear mixed effects models were adopted to investigate if social adversity was associated with mother reported emotional dysregulation longitudinally. Regression analysis was conducted to explore if social adversity was associated with maternal reported emotional dysregulation trajectory slope scores and maternal reported emotional dysregulation trajectory class. Maternal psychological distress and the child's sex assigned at birth were included as covariates in each analysis.
Infants with greater social adversity scores had significantly higher maternal reported fear responses across the first year of life. Social adversity was associated with maternal reported distress to limitations trajectory, dysregulated recovery class, and dysregulated distress to limitations class. During early childhood social adversity was significantly associated with maternal reported emotional dysregulation but not trajectories which showed little variability.
CONCLUSION & PRACTICAL IMPLICATIONS: Our results indicate that social adversity is associated with maternal reported emotional dysregulation during infancy and early childhood. Nursing and other professionals can participate in early screening to determine risk and provide intervention.
本研究旨在探讨社会逆境是否与婴儿期和幼儿期母亲报告的情绪失调行为和轨迹有关。
对达勒姆儿童健康与发展研究中的 206 对母子进行二次数据分析。采用三种模型来探讨社会逆境与婴儿期(婴儿行为问卷修订版)和幼儿期(儿童行为检查表-失调特征)母亲报告的情绪失调之间的关系。采用线性混合效应模型来探讨社会逆境是否与母亲报告的情绪失调进行纵向相关。回归分析用于探索社会逆境是否与母亲报告的情绪失调轨迹斜率评分和母亲报告的情绪失调轨迹类别有关。在每个分析中,都将母亲的心理困扰和孩子的出生性别分配作为协变量。
社会逆境得分较高的婴儿在生命的第一年中母亲报告的恐惧反应明显更高。社会逆境与母亲报告的困扰限制轨迹、失调恢复类别以及失调困扰限制类别有关。在幼儿期,社会逆境与母亲报告的情绪失调显著相关,但与轨迹无关,后者显示出很小的可变性。
我们的结果表明,社会逆境与婴儿期和幼儿期母亲报告的情绪失调有关。护理和其他专业人员可以参与早期筛查,以确定风险并提供干预。