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母婴互动和产妇产后心理困扰与婴幼儿的负性情绪反应有关-芬兰脑出生队列研究。

Mother-infant interaction and maternal postnatal psychological distress are associated with negative emotional reactivity among infants and toddlers- A FinnBrain Birth Cohort study.

机构信息

FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Finland; Department of Psychology, University of Turku, Finland.

FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Finland; Department of Psychology, University of Turku, Finland; Turku Institute for Advanced Studies, University of Turku, Finland.

出版信息

Infant Behav Dev. 2023 Aug;72:101843. doi: 10.1016/j.infbeh.2023.101843. Epub 2023 Jun 6.

Abstract

Studies have reported mixed findings regarding the effects of mother-infant interaction and maternal distress on children's negative emotional reactivity. In the current study (N = 134 and 107), we examined the effects of maternal Emotional Availability (sensitivity, structuring, non-intrusiveness and non-hostility) and maternal psychological distress on negative reactivity among children in the FinnBrain birth cohort study. In addition, the possible moderating effect of mother-infant interaction on the associations between maternal psychological distress and children's negative reactivity was examined. We used questionnaires to asses maternal psychological distress, observations of mother-infant interaction and observations as well maternal reports of child temperament to overcome the key limitations of many studies relying on single-method assessments. Our results showed that higher maternal sensitivity and structuring at 8 months of child's age were associated with lower mother-reported negative reactivity among children at 24 months. Higher maternal postnatal distress associated with higher parent-reported negative reactivity in children at 12 and 24 months of age when the effects of prenatal distress and the quality of mother-infant interaction were controlled for. Mother-infant interaction and maternal psychological distress did not associate with observations of child negative reactivity. We found no moderation effects of mother-infant interaction regarding the associations between maternal distress and children's negative emotional reactivity. Our findings reflect the importance of developing interventions to reduce the maternal distress symptoms while enhancing maternal sensitivity and structuring to prevent the possible harmful effects of these on child negative reactivity.

摘要

研究报告指出,母婴互动和母亲的焦虑对儿童负面情绪反应的影响结果不一。在本研究中(N=134 和 107),我们研究了母亲情感反应性(敏感性、组织性、非侵入性和非敌意)和母亲心理困扰对芬兰脑出生队列研究中儿童负面反应性的影响。此外,还研究了母婴互动对母亲心理困扰与儿童负面反应性之间关系的可能调节作用。我们使用问卷评估母亲的心理困扰,观察母婴互动以及观察和母亲报告的儿童气质,以克服许多依赖单一方法评估的研究的关键限制。我们的研究结果表明,在孩子 8 个月大时,母亲的敏感性和组织性越高,与孩子在 24 个月时母亲报告的负面反应性越低相关。当控制产前困扰和母婴互动质量的影响时,母亲产后困扰越高与孩子在 12 个月和 24 个月时父母报告的负面反应性越高相关。母婴互动和母亲的心理困扰与观察到的儿童负面反应性无关。我们没有发现母婴互动对母亲困扰与儿童负面情绪反应性之间的关联有调节作用。我们的研究结果反映了发展干预措施的重要性,这些干预措施旨在减少母亲的困扰症状,同时增强母亲的敏感性和组织性,以防止这些对儿童负面反应性产生可能的有害影响。

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