Fuertes Marina, Faria Anabela, Gonçalves Joana L, Antunes Sandra, Dionisio Francisco
Centro de Psicologia, University of Porto, 4200-135 Porto, Portugal.
Escola Superior de Educação de Lisboa, Instituto Politécnico de Lisboa, 1549-020 Lisboa, Portugal.
Children (Basel). 2023 Jul 17;10(7):1232. doi: 10.3390/children10071232.
Prior research found an association between mother-infant attachment and antibiotic use. Ambivalent-attached infants are more likely to take antibiotics than other infants, and their mothers tend to be less sensitive to their needs than most. This finding is important because it shows the association between psychological processes, early relationships, and health outcomes. We aim to learn about children with high-risk attachment relationships, such as disorganized-attached infants. This study compares antibiotic use, infant-mother interactive behavior, and health indicators according to infant attachment patterns (including disorganized attachment). For this purpose, we observed mothers-infants' interactive behavior in free play at nine months and infants' attachment in the Ainsworth Strange Situation at twelve months. Participants included 77 girls and 104 boys (full-term and preterm) and their mothers. Paradoxically, mothers of disorganized-attached infants reported that their children were ill only 1.56 times on average, but 61% of their children used antibiotics in the first nine months. The other mothers reported that their children were sick 5.73 times on average, but only 54% of their children used antibiotics in the same period. Infants with disorganized attachment had mothers who were more literate and less sensitive. These results add to a body of research that shows that early high-risk relationships affect children's lives at multiple levels.
先前的研究发现母婴依恋与抗生素使用之间存在关联。矛盾型依恋的婴儿比其他婴儿更有可能使用抗生素,而且他们的母亲往往比大多数母亲对孩子的需求更不敏感。这一发现很重要,因为它表明了心理过程、早期关系和健康结果之间的联系。我们旨在了解具有高风险依恋关系的儿童,比如混乱型依恋的婴儿。本研究根据婴儿的依恋模式(包括混乱型依恋)比较抗生素使用情况、母婴互动行为和健康指标。为此,我们观察了九个月大婴儿在自由玩耍时母婴的互动行为,以及十二个月大婴儿在安斯沃思陌生情境中的依恋情况。参与者包括77名女孩和104名男孩(足月儿和早产儿)及其母亲。矛盾的是,混乱型依恋婴儿的母亲报告说她们的孩子平均仅生病1.56次,但在出生后的前九个月里,她们孩子中有61%使用了抗生素。其他母亲报告说她们的孩子平均生病5.73次,但同期她们的孩子中只有54%使用了抗生素。混乱型依恋的婴儿其母亲受教育程度更高且更不敏感。这些结果补充了一系列研究,表明早期的高风险关系会在多个层面影响儿童的生活。