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过去的依恋经历、心理化的潜在联系以及心理健康问题母亲对孩子行为的传递:临床样本的横断面分析。

Past attachment experiences, the potential link of mentalization and the transmission of behavior to the child by mothers with mental health problems: cross-sectional analysis of a clinical sample.

机构信息

International Psychoanalytic University, Stromstr. 3B, 10555, Berlin, Germany.

Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Leipzig, Germany.

出版信息

Eur Child Adolesc Psychiatry. 2024 Jun;33(6):1883-1894. doi: 10.1007/s00787-023-02291-9. Epub 2023 Sep 5.

DOI:10.1007/s00787-023-02291-9
PMID:37668699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11211145/
Abstract

Maternal capacity to mentalize (= reflective functioning, RF), secure attachment and emotionally available parenting has an impact on the child's development. The transmission of mothers' past attachment experiences gained with both her caregivers in her own childhood and the impact on current mother-child interaction is part of the 'transmission gap.' This study explores the transgenerational transmission mechanisms and the potential moderating effect of RF in a clinical sample of 113 mother-child dyads suffering from mental health problems. In a cross-sectional study, the associations between maternal attachment experiences, RF (coded based on Adult Attachment Interviews) and current mother-child interaction (Emotional Availability Scales) were examined with univariate correlation, moderator analyses, and structural equation models. We found relationships between attachment experiences and mother-child interaction, but RF had no moderating effect. Past loving experiences and perceived neglection, particularly with the own father in childhood, were predictors for the present mother-child interaction. There seems to be an intergenerational transmission of attachment experiences to the ongoing generation. Particularly past adverse childhood experiences with the own father seem to explain currently disruptive interactions with the child.Trial registration: DRKS00017008 and DRKS00016353.

摘要

母亲的心理化能力(=反思功能,RF)、安全依恋和情感上可接受的育儿方式对孩子的发展有影响。母亲在自己的童年时期与照顾者的过去依恋经历的传递,以及对当前母婴互动的影响,是“传递缺口”的一部分。本研究在一个患有心理健康问题的 113 对母婴对照组中,探索了代际传递机制和 RF 的潜在调节作用。在横断面研究中,采用单变量相关分析、调节分析和结构方程模型,研究了母婴依恋经历、RF(基于成人依恋访谈进行编码)和当前母婴互动(情感可用性量表)之间的关联。我们发现依恋经历与母婴互动之间存在关联,但 RF 没有调节作用。过去的关爱经历和感知到的忽视,特别是在童年时期与自己的父亲,是当前母婴互动的预测因素。似乎存在着代际传递的依恋经验到当前的一代。特别是过去与自己父亲的不良童年经历,似乎可以解释目前与孩子的互动中断。试验注册:DRKS00017008 和 DRKS00016353。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2ca/11211145/b07e3d031879/787_2023_2291_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2ca/11211145/f7bd358d4a7d/787_2023_2291_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2ca/11211145/b07e3d031879/787_2023_2291_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2ca/11211145/f7bd358d4a7d/787_2023_2291_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2ca/11211145/b07e3d031879/787_2023_2291_Fig2_HTML.jpg

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