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回忆与情感训练干预随机对照试验中的产妇自主性支持

Maternal Autonomy Support in a Randomized Controlled Trial of the Reminiscing and Emotion Training Intervention.

作者信息

McClaine Rachel N, Edler Katherine, Lawson Monica, Valentino Kristin

机构信息

Department of Psychological Sciences, Case Western Reserve University, Mather Memorial Building, Room 103, 11220 Bellflower Road, Cleveland OH 44106 USA.

Department of Psychology, University of Notre Dame, 390 Corbett Family Hall, Notre Dame, IN 46556 USA.

出版信息

Ment Health Prev. 2023 Dec;32. doi: 10.1016/j.mhp.2023.200304. Epub 2023 Nov 4.

Abstract

OBJECTIVE

The Reminiscing and Emotion Training (RET) intervention targets and improves maltreating mothers' elaboration and sensitivity in reminiscing (conversations about past emotional events), as well as children's emotion knowledge. However, in previous studies of RET, improvements in mothers' elaborative and sensitive reminiscing did not explain improvements in children's emotion knowledge. Thus, we evaluated whether RET is associated with improved maternal autonomy support during reminiscing and whether improved autonomy support is associated with enhanced child emotion knowledge after RET.

METHODS

The sample included 248 mothers (165 maltreating and 83 nonmaltreating) and their 3- to 6-year-old children involved in a randomized controlled trial of RET. At baseline, we assessed maternal and child receptive language, dyadic reminiscing, and children's emotion knowledge. Then, maltreating mothers were randomized either to receive RET or participate in an active control condition including case management and written parenting materials. Nonmaltreating mothers did not receive intervention and participated as an additional control group. Families then completed an eight-week follow-up assessment.

RESULTS

Maltreating mothers displayed significantly less baseline autonomy support during reminiscing than nonmaltreating mothers (partial eta squared = .028). Contrary to hypotheses, RET did not significantly improve autonomy support. However, baseline autonomy support was significantly and positively correlated with children's emotion knowledge at baseline ( = .20) and follow-up ( = .18).

CONCLUSION

Autonomy support during reminiscing may play a role in the development of emotion knowledge. Implications for developmental theory and clinical practice are discussed.

摘要

目的

回忆与情感训练(RET)干预旨在提高虐待儿童的母亲在回忆(关于过去情感事件的对话)中的阐述能力和敏感性,以及儿童的情感知识。然而,在先前关于RET的研究中,母亲阐述性和敏感性回忆的改善并不能解释儿童情感知识的改善。因此,我们评估了RET是否与回忆过程中母亲自主性支持的改善相关,以及自主性支持的改善是否与RET后儿童情感知识的增强相关。

方法

样本包括248名母亲(165名虐待儿童的母亲和83名非虐待儿童的母亲)及其3至6岁的孩子,他们参与了RET的随机对照试验。在基线时,我们评估了母亲和儿童的接受性语言、二元回忆以及儿童的情感知识。然后,虐待儿童的母亲被随机分配接受RET或参与包括个案管理和书面育儿材料的积极对照条件。非虐待儿童的母亲不接受干预,作为额外的对照组参与。家庭随后完成了为期八周的随访评估。

结果

与非虐待儿童的母亲相比,虐待儿童的母亲在回忆过程中基线自主性支持显著更少(偏 eta 平方 = 0.028)。与假设相反,RET并没有显著改善自主性支持。然而,基线自主性支持与基线时(r = 0.20)和随访时(r = 0.18)儿童的情感知识显著正相关。

结论

回忆过程中的自主性支持可能在情感知识的发展中起作用。讨论了对发展理论和临床实践的启示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0812/11315423/7140665c0d8b/nihms-1946165-f0001.jpg

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