Koyuncu Zehra, Zabcı Neslihan, Sandıkçı Tuncay, Kaya Abidin, Kara Halide, Kara Eyyup, Doğangün Burak
Department of Child and Adolescent Psychiatry, Istanbul University-Cerrahpaşa, Cerrahpaşa Medical Faculty, Istanbul, Türkiye.
Department of Psychology, Yeditepe University, Istanbul, Türkiye.
Psychiatry Clin Psychopharmacol. 2024 Jun 1;34(2):153-162. doi: 10.5152/pcp.2024.23784. eCollection 2024 Jun.
Based on previous studies reporting language disorders associated with maternal overload and changes in parenting practices, this study aimed to investigate maternal gatekeeping and overprotectiveness in developmental language disorder (DLD).
Forty-five children with DLD and 46 children with typical language development (TLD) children were included in this study. To assess the level of maternal gatekeeping and overprotectiveness, we employed Maternal Gatekeeping Scale (MGS) and Parent Attitude Scale (PAS). Additionally, participant's language abilities were evaluated using Test of Early Language Development-3 (TELD-3), and their overall developmental status was assessed using Denver Development Screening Test-2 (DDST-II). Immitance-metric assessment and auto-acoustic emission testing were also used to assess hearing functions.
Mean PAS-overprotection (34.1 ± 8.4, 24.3 ± 5.9, < .001) and MGS total scores (141.7 ± 24.1, 115.7 ± 20.5, < .001) in children with DLD were significantly higher than those of the TLD. Factors affecting MGS scores were investigated using Multiple linear regression analysis. DLD diagnosis (β = 14.195, = .029), PAS-overprotection (β = 1.158, = .001) and family income level (β = 9.643, = .045) were found as significantly associated with MGS scores. In addition, PAS-overprotective obtained to have a partial mediating role in the relationship between DLD diagnosis and MGS scores (β = .391, < .001).
Present study reveals that maternal gatekeeping is associated with DLD and overprotection. These findings underscore the importance of evaluating motherhood practices and fostering independency supportive attitudes in the care for children with DLD.
基于以往有关与母亲负担过重及育儿方式变化相关的语言障碍的研究，本研究旨在调查发育性语言障碍（DLD）中的母亲把关和过度保护情况。
本研究纳入了45名患有DLD的儿童和46名语言发育正常（TLD）的儿童。为评估母亲把关和过度保护的程度，我们采用了母亲把关量表（MGS）和父母态度量表（PAS）。此外，使用早期语言发展测试-3（TELD-3）评估参与者的语言能力，并使用丹佛发育筛查测试-2（DDST-II）评估他们的整体发育状况。还使用声导抗测量评估和自动听性发射测试来评估听力功能。
DLD儿童的平均PAS-过度保护得分（34.1±8.4，24.3±5.9，P<.001）和MGS总分（141.7±24.1，115.7±20.5，P<.001）显著高于TLD儿童。使用多元线性回归分析研究影响MGS得分的因素。发现DLD诊断（β=14.195，P=.029）、PAS-过度保护（β=1.158，P=.001）和家庭收入水平（β=9.643，P=.045）与MGS得分显著相关。此外，发现PAS-过度保护在DLD诊断与MGS得分之间的关系中起部分中介作用（β=.391，P<.001）。
本研究表明母亲把关与DLD和过度保护有关。这些发现强调了评估育儿方式以及在照顾DLD儿童时培养支持独立性态度的重要性。
