Beeghly M, Brazelton T B, Flannery K A, Nugent J K, Barrett D E, Tronick E Z
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts 02115, USA.
J Dev Behav Pediatr. 1995 Jun;16(3):158-66.
The efficacy of two contrasting short term preventative interventions administered to a heterogeneous sample of new mothers during the perinatal period was evaluated. The first was infant-centered and used the Brazelton Neonatal Behavioral Assessment Scale (NBAS) as a method of highlighting newborn behavior to new mothers. The second was mother-centered and consisted of an in-depth interview focused on the mothers' concerns about parenting. Mothers were randomized into groups and were administered intervention by experienced clinicians at 3 days in the hospital and again at 14 and 30 days at home. Effects of intervention on maternal reports of parenting stress, mother-infant interactive behavior, and infant developmental quotient were evaluated at 4 months infant age. It was hypothesized that participation in the infant-centered intervention would be related to more positive maternal and infant outcomes at 4 months. It was also expected that the impact of each intervention would be moderated by differences in maternal and infant risk and parity. Hierarchical multiple regressions controlling for risk and parity yielded no significant main effects of intervention at 4 months. However, significant interactions of intervention with parity and risk were observed, indicating that intervention was beneficial for specific groups of mothers. These data suggest that early intervention should be tailored to the needs of individual groups of mothers.
对围产期新妈妈的异质样本进行了两种截然不同的短期预防性干预措施的效果评估。第一种是以婴儿为中心，使用布雷泽尔顿新生儿行为评估量表（NBAS）作为向新妈妈突出新生儿行为的一种方法。第二种是以母亲为中心，包括一次深入访谈，重点是母亲对育儿的担忧。母亲们被随机分组，并由经验丰富的临床医生在医院3天时进行干预，在家中14天和30天时再次进行干预。在婴儿4个月大时评估干预对母亲育儿压力报告、母婴互动行为和婴儿发育商的影响。假设参与以婴儿为中心的干预与4个月时更积极的母婴结局相关。还预期每种干预的影响会因母婴风险和产次的差异而有所缓和。控制风险和产次的分层多元回归在4个月时未产生干预的显著主效应。然而，观察到干预与产次和风险的显著交互作用，表明干预对特定组别的母亲有益。这些数据表明，早期干预应根据个别母亲群体的需求进行调整。
