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母亲表达的态度:与产后抑郁及儿童自尊和精神病理学的关联

Mothers' expressed attitudes: associations with maternal depression and children's self-esteem and psychopathology.

作者信息

Goodman S H, Adamson L B, Riniti J, Cole S

机构信息

Department of Psychology, Emory University, Atlanta, GA 30322.

出版信息

J Am Acad Child Adolesc Psychiatry. 1994 Nov-Dec;33(9):1265-74. doi: 10.1097/00004583-199411000-00007.

Abstract

OBJECTIVE

Mothers' expressed attitudes about their children were examined to discern whether the associations between maternal depression and children's psychopathology and self-esteem might be modified by the mother's expression of critical attitudes.

METHOD

Mother-child dyads with mothers who had a history of at least one episode of unipolar major depression during the child's lifetime (N = 20) were compared to dyads with well parents (N = 19). Children's ages ranged from 8 to 10 years. Mothers' attitudes toward their children were derived from semistructured interviews. The affect expressed in each maternal statement was coded as neutral, positive, descriptive negative, or affectively charged negative.

RESULTS

Affectively charged negative statements were found to be associated with mothers with a history of depressive episodes. A tendency was noted for the highest rates of psychopathology to be among children of depressed mothers who used affective-negative statements. Mothers' use of affectively charged negatives was found to modify the association between maternal depression and children's lower global self-worth.

CONCLUSIONS

Clinicians attuned to mothers' expression of critical attitudes toward their children might detect children at risk for lowered self-esteem and the development of psychopathology.

摘要

目的

研究母亲对其子女表达的态度,以确定母亲批判性态度的表达是否会改变母亲抑郁与子女精神病理学及自尊之间的关联。

方法

将孩子成长过程中母亲至少有过一次单相重度抑郁发作史的母婴二元组(N = 20)与父母健康的二元组(N = 19)进行比较。孩子年龄在8至10岁之间。母亲对子女的态度源自半结构化访谈。每位母亲陈述中表达的情感被编码为中性、积极、描述性消极或情感强烈的消极。

结果

发现情感强烈的消极陈述与有抑郁发作史的母亲相关。注意到在使用情感消极陈述的抑郁母亲的子女中,精神病理学发生率最高。研究发现母亲使用情感强烈的消极表述会改变母亲抑郁与子女较低的总体自我价值之间的关联。

结论

关注母亲对子女批判性态度表达的临床医生可能会发现有自尊降低和精神病理学发展风险的儿童。

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