Hipwell A E, Kumar R
Winnicott Research Unit, Department of Psychiatry, University of Cambridge.
Br J Psychiatry. 1996 Nov;169(5):655-61. doi: 10.1192/bjp.169.5.655.
Very little is known about the adequacy and safety of maternal parenting behaviour in the context of severe postpartum psychiatric illness, about specific difficulties in relation to different types of mental illness, or about the potential for improvement over the course of an episode of illness. The Bethlem Mother-Infant Interaction Scale (BMIS) was thus developed as an aid to assessment on a specialist psychiatric Mother and Baby Unit.
Nurses' ratings of the quality of mother-infant interaction using the BMIS were collected throughout the consecutive admissions of 78 in-patient pairs. The ratings from three points during the admissions were examined according to the mothers' RDC diagnoses and also according to the eventual outcome of the admission.
The nature of the mother's illness was associated with the quality of her infant care-taking using the BMIS ratings. The nurses' ratings during the second week of admission together with maternal psychiatric diagnosis, were strongly predictive of the eventual outcome of the admission. The majority of women who were separated from their infants on discharge or who required formal supervision belonged to the schizophrenic group.
The results suggest that the BMIS can be used in this in-patient setting to aid clinical decisions about the safety of parenting by individual mothers with severe mental illness in the postpartum period.
在严重产后精神疾病的背景下，对于母亲养育行为的充分性和安全性、与不同类型精神疾病相关的具体困难，或疾病发作过程中改善的可能性，人们知之甚少。因此，贝斯勒姆母婴互动量表（BMIS）被开发出来，以辅助在专科精神病母婴病房进行评估。
在78对住院母婴连续入院期间，收集护士使用BMIS对母婴互动质量的评分。根据母亲的研究诊断标准（RDC）诊断以及入院的最终结果，检查入院期间三个时间点的评分。
母亲疾病的性质与使用BMIS评分得出的婴儿照料质量相关。入院第二周护士的评分以及母亲的精神科诊断，对入院的最终结果具有很强的预测性。出院时与婴儿分离或需要正式监护的大多数女性属于精神分裂症组。
结果表明，BMIS可用于这种住院环境，以辅助临床决策，判断产后患有严重精神疾病的个体母亲养育子女的安全性。
