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产后抑郁症及相关逆境对早期母婴互动和后期婴儿结局的影响。

The impact of postnatal depression and associated adversity on early mother-infant interactions and later infant outcome.

作者信息

Murray L, Fiori-Cowley A, Hooper R, Cooper P

机构信息

University of Cambridge.

出版信息

Child Dev. 1996 Oct;67(5):2512-26.

PMID:9022253
Abstract

The impact of maternal depression and adversity on mother-infant face-to-face interactions at 2 months, and on subsequent infant cognitive development and attachment, was examined in a low-risk sample of primiparous women and their infants. The severe disturbances in mother-infant engagement characteristic of depressed groups in disadvantaged populations were not evident in the context of postpartum mood disorder in the present study. However, compared to well women, depressed mothers were less sensitively attuned to their infants, and were less affirming and more negating of infant experience. Similar difficulties in maternal interactions were also evident in the context of social and personal adversity. Disturbances in early mother-infant interactions were found to be predictive of poorer infant cognitive outcome at 18 months. Infant attachment, by contrast, was not related to the quality of 2-month interactions, but was significantly associated with the occurrence of adversity, as well as postpartum depression.

摘要

在初产妇及其婴儿的低风险样本中,研究了母亲抑郁和逆境对2个月时母婴面对面互动以及随后婴儿认知发展和依恋的影响。在本研究中,处于产后情绪障碍背景下,处于弱势人群中抑郁组母婴互动的严重紊乱并不明显。然而,与健康女性相比,抑郁的母亲对婴儿的反应不那么敏感,对婴儿的体验肯定较少而否定较多。在社会和个人逆境背景下,母亲互动中也存在类似困难。研究发现,早期母婴互动的紊乱预示着婴儿在18个月时认知结果较差。相比之下,婴儿依恋与2个月时互动的质量无关,但与逆境的发生以及产后抑郁显著相关。

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