Fineman N R, Beckwith L, Howard J, Espinosa M
Department of Pediatrics, University of California, Los Angeles 90095-7033, USA.
J Subst Abuse Treat. 1997 Jul-Aug;14(4):307-17. doi: 10.1016/s0740-5472(97)00028-7.
The purpose of this study was to expand our knowledge about factors in substance-abusing women, other than chronic drug abuse, that may influence maternal caregiving behaviors. Specifically, the study explored relationships between maternal characteristics and mother-infant interaction in a sample of drug-abusing women to determine whether drug-addicted mothers' level of ego development affected mother-infant interaction at 1 month. Data collection occurred during a prenatal lab visit and 1 month postpartum and included a clinical interview, self-report on participants' addiction severity, clinical personality inventory, ego development test, and videotaped observation of mother-infant feeding interactions. Only ego development, and to a lesser degree psychological symptoms associated with substance abuse, were found to be significant predictors of maternal-child interaction at 1 month. This points to the need to focus on building internal resources in providing substance abuse treatment and other services for substance-abusing mothers.
本研究的目的是拓展我们对于药物滥用女性中除慢性药物滥用之外可能影响母婴照料行为的因素的认识。具体而言，该研究在药物滥用女性样本中探究了母亲特征与母婴互动之间的关系，以确定成瘾母亲的自我发展水平是否会在婴儿1个月大时影响母婴互动。数据收集在产前实验室访视期间及产后1个月进行，包括一次临床访谈、参与者成瘾严重程度的自我报告、临床人格量表、自我发展测试以及母婴喂养互动的录像观察。研究发现，只有自我发展以及与药物滥用相关程度较低的心理症状是1个月时母婴互动的显著预测因素。这表明在为药物滥用母亲提供药物滥用治疗及其他服务时，有必要专注于构建其内部资源。
