Pauli-Pott U, Darui A, Beckmann D
Institute for Medical Psychology, Clinic for Psychosomatic Medicine, University of Giessen, Germany.
Psychother Psychosom. 1999;68(1):39-45. doi: 10.1159/000012309.
Atopic dermatitis (AD) is a common disease of childhood. It frequently starts in the first year of life. There is agreement on the existence of psychological influences on this disease. Although some studies in this field examine aspects of the parent-child relationship, studies concerning early infancy are very rare. The present study was conducted in order to find out whether maternal characteristics relevant to the mother-infant relationship, i.e. depressiveness/hopelessness, child-rearing attitudes and perceived infant behaviour, associated with infant AD.
Two cohorts (3- to 4-month- and 10- to 12-month-old infants), each with 20 infants suffering from AD, and 20 healthy infants were recruited. AD infants were further divided into subgroups according to the diagnostic criteria: atopic family history, itching and characteristic locations of eczema. After a paediatric examination of the infant, mothers completed standardized questionnaires concerning depressiveness/hopelessness, child-rearing attitudes and perception of infant behaviour.
Varying with different diagnostic features of the infants' AD, mothers of AD infants described themselves as more depressive/hopeless, as more anxious/overprotective and characterized their infant as less frequently positive and more frequently negative in its emotional behaviour compared to the control group.
The results underline the importance of psychological support for mothers of infants with AD.
特应性皮炎（AD）是一种常见的儿童疾病。它通常在生命的第一年开始发病。人们一致认为心理因素会对这种疾病产生影响。尽管该领域的一些研究探讨了亲子关系的各个方面，但关于婴儿早期的研究却非常罕见。本研究旨在查明与母婴关系相关的母亲特征，即抑郁/绝望情绪、育儿态度和对婴儿行为的认知，是否与婴儿特应性皮炎有关。
招募了两个队列（3至4个月大以及10至12个月大的婴儿），每个队列有20名患特应性皮炎的婴儿和20名健康婴儿。根据诊断标准，患特应性皮炎的婴儿进一步分为亚组：特应性家族史、瘙痒和湿疹的特征部位。在对婴儿进行儿科检查后，母亲们完成了关于抑郁/绝望情绪、育儿态度和对婴儿行为认知的标准化问卷。
根据婴儿特应性皮炎的不同诊断特征，与对照组相比，患特应性皮炎婴儿的母亲将自己描述为更抑郁/绝望、更焦虑/过度保护，并且将自己婴儿的情绪行为特征描述为积极的时候更少，消极的时候更多。
研究结果强调了为患特应性皮炎婴儿的母亲提供心理支持的重要性。
