Maternal cognitions and mother-infant interaction in postnatal depression and generalized anxiety disorder.
Maternal cognitions and mother-infant interaction in postnatal depression and generalized anxiety disorder.
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DOI：
10.1037/a0026847
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发表时间：
2012-11
影响因子：
4.6
通讯作者：
Counsell, Nicholas
中科院分区：
文献类型：
--
作者：
Stein, Alan;Craske, Michelle G.;Lehtonen, Annukka;Harvey, Allison;Savage-McGlynn, Emily;Davies, Beverley;Goodwin, Julia;Murray, Lynne;Cortina-Borja, Mario;Counsell, Nicholas
产后抑郁和焦虑已被证明会增加母婴互动和儿童发育障碍的风险。对机制的研究主要集中在遗传学和母性行为上;母性认知很少受到关注。我们的目的是通过实验确定是否担心和反刍的母亲广泛性焦虑症（GAD）和重度抑郁症（MDD），诊断在产后6个月，干扰母亲的反应，他们的10个月大的婴儿。母亲（N = 253：GAD n = 90; MDD n = 57;对照组n = 106）和他们的婴儿被随机分配到担心/反刍启动（WRP）或中性启动（NP）;在启动之前和之后评估母婴互动。启动的类型是一个显着的预测母亲的认知，与WRP导致更多的负面想法，更高的思想复发和更多的自我关注相对于NP在整个样本。组和启动之间的相互作用的影响是显着的两个育儿变量：与对照组相比，WRP有更多的负面影响，母亲对婴儿的发声GAD的反应，并在较小程度上MDD; WRP导致减少母亲的发声GAD。此外，与WRP相比，GAD的母亲在NP后使用了更强的控制，与其他组相比，总体上在启动后，他们的孩子表现出更低的情绪基调和更多的退缩。在整个样本中，相对于NP，WRP与儿童发声增加相关。这项研究表明，母亲的认知障碍，在产后焦虑和抑郁程度较低的背景下，在母子互动中发挥着重要作用。
Postnatal depression and anxiety have been shown to increase the risk of disturbances in mother–child interaction and child development. Research into mechanisms has focused on genetics and maternal behavior; maternal cognitions have received little attention. Our aim was to experimentally determine if worry and rumination in mothers with generalized anxiety disorder (GAD) and major depressive disorder (MDD), diagnosed in the postnatal 6 months, interfered with maternal responsiveness to their 10-month old infants. Mothers (N = 253: GAD n = 90; MDD n = 57; control n = 106) and their infants were randomized to either a worry/rumination prime (WRP) or a neutral prime (NP); mother–infant interactions were assessed before and after priming. Type of priming was a significant predictor of maternal cognitions, with WRP resulting in more negative thoughts, higher thought recurrence and more self-focus relative to NP across the entire sample. Interaction effects between group and priming were significant for two parenting variables: Compared with controls, WRP had a more negative impact on maternal responsiveness to infant vocalization for GAD, and to a lesser extent for MDD; WRP led to decreased maternal vocalization for GAD. Also, mothers with GAD used stronger control after the NP than WRP, as well as compared with other groups, and overall post-priming, their children exhibited lower emotional tone and more withdrawal. Across the entire sample, WRP was associated with increased child vocalization relative to NP. This study demonstrated that disturbances in maternal cognitions, in the context of postnatal anxiety and to a lesser degree depression, play a significant role in mother–child interaction.
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影响因子：
7.6
作者：
LYUBOMIRSKY, S;NOLENHOEKSEMA, S
通讯作者：
NOLENHOEKSEMA, S
影响因子：
5.9
作者：
Ladouceur, R;Dugas, MJ;Thibodeau, N
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Perera, Frederica A.
影响因子：
1.9
作者：
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通讯作者：
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影响因子：
4.6
作者：
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通讯作者：
Campbell, LA