EMOTIONAL AVAILABILITY IN MOTHER-CHILD INTERACTION: THE EFFECTS OF MATERNAL DEPRESSION IN REMISSION AND ADDITIONAL HISTORY OF CHILDHOOD ABUSE
EMOTIONAL AVAILABILITY IN MOTHER-CHILD INTERACTION: THE EFFECTS OF MATERNAL DEPRESSION IN REMISSION AND ADDITIONAL HISTORY OF CHILDHOOD ABUSE
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DOI：
10.1002/da.22462
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发表时间：
2016-07-01
影响因子：
7.4
通讯作者：
Bermpohl, Felix
中科院分区：
文献类型：
--
作者：
Kluczniok, Dorothea;Boedeker, Katja;Bermpohl, Felix
背景：母亲抑郁与儿童不良结局之间的关系已经确立。类似的联系也被发现与母亲童年虐待有关。一种被提出的风险传递途径是降低母亲的情绪可获得性。我们的目的是调查在抑郁症缓解期的母亲中，敏感的父母教育是否受到损害，以及在这些母亲中，童年虐待是否有额外的影响。方法：采用情绪可获得性量表对188名双亲在游戏情境中的母子互动进行评估，该量表测量母子互动的总体情感质量：母性敏感、结构性、非敌对性和非侵入性。将缓解中的抑郁症母亲与健康母亲进行比较。儿童年龄在5岁到12岁之间。通过协方差和计划对照的单因素分析，分析了群体差异和额外儿童期虐待的影响。结果：与健康对照母亲相比，抑郁缓解期母亲在母子互动中的情绪可获得性较低。具体地说，他们不那么敏感，在趋势层面上，他们不那么结构化，更具敌意。在这些母亲中，我们发现了严重的儿童期虐待对母亲敏感性的另一种影响：有缓解期抑郁症和严重儿童期虐待史的母亲比没有儿童期虐待的缓解后的母亲更不敏感。结论：我们的数据表明，抑郁症在缓解期间影响母亲的情绪可获得性，这可能代表了抑郁症的一个特征。患有抑郁症缓解期和额外的严重儿童期虐待的母亲受到的影响尤其大。这些发现可能有助于理解儿童自身发展成抑郁障碍的脆弱性。(C)2015年威利期刊公司。
Background: The association between maternal depression and adverse outcomes in children is well established. Similar links have been found for maternal childhood abuse. One proposed pathway of risk transmission is reduced maternal emotional availability. Our aim was to investigate whether sensitive parenting is impaired in mothers with depression in remission, and whether among these mothers childhood abuse has an additional impact. Methods: The mother-child interaction of 188 dyads was assessed during a play situation using the Emotional Availability Scales, which measure the overall affective quality of the interaction: maternal sensitivity, structuring, nonhostility, and nonintrusiveness. Mothers with depression in remission were compared to healthy mothers. Children were between 5 and 12 years old. Group differences and impact of additional childhood abuse were analyzed by one-factorial analyses of covariance and planned contrasts. Results: Mothers with depression in remission showed less emotional availability during mother-child interaction compared to healthy control mothers. Specifically, they were less sensitive and, at trend-level, less structuring and more hostile. Among these mothers, we found an additional effect of severe maternal childhood abuse on maternal sensitivity: Mothers with depression in remission and a history of severe childhood abuse were less sensitive than remitted mothers without childhood abuse. Conclusions: Our data suggest that depression impacts on maternal emotional availability during remission, which might represent a trait characteristic of depression. Mothers with depression in remission and additional severe childhood abuse were particularly affected. These findings may contribute to the understanding of children's vulnerability to develop a depressive disorder themselves. (C) 2015 Wiley Periodicals, Inc.