Maternal Depression and Dyadic Interaction: The role of Maternal Attachment Style
Maternal Depression and Dyadic Interaction: The role of Maternal Attachment Style
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DOI：
10.1002/icd.679
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发表时间：
2010-09-01
影响因子：
2.2
通讯作者：
Punamaki, Raija-Leena
中科院分区：
文献类型：
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作者：
Flykt, Marjo;Kanninen, Katri;Punamaki, Raija-Leena
母亲的心理健康和表征世界的内容是早期亲子关系的重要决定因素。首先，我们研究了产前和产后抑郁症状和母亲依恋风格在预测母婴互动质量中的作用。其次，我们分析了安全自主型依恋风格是否可以保护母子间的互动免受母亲抑郁的负面影响。参与者是59对母亲-婴儿在怀孕期间（T1），产后4-5个月（T2）和孩子大约14个月大时（T3）进行检查。母亲依恋类型采用改良成人依恋访谈法，抑郁症状采用爱丁堡产后抑郁量表，母子互动采用关怀指数。研究结果表明，自主型母亲的情感反应更敏感，其子女的合作性更强。正如假设的那样，母亲与产前和产后抑郁症状的组合是高度反应迟钝，在他们的二元互动。此外，产前抑郁症状有更强的影响，产妇反应迟钝比产后症状。据推测，母亲的自主依恋风格保护母亲产后抑郁症状的负面影响的母子互动，而二人与全神贯注的母亲，特别是在风险的互动问题时，母亲产后抑郁症状。版权所有（C）2010约翰威利父子有限公司
Maternal mental health and the contents of her representational world are important determinants of early parent child relationship. We examined, first, the role of prenatal and postnatal depressive symptoms and maternal attachment style in predicting the quality of mother-child interaction. Second, we analysed whether the secure-autonomous attachment style can protect the dyadic interaction from the negative effects of maternal depression. The participants were 59 mother-infant pairs examined during pregnancy (T1), 4-5 months postpartum (T2) and when the children were approximately 14 months old (T3). Maternal attachment style was assessed with a modified Adult Attachment Interview -procedure, depressive symptoms with Edinburgh Postnatal Depression Scale, and observed mother-child interaction with Care Index. The results show that autonomous mothers were more sensitive and responsive and their children more cooperative than dyads with dismissing maternal attachment style. As hypothesized, mothers with the combination of both prenatal and postpartum depressive symptoms were highly unresponsive in their dyadic interaction. Further, prenatal depressive symptoms had a stronger impact on maternal unresponsiveness than postnatal symptoms. As hypothesized, mother's autonomous attachment style protected the mother-child interaction from the negative impact of maternal postnatal depressive symptoms, whereas dyads with preoccupied mothers were especially at risk for interaction problems when mothers had postpartum depressive symptoms. Copyright (C) 2010 John Wiley & Sons, Ltd.