The efficacy of toddler-parent psychotherapy to reorganize attachment in the young offspring of mothers with major depressive disorder: a randomized preventive trial.
The efficacy of toddler-parent psychotherapy to reorganize attachment in the young offspring of mothers with major depressive disorder: a randomized preventive trial.
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幼儿父母心理治疗对重度抑郁症母亲的年幼后代重新组织依恋的功效：一项随机预防性试验。
DOI：
10.1037/0022-006x.74.6.1006
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发表时间：
2006
影响因子：
5.9
通讯作者：
Cicchetti,Dante
中科院分区：
文献类型：
--
作者：
Toth,ShereeL;Rogosch,FredA;Manly,JodyTodd;Cicchetti,Dante
患有重度抑郁症（MDD）的母亲的后代发展出不安全的依恋关系，可能会引发导致未来精神病理学的负面轨迹。因此，提供旨在促进安全依恋的理论指导干预措施至关重要。招募了自孩子出生以来就经历过 MDD 的母亲（n = 130），并随机分配到幼儿-父母心理治疗组（DI）或对照组（DC）。目前没有重大精神障碍或既往史的非抑郁母亲及其幼儿也被招募为非抑郁对照组（NC；n = 68）。初次评估时儿童平均年龄为 20.34 个月。相对于 NC 组，DI 组和 DC 组在基线时不安全依恋的比例较高。干预后，即 36 个月大时，不安全依恋在 DC 组中仍然占主导地位。相比之下，DI 组的安全依恋率显着增加，并且高于 DC 和 NC 组。这些结果证明了幼儿-父母心理治疗在培养抑郁母亲的幼儿安全依恋关系方面的功效。
The development of insecure attachment relationships in the offspring of mothers with major depressive disorder (MDD) may initiate a negative trajectory leading to future psychopathology. Therefore, the provision of theoretically guided interventions designed to promote secure attachment is of paramount importance. Mothers who had experienced MDD since their child's birth were recruited (n= 130) and randomized to toddler–parent psychotherapy (DI) or to a control group (DC). Nondepressed mothers with no current or history of major mental disorder and their toddlers also were recruited for a nondepressed comparison group (NC; n= 68). Children averaged 20.34 months of age at the initial assessment. Higher rates of insecure attachment were present in both the DI and the DC groups at baseline, relative to the NC group. At postintervention, at age 36 months, insecure attachment continued to predominate in the DC group. In contrast, the rate of secure attachment had increased substantially in the DI group and was higher than that for the DC and the NC groups. These results demonstrate the efficacy of toddler–parent psychotherapy in fostering secure attachment relationships in young children of depressed mothers.