Mother-infant interaction in mother and baby unit patients: Before and after treatment
Mother-infant interaction in mother and baby unit patients: Before and after treatment
复制标题
DOI：
10.1016/j.jpsychires.2013.05.012
复制
发表时间：
2013-09-01
影响因子：
4.8
通讯作者：
Pawlby, Susan
中科院分区：
文献类型：
--
作者：
Kenny, Maeve;Conroy, Susan;Pawlby, Susan
母亲严重精神疾病(SMI)会在产后立即扰乱母婴互动，并与后代发育不佳有关。住院母婴病房(MBU)提供了支持患有重度精神障碍的母亲与婴儿发展关系的机会，以最大限度地减少这种干扰。一种方法是通过个性化的视频反馈干预，作为多学科住院治疗方案的一部分提供。本研究前瞻性地测量了在进入MBU期间，视频反馈干预后母婴互动的变化(N=49)。比较了(1)社区患病母亲组(N=67)和(2)健康母亲组(N=22)的母婴互动，这些母亲有类似严重的精神健康诊断，住在家里，没有干预。母亲的敏感和无反应，以及婴儿的合作性和被动性，通过3分钟的录像游戏过程，使用CARE-Index进行衡量。在入院和视频反馈干预后，MBU母亲(无论诊断如何)和她们的婴儿在互动中表现出改善。此外，在出院时，MBU二人组明显比社区疾病组更敏感、更合作、更灵敏，与健康组一样协调。虽然这项研究的设计不能让我们毫不含糊地得出结论，视频反馈干预对独立于整个住院治疗方案的母亲和婴儿的结局有影响，但结果确实表明，在专门的MBU中进行集中治疗方案后，母亲与SMI及其婴儿的二元互动得到改善。(C)2013爱思唯尔有限公司。保留所有权利。
Maternal severe mental illness (SMI) disrupts mother-infant interaction in the immediate postpartum and is associated with less than optimal offspring development. In-patient mother and baby units (MBUs) provide the opportunity of supporting mothers with SMI in developing their relationships with their infants in order to minimise this disruption. One way is through an individualised video feedback intervention, delivered as part of a multidisciplinary inpatient treatment package. The present study prospectively measured changes in mother-infant interaction following video feedback intervention, during admission to an MBU (N = 49). Comparisons were made with mother-infant interactions of (1) a community-based ill group of mothers (N = 67) with a mental health diagnosis of similar severity, living at home and without the intervention and (2) a group of healthy mothers (N = 22). Maternal sensitivity and unresponsiveness, and infant cooperativeness and passiveness, were measured from a 3-min videotaped play session, using the CARE-Index. Following admission and the video feedback intervention, the MBU mothers (irrespective of diagnosis) and their infants showed improvements in their interactions. Moreover, on discharge the MBU dyads were significantly more sensitive, cooperative and responsive than the community ill group, and as attuned as the healthy group. While the design of the study does not allow us to conclude unequivocally that the video feedback intervention has effects on the outcome for the mothers and babies independent from the whole inpatient therapeutic package, the results do show that the dyadic interaction of mothers with SMI and their infants improves following the focussed treatment package in a specialised MBU. (c) 2013 Elsevier Ltd. All rights reserved.