Maternal Sensitivity in Parenting Preterm Children: A Meta-analysis
Maternal Sensitivity in Parenting Preterm Children: A Meta-analysis
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DOI：
10.1542/peds.2014-3570
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发表时间：
2015-07-01
期刊：
影响因子：
8
通讯作者：
Wolke, Dieter
中科院分区：
文献类型：
--
作者：
Bilgin, Ayten;Wolke, Dieter
背景和提示：早产是父母的一个重要压力源，可能会对母亲的养育行为产生不利影响。然而，调查结果并不一致。这项荟萃分析的目的是确定早产儿的母亲是否有不同的行为（例如，反应迟钝或敏感）在他们出院后与孩子的互动比足月儿的母亲。METHODS：Medline，PsychInfo，ERIC，PubMed，和Web of Science进行了检索，从1980年1月到2014年5月，使用以下关键词：“早产”、“早产”、“低出生体重”与“母亲行为”、“母婴互动”、“母亲敏感性”和“养育”的结合。纵向和横向研究，采用观察措施的母亲养育行为是合格的。研究结果与父母的行为定义为敏感性，便利性，和响应性提取，平均估计与随机效应荟萃analysis.RESULTS：34项研究被纳入荟萃分析。早产儿和足月儿的母亲在对待孩子的行为方面没有显著差异（Hedges' g = -0.07; 95%置信区间：-0.22至0.08; z = -0.94; P = 0.35）。研究之间的异质性是显着的，高（Q = 156.42; I-2 = 78.9，P = 0.001），并没有解释的程度早产，出版日期，地理区域，婴儿年龄，或类型的产妇behaviors.CONCLUSIONS：早产儿的母亲被发现是不太敏感或响应对他们的孩子比母亲的足月儿。
BACKGROUND AND OBJECTIVES: Preterm birth is a significant stressor for parents and may adversely impact maternal parenting behavior. However, findings have been inconsistent. The objective of this meta-analysis was to determine whether mothers of preterm children behave differently (eg, less responsive or sensitive) in their interactions with their children after they are discharged from the hospital than mothers of term children.METHODS: Medline, PsychInfo, ERIC, PubMed, and Web of Science were searched from January 1980 through May 2014 with the following keywords: "premature", "preterm", "low birth weight" in conjunction with "maternal behavio*r", "mother-infant interaction", "maternal sensitivity", and "parenting". Both longitudinal and cross-sectional studies that used an observational measure of maternal parenting behavior were eligible. Study results relating to parenting behaviors defined as sensitivity, facilitation, and responsivity were extracted, and mean estimates were combined with random-effects meta-analysis.RESULTS: Thirty-four studies were included in the meta-analysis. Mothers of preterm and fullterm children did not differ significantly from each other in terms of their behavior toward their children (Hedges' g = -0.07; 95% confidence interval: -0.22 to 0.08; z = -0.94; P =.35). The heterogeneity between studies was significant and high (Q = 156.42; I-2 = 78.9, P =.001) and not explained by degree of prematurity, publication date, geographical area, infant age, or type of maternal behavior.CONCLUSIONS: Mothers of preterm children were not found to be less sensitive or responsive toward their children than mothers of full-term children.