Interactive regulation of affect in postpartum depressed mothers and their infants: An overview
Interactive regulation of affect in postpartum depressed mothers and their infants: An overview
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DOI：
10.1159/000081983
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发表时间：
2004-01-01
期刊：
影响因子：
3.6
通讯作者：
Mundt, C
中科院分区：
文献类型：
--
作者：
Reck, C;Hunt, A;Mundt, C
在生命最初几个月出现的特定互动模式与调节母子二元体相互影响的过程有关。对于二元体来说，尤其重要的是匹配和交互修复过程。产后抑郁的母亲与其子女之间的互动以缺乏反应、被动或侵扰、退缩和回避以及低水平的积极情感表达为特征。因此，抑郁的母亲表现出调节孩子情绪的能力受损。母亲的攻击性、对婴儿的忽视、杀婴思想以及杀婴行为主要与严重的产后抑郁症有关，特别是与精神病症状有关。本文报告的关于母子互动的研究结果是基于患有轻度到中度抑郁障碍的母亲，这些母亲没有精神病症状。考虑到抑郁症病程中互动模式的稳定性以及这些互动的长期后果，似乎令人惊讶的是，关于抑郁症母亲与婴儿互动的系统研究仍然很少。结合对这些问题的概述，讨论了亲子心理治疗的治疗模式。版权所有(C)2004 S.Karger AG，巴塞尔。
Specific patterns of interaction emerging in the first months of life are related to processes regulating mutual affects in the mother-child dyad. Particularly important for the dyad are the matching and interactive repair processes. The interaction between postpartum depressed mothers and their children is characterized by a lack of responsiveness, by passivity or intrusiveness, withdrawal and avoidance, as well as a low level of positive expression of affect. Thus, an impaired capability to regulate the child's affect has been demonstrated in depressed mothers. Maternal aggression, neglect toward infants, infanticidal thoughts, as well as infanticidal behavior are mainly linked to severe postpartum depression, especially with psychotic symptoms. The findings on mother-child interaction reported in this paper are based on mothers with mild to moderate depressive disorders without psychotic symptoms. Considering the stability of interaction patterns in the course of depressive illness as well as the long-term consequences of these interactions, it seems surprising that there are still few systematic studies of depressed mothers interacting with their infants. In connection with an overview on these issues, treatment models for parent-infant psychotherapy are discussed. Copyright (C) 2004 S. Karger AG, Basel.