Premature birth: complexities and difficulties in building the mother-child relationship
Premature birth: complexities and difficulties in building the mother-child relationship
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DOI：
10.1080/02646838.2017.1383977
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发表时间：
2017-01-01
影响因子：
2.5
通讯作者：
Scelsa, Barbara
中科院分区：
文献类型：
--
作者：
Ionio, Chiara;Lista, Gianluca;Scelsa, Barbara
目的：本研究旨在探讨早产儿和足月儿母亲的亲子互动行为是否受到父母压力和情感的影响。（年龄= 35.29 +/- 5.38）和父亲（年龄= 36.77 +/- 6.89）（GA = 30.25 +/- 2.95; BW = 1288.02 +/- 488.76），和36名母亲年龄32.60 ± 4.56岁，父亲年龄35.54 ± 5.16岁，均为足月儿（GA = 39.88 ± 1.38; BW = 3156.39 ± 493.81）。父母填写事件影响量表修订版（IES-R）、情绪状态量表（POMS）和父母教养压力指数简表（PSI-SF），并进行互动行为调查3个月后，对患者进行录像（总体评定量表）。早产儿的母亲表现出较高的侵入性（M-早产= 4.07 +/-.74，M-足月= 4.39 +/-.51，t = 2.22，p =.029）和偏远（M早产= 4.45 +/-.83，M足月= 4.79 +/- .34，t = 2.51，p =.015）。在早产母亲的敏感性水平较低，较高水平的侵入性，疏远和抑郁与父母双方的负面情绪和父母压力的存在有关。此外，较高的儿童痛苦与父母的负面情绪，父亲的压力和创伤后症状。父母的负面情绪和父母的压力较高的分数预测较低的分数在Global RatingScale dimensions.Conclusions：我们的研究结果强调，早产可能是一个危险因素的共同建设的母亲和早产儿之间的互动交流。缩略语：新生儿重症监护室（NICU）;事件影响量表修订版（IES-R）;情绪状态量表（POMS）;父母压力指数简表（PSI SF）;总体评定量表（GRS）;胎龄（GA）;出生体重（BW）
Aim: This paper aims to investigate if the dyadic interactive behaviours were influenced by parental stress and feelings both in preterm and full-term mother-child dyads.Methods: 45 mothers (age = 35.29 +/- 5.38) and fathers (age = 36.77 +/- 6.89) of preterm infants (GA = 30.25 +/- 2.95; BW = 1288.02 +/- 488.76), and 36 mothers (age = 32.60 +/- 4.56) and fathers (age = 35.54 +/- 5.16) of full-term (GA = 39.88 +/- 1.38; BW = 3156.39 +/- 493.81) were involved. Parents filled out the Impact of Event Scale Revised (IES-R), Profile of Mood States (POMS) and Parenting Stress Index Short Form (PSI-SF) and interactive behaviours (Global Rating Scale) was videotaped after 3 months.Results: Mothers of preterm children showed higher level of Intrusiveness (M-preterm = 4.07 +/-.74, M-fullterm = 4.39 +/-.51, t = 2.22, p =.029) and Remoteness (M preterm = 4.45 +/-.83, M-fullterm = 4.79 +/- .34, t = 2.51, p =.015) than mothers of term children. In preterm mothers' lower levels of Sensitivity, higher levels of Intrusiveness, Remoteness and Depression are associated with the presence of negative feelings and parental stress in both parents. Moreover, higher children Distress is associated to parental negative feelings, paternal stress and post-traumatic symptoms. A higher score of parental negative feelings and parental stress predicted lower scores in Global RatingScale dimensions.Conclusions: Our results underline that preterm birth could be a risk factor for the co-construction of interactive exchanges between mother and premature baby. This study could help practitioners to better consider parental roles and to carry out specific supportive interventions for both parents and children.Abbreviations: Neonatal Intensive Care Unit (NICU); Impact of Event Scale Revised (IES-R); Profile of Mood States (POMS); Parenting Stress Index Short Form (PSI SF); Global Rating Scale (GRS); gestational age (GA); birth weight (BW)