INFANT ATTACHMENT--MATERNAL TRAUMA AND DRUG USE

描述：(申请人摘要) 这项研究的目的是为了更好地了解婴儿的本性 对吸毒母亲的依恋。尽管之前的研究表明 小样本表明，产前接触毒品的儿童在 不安全和杂乱无章的依恋的风险，目前尚不清楚 这种风险源于畸胎或社会因素。这些发现是 由于密切的理论和经验联系而引起严重关切 在杂乱无章的依恋和严重的家庭病态之间， 包括虐待儿童和适应问题。我们建议探索 以下假设：1)将有更多的发病率 母亲的婴儿缺乏安全感和无组织的依恋 有严重药物滥用史和2)两者之间的联系 药物滥用和依恋可以通过母亲的 暴露在创伤中。此外，我们将审查独立的和 对母亲分离症状的依恋起到中介作用， 母亲对依恋历史、育儿行为和信念的解决， 和婴儿的性情。 样本将包括200名12至18个月大的婴儿及其母亲。 一半的母亲将是有海洛因和其他病史的女性 药物滥用，从公共美沙酮维持计划招募。一半 的母亲将从参加比赛的家庭中选出 一家社区卫生诊所的儿科护理。婴儿的依恋将是 用Main的补充从Ainsworth奇怪的情况进行评估 散乱的附件编码类别。母体药物使用和滥用， 心理健康、育儿方式和婴儿气质将使用 多方法并举。 如果假设得到证实，它们将表明需要更多的 药物滥用治疗中对女性的综合家庭干预 包括亲子关系服务、暴力咨询和 成人心理健康服务。

DESCRIPTION: (Applicant's Abstract) The goal of this study is to better understand the nature of infant attachment to mothers who are drug using. Although previous research with small samples has suggested that children prenatally exposed to drugs are at risk for insecure and disorganized attachments, it remains unclear whether this risk derives from teratological or social factors. Such findings are of serious concern due to the close theoretical and empirical links that have been made between disorganized attachment and serious family pathology, including child maltreatment and adjustment problems. We propose to explore the following hypotheses: 1) that there will be an increased incidence of insecure and disorganized attachments in infants whose mothers have histories of serious substance abuse and 2) that the association between substance abuse and attachment can be accounted for by mothers' histories of exposure to trauma. In addition, we will examine the independent and mediating contributions to attachment of maternal dissociative symptoms, maternal resolution of attachment history, parenting behavior and beliefs, and infant temperament. The sample will include 200 12- to 18-month-old infants and their mothers. Half of the mothers will be women with a history of heroin and other substance abuse, recruited form public methadone maintenance programs. Half of the mothers will be selected from a population of families presenting for pediatric care at a community health clinic. Infant attachment will be assessed form the Ainsworth Strange Situation using Main's supplemental disorganized attachment coding category. Maternal substance use and abuse, mental health, parenting, and infant temperament will be assessed using a multi-method approach. If hypotheses are confirmed, they would suggest the need for more comprehensive family interventions for women in substance abuse treatment that include parent-child relationship services, violence counseling, and adult mental health services.