PREVENTIVE INTERVENTION WITH ANXIOUSLY ATTACHED INFANTS

这一建议是对NIMH最近倡议的回应， 预防研究。 它涉及一项早期预防干预的研究 12个月大的婴儿和他们的母亲焦虑地依恋着。 目的是 扭转焦虑依恋，防止适应不良模式， 社会情绪行为被发现是后来焦虑的相关因素 婴儿期的依恋 样本将包括96个低社会经济地位，最近 移民，社会孤立的拉丁美洲母亲和他们的婴儿。 质量 12个月时的依恋将使用标准化的 这种情况被称为“奇怪的情况”。 产妇措施 育儿态度，母亲对婴儿的反应， 家庭环境和压力性生活事件的发生率也将 得到了 依恋婴儿将被随机分配到 预防干预（实验）组或非干预组 对照组。 第二个对照组将包括牢固连接的 婴儿和他们的母亲。 每组包含32对母婴。 预防性干预将包括发展指导，重点是 母婴互动，并针对拉丁美洲育儿价值观。 由4对母婴组成的8个集群（小组）每周开会， 一个半小时的拉丁裔小组协调员。 预防性干预 将持续12个月。 三个研究小组将在18日进行评估 个月和24个月。 有三个主要的假设。 第一，预防干预组 将有更多的适应性得分在幼儿和母亲的措施比 焦虑依恋的对照组，干预结束时，在24个月。 第二，预防性干预组与安全性干预组没有区别。 在24个月的幼儿和母亲测量中附加对照组。 第三，三组在生活压力发生率上不会有差异 24个月的事件。 24个月时的结果测量将是孩子的 解决任务的社会情感能力，母亲对 儿童，母亲教养态度适应性，家庭品质 环境和应激性生活事件的发生率。 长期目标包括：1）开发一种成本效益高的方法， 婴儿期预防性干预; 2）建立低社会经济地位数据库， 最近移民的拉丁美洲母亲和他们的婴儿;和3）评估 这一群体的需求和文化敏感服务的可行性 在县医院里

This proposal is a response to recent NIMH initiatives to encourage prevention research. It involves a study of early preventive intervention with anxiously attached 12-month old infants and their mothers. The aim is to reverse anxious attachment and to prevent the maladaptive patterns of social-emotional behavior found to be later correlates of anxious attachment in infancy. The sample will comprise 96 low SES, recent immigrant, socially isolated Latino mothers and their infants. Quality of attachment at 12 months will be assessed using a well-standardized instrument called the "strange situation". Measures of maternal childrearing attitudes, maternal responsiveness to the infant, quality of home environment and incidence of stressful life events will also be obtained. Anxiously attached infants will be randomly assigned to either a preventive intervention (experimental) group or to a non-intervention (control) group. A second control group will comprise securely attached infants and their mothers. Each group will contain 32 mother-infant dyads. Preventive intervention will consist of developmental guidance focused on mother-infant interaction and tailored to Latino childrearing values. Eight clusters (small groups) of 4 mother-infant dyads will meet weekly for 1 1/2 hours with a Latino cluster coordinator. The preventive intervention will last 12 months. The three research groups will be assessed at 18 months and 24 months. There are three main hypotheses. First, the preventive intervention group will have more adaptive scores in toddler and maternal measures than the anxiously attached control group when intervention ends at 24 months. Second, the preventive intervention group will not differ from the securely attached control group in toddler and maternal measures at 24 months. Third, the three groups will not differ in incidence of stressful life events at 24 months. Outcome measures at 24 months will be the child's social-emotional competence in solving a task, maternal responsiveness to the child, adaptiveness of maternal childrearing attitudes, quality of home environment, and incidence of stressful life events. Long-term objectives include: 1) developing a cost-effective method of preventive intervention in infancy; 2) building a data base on low SES, recent immigrant Latino mothers and their infants; and 3) assessing the needs of this population and the feasibility of culture-sensitive services in a county hospital setting.