INFANT ATTACHMENT--MATERNAL TRAUMA AND DRUG USE

描述：（申请人摘要） 本研究的目的是为了更好地了解婴儿的性质， 对吸毒母亲的依恋 虽然以前的研究与 小样本表明，产前接触毒品的儿童 不安全和混乱的附件的风险，目前尚不清楚是否 这种风险来自畸形或社会因素。 这些发现 由于密切的理论和经验联系， 是在混乱的依恋和严重的家庭病态之间做出的， 包括儿童虐待和适应问题。 我们建议探索 以下假设：1）将有一个增加的发病率 不安全和混乱的依恋， 严重药物滥用的历史和2）之间的关联 药物滥用和依恋可以通过母亲的历史来解释， 暴露在创伤中 此外，我们将审查独立和 介导对母亲分离症状的依恋的贡献， 母亲对依恋历史的解决，养育行为和信仰， 和婴儿的气质 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毒品史的女性。 滥用药物，从公共美沙酮维持项目招募。 一半 的母亲将从人口的家庭提出， 社区健康诊所的儿科护理。 婴儿依恋将是 评估形式安斯沃思奇怪的情况下使用主要的补充 混乱的附件编码类别。 孕产妇药物使用和滥用， 心理健康、养育和婴儿气质将使用 多方法途径 如果假设得到证实， 对接受药物滥用治疗的妇女的全面家庭干预 包括亲子关系服务，暴力咨询， 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.