Effects of early maternal depression on patterns of infant-mother attachment: A meta-analytic investigation
Effects of early maternal depression on patterns of infant-mother attachment: A meta-analytic investigation
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DOI：
10.1111/1469-7610.00661
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发表时间：
2000-09-01
期刊：
影响因子：
--
通讯作者：
Gaffan, EA
中科院分区：
文献类型：
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作者：
Martins, C;Gaffan, EA
我们分析了来自美国和英国的七项研究的结果，这些研究比较了患有和没有临床诊断为抑郁症的母亲组，并使用奇异情况评估了她们婴儿(3岁以下)的依恋类别。样本主要是中等收入者，没有母亲抑郁以外的风险因素。使用对数线性模型和标准化残差进行的荟萃分析表明，抑郁对婴儿依恋分布的影响在统计学上是不同的。然而，在剔除一项离群值研究后，抑郁的影响在其余六项研究中是一致的。抑郁母亲的婴儿表现出安全(B)依恋的可能性显著降低，而回避性(A)和无组织(D)依恋的可能性略有上升。前两种影响的大小在不同的研究之间差别很大，而无组织依恋的增加是一致的，平均从17%到28%。
We analysed results from seven American and British studies that compared groups of mothers with and without clinically diagnosed depression, and assessed the attachment category of their infants (under 3 years) using the Strange Situation. The samples were predominantly middle-income and free of risk factors other than maternal depression. Metaanalysis using loglinear modelling and standardised residuals showed that the effect of depression on the distribution of infants' attachment was statistically heterogeneous. However, after removing one outlier study, the effect of depression was homogeneous across the remaining six studies. Infants of depressed mothers showed significantly reduced likelihood of secure (B) attachment and marginally raised likelihood of avoidant (A) and disorganised (D) attachment. The first two effects varied considerably in magnitude between studies, whereas the increase in disorganised attachment, from 17 % to 28 % on average, was consistent.