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
复制标题
DOI：
10.1017/s0021963099005958
复制
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：
--
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的抑郁症的母亲，并使用奇怪的情况评估了他们的婴儿（3岁以下）的依恋类别。这些样本主要是中等收入者，除母亲抑郁症外，没有其他风险因素。使用对数线性模型和标准化残差的荟萃分析表明，抑郁对婴儿依恋分布的影响具有统计学异质性。然而，在删除一项离群值研究后，抑郁症的影响在其余六项研究中是均匀的。抑郁母亲的婴儿表现出安全型（B）依恋的可能性显著降低，回避型（A）和无组织型（D）依恋的可能性略有增加。前两个影响在不同的研究中有很大的差异，而无组织依恋的增加，平均从17%增加到28%，是一致的。
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.