在回忆和情绪训练干预的随机对照试验中,母亲自主支持

Rachel N. McClaine , Katherine Edler , Monica Lawson , Kristin Valentino
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引用次数: 0

摘要

目的通过回忆与情绪训练(RET)干预,瞄准并提高虐待母亲回忆(关于过去情绪事件的对话)的详细程度和敏感性,以及儿童的情绪知识。然而,在先前的RET研究中,母亲精细和敏感回忆的改善并不能解释儿童情绪知识的改善。方法采用随机对照试验对248名母亲(165名虐待母亲和83名非虐待母亲)及其3- 6岁的孩子进行了RET测试,在基线上,我们评估了母亲和孩子的接受性语言、双元记忆和孩子的情绪知识。然后,虐待母亲被随机分配接受RET或参与一个积极的控制条件,包括案例管理和书面育儿材料。未遭受虐待的母亲不接受干预,并作为额外的对照组参与。然后,这些家庭完成了为期8周的随访评估。结果虐待母亲在回忆过程中表现出的基线自主性支持明显低于未虐待母亲(偏方差= 0.028)。与假设相反,RET并没有显著提高自主性支持。然而,基线自主支持与儿童在基线(r = 0.20)和随访(r = 0.18)时的情绪知识呈显著正相关。结论回忆过程中的自主支持可能在情绪知识的发展中起作用。讨论了发展理论和临床实践的意义。
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Maternal autonomy support in a randomized controlled trial of the Reminiscing and Emotion Training intervention

Objective

The Reminiscing and Emotion Training (RET) intervention targets and improves maltreating mothers’ elaboration and sensitivity in reminiscing (conversations about past emotional events), as well as children's emotion knowledge. However, in previous studies of RET, improvements in mothers’ elaborative and sensitive reminiscing did not explain improvements in children's emotion knowledge. Thus, we evaluated whether RET is associated with improved maternal autonomy support during reminiscing and whether improved autonomy support is associated with enhanced child emotion knowledge after RET.

Methods

The sample included 248 mothers (165 maltreating and 83 non‐maltreating) and their 3- to 6-year-old children involved in a randomized controlled trial of RET. At baseline, we assessed maternal and child receptive language, dyadic reminiscing, and children's emotion knowledge. Then, maltreating mothers were randomized either to receive RET or participate in an active control condition including case management and written parenting materials. Non‐maltreating mothers did not receive intervention and participated as an additional control group. Families then completed an eight-week follow-up assessment.

Results

Maltreating mothers displayed significantly less baseline autonomy support during reminiscing than non‐maltreating mothers (partial eta squared = 0.028). Contrary to hypotheses, RET did not significantly improve autonomy support. However, baseline autonomy support was significantly and positively correlated with children's emotion knowledge at baseline (r = 0.20) and follow-up (r = 0.18).

Conclusion

Autonomy support during reminiscing may play a role in the development of emotion knowledge. Implications for developmental theory and clinical practice are discussed.

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来源期刊
Mental Health and Prevention
Mental Health and Prevention Medicine-Psychiatry and Mental Health
CiteScore
2.10
自引率
0.00%
发文量
22
审稿时长
24 days
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