早期干预对发育迟缓婴儿与其母亲互动的影响。

Y J Chen, H H Chu
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摘要

本研究的目的是:(1)探讨母亲与发育迟缓婴儿在自由游戏和教学时段的互动模式;(2)探讨早期干预对母亲与发育迟缓儿互动模式的影响;(3)探讨母亲的感知和期望、感知压力和涉入动机在与发育迟缓婴儿互动时对母亲行为的影响程度。本研究以21名发育迟缓婴儿及其母亲为研究对象。每个母子二人组在实验室的游戏室里进行了10分钟的自由玩耍和5分钟的指导。采用贝利量表(Bayley scale)对患儿进行心理和精神运动发育的测试。本研究采用研究者设计的自我报告问卷,对母亲对儿童发展的感知、期望和压力进行了测量。教师评价母亲的参与动机。早期干预1年后,发现(1)发育迟缓婴儿的运动能力增加,(2)母亲在母婴互动中表现出更积极的情绪表达,(3)教师评价的HOME、母亲参与和母婴互动质量得分显著提高。此外,不同情况下的差异表明,发育迟缓婴儿在玩耍时比在指导时更倾向于玩具导向。母亲在指导孩子时,态度往往更乐于助人。研究发现,母亲对儿童发展的认知和压力是影响母亲教育、控制和关爱行为的关键因素。
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[Effect of early intervention on the interaction of developmentally delayed infants and their mothers].

The purpose of this study was (1) to examine the interaction patterns of mothers and their developmentally delayed infants during free play and instructional episodes; (2) to investigate the influence of an early intervention program on the interaction patterns of mothers and their developmentally delayed infants; and (3) to investigate to what extent the maternal perceptions and expectations, perceived stress and involving motivation were associated with maternal behavior while interacting with their developmentally delayed infants. The participants of this study were twenty-one developmentally delayed infants and their mothers. Each mother-child dyad was videotaped in a laboratory playroom for 10-minutes of free play and a 5-minute instructional session. Mental and psychomotor development of the child were measured by Bayley scale. The perception of child development, expectation, and the stress of mothers were measured by a self-report questionnaire which was designed by a researcher in this study. The mothers' motivation of involvement was evaluated by teachers. On year after early intervention, it was found that (1) developmentally delayed infants increased locomotion, (2) mothers demonstrated more positive emotional expression during mother-child interaction, and (3) the score of HOME, mother's involvement, and the quality of mother-child interaction which was evaluated by teachers were significantly increased. Furthermore, the differences between situations indicated that the developmentally delayed infants were more toy-oriented during play than instruction. The mothers tended to be more helpful in attitude while they instructed their children. The mother's perception of child development and stress were found to be the critical factors affecting maternal teaching, controlling, and caring behavior.

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