Nina Burtchen, Mar Alvarez-Segura, Sébastien Urben, Chiara Giovanelli, Alan L Mendelsohn, Antoine Guedeney, Daniel S Schechter
{"title":"产妇创伤和相关精神病理学对产后六个月的非典型产妇行为和婴儿社交退缩的影响。","authors":"Nina Burtchen, Mar Alvarez-Segura, Sébastien Urben, Chiara Giovanelli, Alan L Mendelsohn, Antoine Guedeney, Daniel S Schechter","doi":"10.1080/14616734.2022.2142894","DOIUrl":null,"url":null,"abstract":"<p><p>Maternal psychopathology given a history of maltreatment and domestic violence exposure increases the risk for child psychopathology. Infant social withdrawal is one warning sign of adverse developmental outcomes including child anxiety and depression. It remains unclear how maternal trauma-related psychopathology might affect infant social withdrawal six-months postpartum.</p><p><strong>Methods: </strong>One-hundred ninety-five women and their six-month-old infants were studied in an at-risk community sample. Maternal trauma history, posttraumatic stress (PTSD) and major depressive (MDD) disorders were assessed. Maternal and infant behaviors were coded from videotaped interactions.</p><p><strong>Results: </strong>Maternal trauma was correlated with atypical maternal behavior (AMB) and infant social withdrawal (p ≤ .001). PTSD and MDD, and comorbid PTSD/MDD predicted increased AMB (p ≤ .001) but only maternal MDD was predictive of infant social withdrawal (p ≤ .001). Effects of maternal MDD on infant withdrawal were mediated by AMB.</p><p><strong>Conclusions: </strong>At six-months postpartum, maternal MDD was associated with infant withdrawal. AMB is an important target for early intervention.</p>","PeriodicalId":8632,"journal":{"name":"Attachment & Human Development","volume":null,"pages":null},"PeriodicalIF":3.3000,"publicationDate":"2022-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of maternal trauma and associated psychopathology on atypical maternal behavior and infant social withdrawal six months postpartum.\",\"authors\":\"Nina Burtchen, Mar Alvarez-Segura, Sébastien Urben, Chiara Giovanelli, Alan L Mendelsohn, Antoine Guedeney, Daniel S Schechter\",\"doi\":\"10.1080/14616734.2022.2142894\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Maternal psychopathology given a history of maltreatment and domestic violence exposure increases the risk for child psychopathology. Infant social withdrawal is one warning sign of adverse developmental outcomes including child anxiety and depression. It remains unclear how maternal trauma-related psychopathology might affect infant social withdrawal six-months postpartum.</p><p><strong>Methods: </strong>One-hundred ninety-five women and their six-month-old infants were studied in an at-risk community sample. Maternal trauma history, posttraumatic stress (PTSD) and major depressive (MDD) disorders were assessed. Maternal and infant behaviors were coded from videotaped interactions.</p><p><strong>Results: </strong>Maternal trauma was correlated with atypical maternal behavior (AMB) and infant social withdrawal (p ≤ .001). PTSD and MDD, and comorbid PTSD/MDD predicted increased AMB (p ≤ .001) but only maternal MDD was predictive of infant social withdrawal (p ≤ .001). Effects of maternal MDD on infant withdrawal were mediated by AMB.</p><p><strong>Conclusions: </strong>At six-months postpartum, maternal MDD was associated with infant withdrawal. AMB is an important target for early intervention.</p>\",\"PeriodicalId\":8632,\"journal\":{\"name\":\"Attachment & Human Development\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2022-11-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Attachment & Human Development\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1080/14616734.2022.2142894\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, DEVELOPMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Attachment & Human Development","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/14616734.2022.2142894","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, DEVELOPMENTAL","Score":null,"Total":0}
Effects of maternal trauma and associated psychopathology on atypical maternal behavior and infant social withdrawal six months postpartum.
Maternal psychopathology given a history of maltreatment and domestic violence exposure increases the risk for child psychopathology. Infant social withdrawal is one warning sign of adverse developmental outcomes including child anxiety and depression. It remains unclear how maternal trauma-related psychopathology might affect infant social withdrawal six-months postpartum.
Methods: One-hundred ninety-five women and their six-month-old infants were studied in an at-risk community sample. Maternal trauma history, posttraumatic stress (PTSD) and major depressive (MDD) disorders were assessed. Maternal and infant behaviors were coded from videotaped interactions.
Results: Maternal trauma was correlated with atypical maternal behavior (AMB) and infant social withdrawal (p ≤ .001). PTSD and MDD, and comorbid PTSD/MDD predicted increased AMB (p ≤ .001) but only maternal MDD was predictive of infant social withdrawal (p ≤ .001). Effects of maternal MDD on infant withdrawal were mediated by AMB.
Conclusions: At six-months postpartum, maternal MDD was associated with infant withdrawal. AMB is an important target for early intervention.
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Attachment & Human Development is the leading forum for the presentation of empirical research, reviews and clinical case studies that reflect contemporary advances in attachment theory and research. The journal addresses the growing demand from the domains of psychology, psychiatry, psychotherapy and related disciplines including nursing and social work, for a clear presentation of ideas, methods and research based on attachment theory.
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