视觉障碍儿童的母子互动:探讨母亲依恋类型、抑郁焦虑症状和儿童行为问题。

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI:10.14744/nci.2021.90688
Koray Kara, Mualla Hamurcu, Hesna Gul, Mehmet Ayhan Congologlu
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引用次数: 0

摘要

目的:视障儿童的出生会给家庭带来压力、失望和医疗挑战,因为经济和财务成本、其他家庭成员的期望无法满足、社会尴尬——家庭与社会的隔离。在这些家庭中,母亲比其他家庭成员更容易受到压力源的影响,因为在大多数家庭中,她们是主要的照顾者。在本研究中,我们探讨了母亲依恋类型、母亲抑郁和焦虑水平与视力障碍儿童行为问题的关系。方法:采用病例-对照研究。研究组视力受损儿童35例,对照组健康儿童31例。所有母亲都完成了成人依恋类型量表、贝克抑郁、焦虑量表和异常行为表。结果:我们的研究结果表明,与健康对照组相比,视力障碍儿童有更高水平的行为问题,包括易怒、刻板行为和不恰当的语言。与我们预期的抑郁和焦虑相反,母亲的得分相似,而且,在母亲依恋类型方面没有差异。有趣的是,在视力受损组的母亲中,安全依恋和抑郁之间存在正相关。换句话说,安全型依恋的母亲更抑郁。另一方面,焦虑型/矛盾型依恋与儿童的易怒程度呈正相关。结论:母亲抑郁与安全依恋之间的关系可能是由于儿童缺陷导致母亲敏感性提高的结果,应在未来的研究中进行评估。
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Mother-child interactions among children with visual impairment: Addressing maternal attachment style, depression-anxiety symptoms, and child's behavioral problems.

Objective: The birth of a visually impaired child leads to stress, disappointment, and medical challenges for the family due to the economic and financial costs, unmet expectations of other family members, and social embarrassment-isolation of the family from society. In these families, mothers are exposed to the stressors more often than other family members, because, in most families, they are the primary caregivers. In this study, we examined the relationship between maternal attachment styles, maternal depression and anxiety levels, and behavioral problems of children with visual impairment.

Methods: This is a case-control study. In the study group, there were 35 children with visual impairment, and in the control group, there were 31 healthy children. All mothers completed adult attachment style dimensions scales, beck depression, and anxiety inventories, and the aberrant behaviour checklist.

Results: Our results demonstrated that children with visual impairment have higher levels of behavior problems including irritability, stereotypic behavior, and inappropriate speech when compared with healthy controls. Contrary to our expectations depression and anxiety, scores of mothers were similar, also, there was not a difference in terms of maternal attachment types. Interestingly, there was a positive relationship between secure attachment and depression among mothers of the visual impairment group. In other words, securely attached mothers were more depressive. On the other hand, there was a positive relationship between anxious/ambivalent attachment and the child's irritability.

Conclusion: The relationship between maternal depression and secure attachment could be a consequence of higher maternal sensitivity due to a child's impairment and should be evaluated in future studies.

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来源期刊
Northern Clinics of Istanbul
Northern Clinics of Istanbul MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
自引率
0.00%
发文量
48
审稿时长
10 weeks
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