母婴互动作为儿童早期生活中最重要的社会性活动,受到越来越多研究者的关注。精神分裂症患者母婴互动是指患有精神分裂症的母亲与其婴儿间的互动,与传统做法中强制分离不同,目前研究认为,患有精神分裂症的母亲与婴儿间的适当互动不仅能减少母婴分离的时间,而且还能降低母亲的情感压力,提高自我效能。但是,患有精神分裂症的母亲存在母亲敏感性和回应性低、母婴互动协调性和亲密性差等问题。基于此,有必要对精神分裂症患者的母婴互动进行系统的阐述,以了解目前的研究现状,提高公众和研究者们的关注度,为国内开展相关研究提供参考。
Abstract
Mother-infant interaction is one of the most important social activities in early childhood life,which has been a growing concern of researchers nowadays.The mother-infant interaction for patients with schizophrenia refers to the interaction between the mothers with schizophrenia and her baby.Unlike the traditional concept of mandatory mother-infant separation,mother-infant interaction can not only avoid the mother-child separation,but also reduce the mothers emotional stress and improve their self-efficacy.Compared with normal people,there are some problems between mothers with schizophrenia and their infants,such as low sensitivity and responsiveness,less engagement,more serious interaction and so on.Based on this,it is necessary to systematically explain the mother-infant interaction of patients with schizophrenia,understand the current research situation to improve the public and researchers′ attention,thereby providing reference for the relevant research in China.
关键词
精神分裂症 /
母婴互动 /
母婴分离 /
母亲敏感性
Key words
schizophrenia /
mother-infant interaction /
mother-infant separation /
maternal sensitivity
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参考文献
[1] 李凌江,陆林.精神病学[M].3版.北京:人民卫生出版社,2018:256-257.
[2] Liu CH,Keshavan MS,Tronick E,et al.Perinatal risks and childhood premorbid indicators of later psychosis:next steps for early psychosocial interventions[J].Schizophr Bull,2015,41(4):801-816.
[3] Malhotra M,Kumar D,Verma R.Effect of psychosocial environment in children having mother with schizophrenia[J].Psychiatry Res,2015,226(2-3):418-424.
[4] 王艳,张军,范湘鸿.亲子互动对早产儿神经心理发育影响的研究进展[J].护理学杂志,2016,31(7):102-105.
[5] Connellan K,Bartholomaeus C,Due C,et al.A systematic review of research on psychiatric mother-baby units[J].Arch Womens Ment Health,2017,20(3):373-388.
[6] Plunkett C,Peters S,Wieck A,et al.A qualitative investigation in the role of the baby in recovery from postpartum psychosis[J].Clin Psychol Psychother,2017,24(5):1099-1108.
[7] 丁美琦,许梦雪,朱宗涵,等.早期亲子互动常用观察法评估量表研究进展[J].中国儿童保健杂志,2018,26(6):641-644.
[8] Davidsen KA,Harder S,Macbeth A,et al.Mother-infant interaction in schizophrenia:transmitting risk or resilience? A systematic review of the literature[J].Soc Psychiatry Psychiatr Epidemiol,2015,50(12):1785-1798.
[9] Ramsauer B,Achtergarde S.Mothers with acute and chronic postpartum psychoses and impact on the mother-infant interaction[J].Schizophr Res,2018,197:45-48.
[10] Rigby J,Conroy S,Miele-Norton M,et al.Theory of mind as a predictor of maternal sensitivity in women with severe mental illness[J].Psychol Med,2016,46(9):1853-1863.
[11] Healy SJ,Lewin J,Butler S,et al.Affect recognition and the quality of mother-infant interaction:understanding parenting difficulties in mothers with schizophrenia[J].Arch Womens Ment Health,2016,19(1):113-124.
[12] Abel KM,Elliott RE,Downey D,et al.Preliminary evidence for neural responsiveness to infants in mothers with schizophrenia and the implications for healthy parenting[J].Schizophr Res,2018,197:451-457.
[13] Bigelow AE,Power M,Gillis DE,et al.Breastfeeding,skin-to-skin contact,and mother-infant interactions over infants′ first three months[J].Infant Ment Health J,2014,35(1):51-62.
[14] Mantymaa M,Puura K,Luoma I,et al.Shared pleasure in early mother-infant interaction:predicting lower levels of emotional and behavioral problems in the child and protecting against the influence of parental psychopathology[J].Infant Ment Health J,2015,36(2):223-237.
[15] Wright T,Stevens S,Wouldes TA.Mother and their infants co-admitted to a newly developed mother-baby unit :characteristics and outcomes[J].Infant Ment Health J,2018,39(6):707-717.
[16] Saha R,Singh SM,Nischal A.Infanticide by a mother with untreated schizophrenia[J].Shanghai Archives of Psychiatry,2015,27(5):311-314.
[17] Ranning A,Laursen TM,Thorup A,et al.Serious mental illness and disrupted caregiving for children:a nationwide,register-based cohort study[J].J Clin Psychiatry,2015,76(8):E1006-E1014.
[18] Paksarian D,Eaton WW,Mortensen PB,et al.A population-based study of the risk of schizophrenia and bipolar disorder associated with parent-child separation during development[J].Psychol Med,2015,45(13):2825-2837.
[19] Kennedy H,Ball K,Barlow J.How does video interaction guidance contribute to infant and parental mental health and well-being?[J].Clin Child Psychol Psychiatry,2017,22(3):500-517.
[20] Chung FF,Wan GH,Kuo SC,et al.Mother-infant interaction quality and sense of parenting competence at six months postpartum for first-time mothers in Taiwan:a multiple time series design[J].BMC Pregnancy Childbirth,2018,18(1):365.
[21] Reddy PD,Desai G,Hamza A,et al.Enhancing mother infant interactions through video feedback enabled interventions in women with schizophrenia:a single subject research design study[J].Indian J Psychol Med,2014,36(4):373-377.
[22] Kenny M,Conroy S,Pariante CM,et al.Mother-infant interaction in mother and baby unit patients:before and after treatment[J].J Psychiatr Res,2013,47(9):1192-1198.
[23] 安桂玲,徐艳,任波,等.母婴同室产妇医院感染因素分析及应对措施[J].中华医院感染学杂志,2017,27(4):939-942.
[24] 张菊,叶文琴.我国产科母婴同室的护理实践与研究现状[J].全科护理,2012,10(24):2291-2293.
[25] Ashfaque A,Seneviratne T,Pariante C,et al.Mental health and mother-infant relationship outcomes on a psychiatric mother and baby unit:Before and after treatment[J].Arch Womens Ment Health,2015,18(2):385-386.
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