人际心理治疗对抑郁母亲及幼儿发展影响研究.pdfVIP

DevelopmentandPsychopathology29(2017),601–615

#CambridgeUniversityPress2017

doi:10.1017/S0954579417000219

Developmentalcascadeeffectsofinteralpsychotherapy

fordepressedmothers:Longitudinalassociationswithtoddler

attachment,temperament,andmaternalparentingefficacy

ELIZAHD.HANDLEY,aLOUISAC.MICHL-PETZING,aFREDA.ROGOSCH,aDANTECICCHETTI,a,bAND

SHEREEL.TOTHa

aUniversityofRochesterMt.HopeFamilyCenter;andbUniversityofMinnesotaInstituteofChildDevelopment

Usingadevelopmentalcascadesframework,thecurrentstudyinvestiedwhethertreatingmaternaldepressionviainteralpsychotherapy(IPT)may

leadtomorewidespreadpositiveadaptationforoffspringandmothersincludingbenefitstotoddlerattachmentandtemperament,andmaternalparentingself-

efficacy.Theparticipants(N¼125mother–childdyads;meanmotherageatbaseline¼25.43years;54.4%ofmotherswereAfricanAmerican;mean

offspringageatbaseline¼13.23months)werefromarandomizedcontrolledtrialofIPTforasampleofraciallyandethnicallydiverse,socioeconomically

disadvantagedmothersofinfants.MotherswererandomizedtoIPT(n¼97)oranenhancedcommunitystandardcontrolgroup(n¼28).Theresultsof

complieraveragecausaleffectmodelingshowedthatengagementwithIPTledtosignificantdecreasesinmaternaldepressivesymptomsatposttreatment.

Moreover,reductionsinmaternaldepressionposttreatmentwereassociatedwithstoddlerdisorganizedattachmentcharacteristics,moreadaptivematernal

perceptionsoftoddlertemperament,andimprovedmaternalparentingefficacy8monthsfollowingthecompletionoftreatment.Ourfindingscontributetothe

emergingliteraturedocumentingthepotentialbenefitstochildrenofsuccessfullytreatingmaternaldepression.Alleviatingmaternaldepressionappearsto

initiateacascadeofpositivead