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识别易受伤害的母婴二合体:对两种观察编码系统的心理测量评估,使用不同的相互作用时间

Helen Sharp¹, Silia Vitoratou², Heather O'Mahen³

¹Department of Primary Care and Mental Health, Institute of Population Health, University of Liverpool, Liverpool, United Kingdom.

Frontiers in psychology

|July 10, 2024

概括

简短的观察工具有效地评估了早期干预的父母婴儿互动. 作为一个三项衡量标准,NICHD-3显示了婴儿心理健康结果的可靠性和预测有效性.

科学领域:

发展心理学发展心理学
临床心理学临床心理学
婴儿心理健康婴儿心理健康

背景情况:

对父母婴儿互动的可行评估对于识别需要父母干预的双胞胎至关重要.
现有的观察工具需要在临床环境中对可靠性和预测有效性进行评估.
需要更短的评估表格来保持心理测量完整性.

研究的目的:

评估两个关于父母婴儿互动的观察工具的可靠性和预测有效性.
为了确定这些工具的简要版本是否保留了可接受的心理测量特性.
评估这些工具在识别有心理健康问题的风险的婴儿方面的有用性.

主要方法:

来自高风险社区队列的250个母婴二合体样本参与了这项研究.
用PIIOS和NICHD-SECCYD系统拍摄并编码了七分钟的基于游戏的互动.
预测有效性与依恋结果和14个月和30个月的婴儿心理健康相比进行了评估.

主要成果:

两种观测工具在不同的观测期内都实现了优异的评价者间可靠性.
PIIOS总得分和简短的3项NICHD-SECCYD复合 (NICHD-3) 显示了心理健康结果的预测有效性 (AUC>0.70).
根据NICHD-3确定为有风险的二元体,在14个月后,不安全的几率显著增加.

结论:

从5分钟的观察中获得的PIIOS总分和NICHD-3评级都可靠且有效用于临床使用.
由于其培训和编码的简短性,NICHD-3提供了更大的临床实用性.
NICHD-3适用于更广泛的发育时间框架 (3-24个月) 来评估亲婴相互作用.

关键词:

连接方式连接方式连接方式婴儿心理健康婴儿心理健康母婴互动的作用预测有效性预测有效性可靠性的可靠性

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