怀孕期间母亲与胎儿的联系受损的集群和案例小组:一种混合方法方法
Toshinori Kitamura1,2,3, Ayako Hada1,4,5, Yuriko Usui1,2,6
1Kitamura Institute of Mental Health Tokyo Tokyo Japan.
PCN reports : psychiatry and clinical neurosciences
|June 9, 2025
概括
这项研究确定了四组母胎结合,包括结合障碍和矛盾结合. 了解这些模式对于孕妇的治疗干预至关重要.
科学领域:
- 心理学 心理学 心理学
- 产科 产科 产科 产科 产科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 孕产妇与胎儿的联系受损需要临床关注,以进行早期干预.
- 了解不同的绑定模式对于有针对性的支持至关重要.
研究的目的:
- 为了澄清母亲与胎儿联系受损的妇女的临床特征.
- 根据结合模式识别和描述子组.
主要方法:
- 采用双波互联网调查和在线采访的混合方法方法.
- 对母婴组织问卷 (DAMBO Q33) 33项维度评估的两步集群分析.
- 来自确定集群的代表性病例的定性描述.
主要成果:
- 出现了四个集群:结合障碍 (n=101),矛盾结合 (n=156),积极结合 (n=173) 和缺乏结合情绪 (n=122).
- 结合障碍的特点是负面的胎儿感情.
- 矛盾的联系与准备成为父母有关;缺乏联系情绪显示对怀孕的兴趣较低.
结论:
- 鉴定出明显的母亲与胎儿之间的联系受损的模式.
- 这些妇女需要专业评估和支持性干预,不一定是病态精神疾病类别.
- 了解怀孕经历和母亲角色实现困难是关键.
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