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The Korean Journal of Woman Psychology

Effect of Preventive Parenting Program for Mother-Infant secure attachment

Abstract

This study was to examine the effect of a preventive parenting education program for pregnant women who were at risk for maltreatment. This program is consisted of four parts; 1)education of infant development, 2)improvement of maternal sensitivity in interaction with children, 3)examination of mother's own attachment representation, and 4)establishment of social support to prevent negative effect to parenting. Risk pregnant women were screened by depression, anxiety, marital discord and psychological stress scores. Six women were enrolled in the parenting program which consisted of eight sessions(two hours weekly for 8weeks) of treatment sessions and five women were enrolled as the controls. The post-assessment was performed 6months after the child's birth. The scores of mother's working models of child and the maternal sensitivity were significantly higher in the educated group than the controls. The interaction scores of participant group was significantly higher than that of controls in developmental sensitivity and responsiveness, and lower in intrusiveness. However, there were no significant difference between the participant and control group in the Depression, Marital Adjustment and the Maternal Stress. Infants of participant group showed significantly higher developmental level in Bayley Scale compare to infants of control group. Finally, infants of participant group scored significantly higher in adjustment and attention in temperament scale than the control group. These results supported the effectiveness of the Parenting Education Program in preventing maltreatment and in improving secure attachment.

keywords
예방부모교육, 안정애착, 양육기제, 상호작용 민감성, preventive parenting program, secure attachment, caring system, interaction sensitivity

Reference

1.

송지영 (1992). 한국판 부모-자녀 결합 형태 검사: 신뢰도 및 타당도 검증. 신경정신의학 31(5), 979-989.

2.

신성자 (1981). 기혼 직업여성의 부부적응에 관한 연구. 중앙대학교 대학원 석사학위논문.

3.

유명희 (1990). 온순한 유아와 까다로운 유아의 울음에 대한 어머니의 지각과 반응에 관한 연구. 이화여자대학교 대학원 박사학위 논문.

4.

윤혜영 (2000). 부모의 결혼 만족도와 양육 태도가 아동의 심리적 적응에 미치는 영향. 고려대학교 대학원 석사학위 논문.

5.

이경숙, 안혜숙, 서수정, 신의진 (2001). 애착 문제/장애 부모집단 심리치료 효과에 관한 연구. 한국발달심리학회지, 14(2). p153-174.

6.

이경숙, 염현경, 신윤오 (2000). 한국형 부모양육 스트레스 척도 개발을 위한 예비연구. 대한 소아청소년 정신의학회지(1). vol 11. p70-78.

7.

Abidin, R. R. (1990). Parenting Stress Index Short Form (PSI/SF): Charlottessville, VA: Pediatric Psychology Press.

8.

Ainsworth, M. D. S., Blehar, M.C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the Strange Situation. Hillsdale, NJ: Erlbaum.

9.

Belsky, J. (1997). Variation in susceptibility to environmental influence: An evolutionary argument. Psychological Inquiry, 8, 82-186.

10.

Belsky, J., Crnic, K., & Gable, S. (1995). The determinants of co-parenting in families with toddler boys: Spousal differences and daily hassles. Child Development, 66, 629-642.

11.

Belsky, J., Youngblade, L., & Pensky, E. (1989). Childrearing history, marital quality, and maternal affect: Intergenerational transmission in a low-risk sample. Development and Psychopathology, 1, 292-304.

12.

Bowlby, J. (1969/1982). Attachment and loss: Vol.1. Attachment. New York: Basic Books. (Originally published, 1969).

13.

Brazelton, T. B., Nugent, K., & Lester, B. (1987). Neonatal Behavior Assessment Scale. In J. Osofsky .0(Ed.), Handbook of infant development (2nd ed., pp. 780-817), New York; Wiley-Interscience.

14.

Carey, W. B., & McDevitt, S.C. (1978). Revision of the infant temperament questionnaire, Pediatrics, 61, 735-739.

15.

Cicchetti, D., &Lynch, M. (1993). Toward and ecological/transactional model of community violence and child maltreatment: Consequence of children's development. psychiatry, 56, 96-118.

16.

Cicchetti, D., & Toth, S. (1995). A developmental psychopathology perspective on child abuse and neglect. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 869-897.

17.

Cohen, P., Cohen, J., & Brook, J. (1993). An epidemiological study of disorders in late in late childhood and adolescence-II. Persistence of disorders. Journal of Child Psychology and Psychiatry, 34, 869-897.

18.

Collins, N., & Read, S. J. (1990). Adult attachment, working models, and relationship quality in dating couples. Journal of Personality and Social Psychology, 58, 644-663.

19.

Cowan, P. A., Cohn, K. A., Cowan, C. P., & Pearson, J. L. (1996). Parents' attachment histories and children's externalizing and internalizing behaviors: Exploring family systems models of linkage. Journal of consulting and Clinical Psychology, 64, 53-63.

20.

Cummings, E. M., & Davis, P. T. (1994). Maternal depression and child development. Journal of Child Psychology and Psychiatry, 35, 73-112.

21.

Erickson, M. F., Korfmacher, J., & Egeland, B. R. (1992). Attachment pas and present: Implications for therapeutic intervention with mother-infant dyads. Development and Psychopathology, 4, 495-507.

22.

Fonagy, P. (1998). Prevention, the appropriate target of infant psychotherapy. Infant Mental Heath Journal, 19(2), 124-150.

23.

Gamsa, A. (1987). A not on a modification of the parental bonding instrument. British Journal of Psychiatry, 121. 241-258.

24.

Heinicke, C. M., Fineman, N., Ruth, G., Recchia, S. L., Guthrie, D., Rodning, C. (1999). Relationship-based intervention with at-risk mothers: outcome in the first year of life, Infant Mental Health Journal, 20(4), 349-374.

25.

Isabella, R. (1993). Origins of attachment. Maternal interactive behavior across the first year. Child Development, 64, 605-621.

26.

Kolko, D. J., & Kazdin, A. E. (1993). Emotional/ behavioral problems in clinic and nonclinic children: Correspondence among child, parent and teacher reports. Journal of Child Psychology and Psychiatry, 34, 991-1006.

27.

Lewis, M. (1997). Alteringfate: Why the past does not predict the future. New York: Guilford.

28.

Lyons-Ruth. K., Connell, D. B., & Grunebaum, H. U. (1990). Infants at social risk: Maternal Depression and family support services as mediators of infant development and security of attachment. Child Development, 61, 547-556.

29.

Marsh, E., & Tedal, L. (1990). Behavior Assessment of Childhood Disorders, New York: Guilford Press.

30.

Ols, D. L., Henderson, C. R., Chamgerlin, R., & Tatelbaum, R. (1986). Preventing child abuse and neglect: A randomized trial of nurse home visitation. Pediatrics, 78, 65-78.

31.

Ols, K. L., & Korfmacher, J. (1998). Maternal psychological characteristics as influences on home visitation contact. Journal of Community Psychology, 26(1), 23-36.

32.

Parker, G., Tuplin, H., & Brown, L. B. (1979). A parental bonding Instrument. British Journal Medical Psychology, 52. 1-10.

33.

Scaffer, H. R. (1984). The Child's Entry into a Social World. London: Academic Press.

34.

Tyson, R. L., Emde, R. N., Gulenson, E., & Osofsk, J. D. (1985). The origins and fates of psychopathology in infancy: a panel discussion. In J.D. Call, E. Galenson & R. L. Tyson (Eds.), Frontiers of infant psychiatry: Vol.2 (pp480-489). New York: Basic Books.

35.

van dem Boom, D.C. (1994). The influence of temperament and mothering on attachment and exploration: An experimental manipulation of sensitive responsiveness among lower-class mothers with irritable infants. Child Development, 65, 1457-1477.

36.

van IJzendoorn, M. H. (1995). Adult attachment representations, parental responsiveness, and infant attachment: A meta-analysis on the predictive validity of the Adult Attachment Interview. Psychological Bulletin, 117, 387- 403.

37.

Wendland-Carro, J., Piccinini, C. A., & Millar, W. S. (1999). The role of an early intervention on enhancing the quality of mother-infant interaction. Child Development, 70, 713-721.

38.

Widmayer, S. M., & Field, T. M. (1981). Effects of Brazelton demonstrations for mothers on the development of preterm infants. Pediatric, 67, 711-714.

39.

Whaley, S. E., Pinto, A., & Sigman, M. (1999). Characterizing interactions between anxious mothers and their children. Journal of Consulting and Clinical Psychology, 67(6), 826-836.

40.

Zeanah, C., & Benoit, D., & Barton, M. (1986). Working Model of the Child Interview. Unpublished manuscript, Brown University.

41.

Zeanah, C., Benoit, D., Barton, M., Regan, C., Hirshberg, L., & Lipsitt, L. P. (1993). Representations of attachment in mothers and their one-year-old infants. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 278-286.

The Korean Journal of Woman Psychology