Influence of negative life events on suicidal ideation among adolescents with depressive disorder： the mediating role of mother-child attachment / 四川精神卫生

ObjectiveTo explore the effects of negative life events on suicidal ideation in adolescents with depressive disorder and the mediating role of mother-child attachment， so as to provide references for reducing suicidal ideation in adolescents with depression. MethodsA total of 145 adolescents underwent psychiatric inpatient and outpatient treatment in the First Affiliated Hospital of Chongqing Medical University From May 2020 to April 2021 and met the International Classification of Diseases， tenth edition （ICD-10） criteria for depressive episode were enrolled， and all selected individuals were assessed using the Adolescent Self-rating Life Events Checklist （ASLEC）， the Inventory of Parent and Peer Attachment （IPPA） and Beck Scale for Suicide Ideation-Chinese Version （BSI-CV）. Then Bootstrap method was used to test the mediating effect. ResultsBSI-CV score in adolescents with depressive disorder was positively correlated with ASLEC score （r=0.453， P<0.01）， and negatively correlated with mother-child attachment score in IPPA （r=-0.165， P<0.01）. The partial mediating effect of mother-child attachment between negative life events and suicidal ideation was significant， with a mediating effect value of 0.008， accounting for 14.55% of the total effect value （0.055）. ConclusionSuicidal ideation in adolescents with depressive disorder may be related to loads of negative life events and poor mother-child attachment， moreover， mother-child attachment plays a mediating role in the relationship between negative life events and suicidal ideation.

The Effect of the Mother-Child Development Promotion Program for the Child with Developmental Delay on Mother's Depressive Mood and Parenting Stress

OBJECTIVES: We investigated the parenting stress and depressive mood of mothers with developmentally-delayed children and the effects of participation in a mother-child development promotion program on same. METHODS: Subjects were the mothers of 20 developmentally-delayed children. The severity of the mothers' parenting stress was evaluated via the Korean version of the Parenting Stress Index, Short Form (K-PSI-SF) and the severity of their depressive symptoms were evalueted by the Korean version of the Beck Depression Inventory (K-BDI). RESULTS: The mean K-PSI-SF score and mean K-BDI score for these mothers were 93.35 (SD=10.47) and 23.25 (SD=10.42), respectively. These scores correspond to high parenting stress and moderate depression. The mothers who participated in a mother-child attachment- promotion program showed significant decreases in their K-PSI-SF and KBDI scores. CONCLUSION: Our data suggest that a mother-child attachment promotion program with emphasis on child development is effective in reducing parenting stress and depressive mood in mothers of developmentally-delayed children.

Implicações do vínculo mãe-criança no adoecimento infantil: revisão de literatura / Implications of the mother-child attachment on children illness: a literature review

O vínculo do bebê com sua mãe nos primeiros anos de vida é considerado, na abordagem psicanalítica, como sendo a relação fundamental para o desenvolvimento e construção das estruturas afetivas da criança. Diversas doenças infantis têm etiologia indefinida e muitas são claramente relacionadas a fatores emocionais. O papel do psiquismo na gênese de diferentes doenças tem sido objeto de interesse e estudo no campo da psicologia e, especialmente, na área da psicossomática psicanalítica. Nesse estudo foi realizada uma revisão de literatura científica sobre o vínculo mãe-bebê na etiologia, manutenção e agravamento de doenças orgânicas. Foram pesquisadas as seguintes bases de dados: Lilacs, Scielo, Google Acadêmico e Portal das Teses com as palavras-chave: mãe-filho, mãe-bebê e mãe-lactente, sendo que cada uma delas foi cruzada com as seguintes palavras: vínculo, interação, relação, doença. Os resultados indicaram escassez de estudos publicados sobre o tema, de acordo com as palavras-chave pesquisadas. Os resultados dos estudos encontrados indicam relações entre o vínculo mãe-bebê e a emergência de algumas doenças infantis pesquisadas. Sugere-se a realização de maior número e diversidade de estudos na área, considerando as transformações sociofamiliares contemporâneas.