成人依恋在正念水平和母胎依恋间的中介作用

Mediating effect of adult attachment between mindfulness level and maternal-fetal attachment

目的探讨成人依恋在孕妇正念水平和母胎依恋间的中介作用。方法于山西省妇幼保健院、北京市海淀区妇幼保健院招募49名孕妇为研究对象,采用正念五因素量表、母胎依恋关系量表、亲密关系经历量表对其进行问卷调查。分析比较正念水平、母胎依恋、依恋焦虑、依恋回避的相关关系,以及成人依恋在正念水平与母胎依恋之间的中介作用。结果孕妇正念水平、母胎依恋、成人依恋的依恋焦虑、依恋回避维度得分分别为(128.02±15.18)分、(74.20±9.31)分、(59.57±16.38)分、(44.63±16.97)分。Pearson相关分析结果显示,孕妇正念水平与母胎依恋呈显著正相关(r=0.568,P<0.001),与依恋焦虑、依恋回避均呈显著负相关(r值分别是-0.516、-0.492,P<0.001);孕妇母胎依恋与依恋回避呈显著负相关(r=-0.451,P<0.001);与依恋焦虑无显著相关关系(P>0.05)。依恋回避在正念与母胎依恋之间的中介效应显著,效应值为0.068(95%CI:0.006~0.172),效应贡献率为19.5%;依恋焦虑在正念与母胎依恋之间的中介效应无统计学意义(95%CI:-0.103~0.086)。结论依恋回避在正念水平和母胎依恋之间起部分中介作用。

Objective To evaluate mediating effect of adult attachment between mindfulness level and maternal-fetal attachment(MFA)in pregnant women.Methods A total of 49pregnant women were recruited from Shanxi Provincial Maternity and Child Health Hospital and Beijing Haidian District Maternity and Child Health Hospital in the study.Mindfulness level,MFA,attachment anxiety and attachment avoidance of the pregnant women were surveyed and analyzed statistically by using such questionnaires as five facet mindfulness questionnaire(FFMQ),maternal antenatal attachment scale(MAAS)and experiences in close relationship inventory(ECR).Then the associations among mindfulness level,MFA,attachment anxiety and attachment avoidance,as well as the mediating effect of adult attachment between mindfulness level and MFA were analyzed.Results The scores of the pregnant women in mindfulness level,MFA,attachment anxiety and attachment avoidance were 128.02±15.18 points,74.20±9.31 points,59.57±16.38 points and 44.63±16.97 points respectively.Pearson correlation analysis showed that mindfulness level was positively correlated with MFA(r=0.568,P<0.001),while it was negatively correlated with attachment anxiety and attachment avoidance(r=-0.516,r=-0.492,both P<0.001).MFA was negatively correlated with attachment avoidance(r=-0.451,P<0.001),but it was not correlated with attachment anxiety(P>0.05).The mediating effect of attachment avoidance between mindfulness level and MFA was significant,the effect value was 0.068(95%CI=0.006-0.172)and the mediating effect size(effect contribution rate)was 19.5%.While the mediating effect of attachment anxiety between mindfulness level and MFA was not significant(95%CI=-0.103-0.086).Conclusion Attachment avoidance partly mediates mindfulness level and MFA in pregnant women.