父母与婴儿的关系对于社会情感发展至关重要,并且受到围产期物质使用的不利影响。本系统综述认为,这些风险对母婴关系的潜在机制集中在3个主要过程上:(1)母亲的童年虐待经历;(2)依恋方式和随之而来的人际关系内部工作模式;(3)围产期物质使用。Further,审查考虑了hyperkatifeia的作用,或对物质使用障碍患者不使用物质时发生的负面影响过敏,并推动成瘾的负面强化。作者对与这些结构及其对母婴关系和后代结局的影响相关的文章(发表于2000-2022年)进行了系统的回顾。包括解决这些结构之间关系的原始临床研究文章,不包括案例研究,reviews,非人类动物研究,干预研究,女性参与者少于30%的研究,临床指南,仅限于产科结果的研究,机械/生物学研究,以及排除解释的方法论问题的研究。总共筛选了1844篇文章,377人被选中进行全文审查,数据来自157篇文章。结果显示,母亲与儿童虐待经历之间存在着密切的关系,不太优化的内部工作模型,围产期物质使用的风险增加,而且重要的是,所有这些预测因子与hyperkatifeia相互作用,对母婴关系产生显著影响,而有关后代结局的数据较少.这些数据有力地支持了未来研究的必要性,以解决产妇儿童虐待经历的累加影响,次优的内部工作模型,和围产期物质的使用,Hyperkatifeia作为潜在的主持人,以及它们对母婴社会情感结果的相互作用。
The parent-infant relationship is critical for socioemotional development and is adversely impacted by perinatal substance use. This systematic
review posits that the mechanisms underlying these risks to mother-infant relationships center on 3 primary processes: (1) mothers\' childhood maltreatment experiences; (2) attachment styles and consequent internal working models of interpersonal relationships; and (3) perinatal substance use. Further, the
review considers the role of hyperkatifeia, or hypersensitivity to negative affect which occurs when people with substance use disorders are not using substances, and which drives the negative reinforcement in addiction. The authors performed a systematic
review of articles (published 2000-2022) related to these constructs and their impact on mother-infant relationships and offspring outcomes, including original clinical research articles addressing relationships between these constructs, and excluding case studies, reviews, non-human animal studies, intervention studies, studies with fewer than 30% female-sex participants, clinical guidelines, studies limited to obstetric outcomes, mechanistic/biological studies, and studies with methodological issues precluding interpretation. Overall 1844 articles were screened, 377 were selected for full text
review, and data were extracted from 157 articles. Results revealed strong relationships between mothers\' childhood maltreatment experiences, less optimal internal working models, and increased risk for perinatal substance use, and importantly, all of these predictors interacted with hyperkatifeia and exerted a marked impact on mother-infant relationships with less data available on offspring outcomes. These data strongly support the need for future studies addressing the additive impact of maternal childhood maltreatment experiences, suboptimal internal working models, and perinatal substance use, with hyperkatifeia as a potential moderator, and their interacting effects on mother-infant socioemotional outcomes.