【摘要】 目的 探究婴儿难养型与婴儿忽视的关系，并在压力敏化模型和压力放大模型的框架内检验母亲童年期逆境的调节作用。方法 采用方便抽样法选取2020年10月～2021年10月济南市某三甲医院506名产后1年内的母亲为研究对象，使用养育压力量表（婴儿难养型维度）、童年期不良经历问卷和婴儿忽视迹象量表分别评估婴儿难养型、母亲童年期逆境和婴儿忽视情况。结果 婴儿难养型与婴儿忽视呈显著正相关（β=0.379,95%CI:0.259～0.432）；童年期逆境调节了婴儿难养型与婴儿忽视的关系（β=0.485,95%CI:0.025～0.165），符合压力放大模型。结论 医疗保健人员应关注婴儿忽视问题，尤其要关注经历过高水平童年期逆境且婴儿难养的母亲，为其提供有针对性的建议和干预措施，从而减少婴儿忽视的发生。更多还原

【Abstract】 Objective This study aimed to explore the relationship between difficult infant temperament and infant neglect, and to examine the moderating role of childhood adversity within the frameworks of the stress sensitization model and the stress amplification model. Methods A total of 506 mothers within one year postpartum from a tertiary hospital in Jinan City were selected as the study subjects using the convenient sampling method from October 2020 to October 2021. The parenting stress index-short form(difficult infant subscale), the adverse childhood experiences scale-revised, and the signs of neglect in infants assessment scale(SIGN) were employed to assess difficult infant temperament, maternal childhood adversity, and infant neglect, respectively. Results Difficult infant temperament was significantly positively correlated with infant neglect(β=0.379, 95%CI: 0.259～0.432). Childhood adversity moderated the relationship between difficult infant temperament and infant neglect(β=0.485, 95%CI: 0.025～0.165), consistent with the stress amplification model. Conclusion Healthcare professionals should focus on the issue of infant neglect, particularly for mothers who have experienced high levels of childhood adversity and have infants with difficult temperaments. Providing targeted advice and intervention measures can help reduce the occurrence of infant neglect.更多还原