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抑郁和解离在童年期性虐待与后期养育方式之间的联系中所起的作用。

The role of depression and dissociation in the link between childhood sexual abuse and later parental practices.

作者信息

Collin-Vézina Delphine, Cyr Mireille, Pauzé Robert, McDuff Pierre

机构信息

Université de Montréal, Québec, Canada.

出版信息

J Trauma Dissociation. 2005;6(1):71-97. doi: 10.1300/J229v06n01_05.

DOI:10.1300/J229v06n01_05
PMID:16150686
Abstract

Research has yielded contradictory results on the relationship between childhood sexual abuse and later parental functioning. This study was undertaken to specify the link between childhood sexual abuse and maternal parenting, while taking into account mothers' childhood physical and emotional traumas and current depressive and dissociative symptoms. Data were collected through self-report measures completed by 93 French-speaking Canadian mothers of children aged 6 to 11 years referred to Youth Protection Services. Parental behaviors examined included involvement with the child, use of positive reinforcement, lack of monitoring and supervision of the child, inconsistency in applying discipline, and use of corporal punishment. Mothers' perception of the quality of the relationship with her child was also assessed. In addition, history of abuse and neglect, depression and dissociation were respectively measured with the Childhood Trauma Questionnaire, the Diagnostic Interview Schedule Simplified, and the Dissociative Experiences Scale. The short-form of the Marlowe-Crowne Social Desirability Scale was used to control for respondent bias aimed at minimizing their problems. Mothers' current depressive symptoms were not found to predict any of the parental dimensions measured. Results from multiple hierarchical regressions pointed to dissociative symptoms as the key predictor of parental practices and attitudes. More specifically, dissociative symptoms predicted the use of positive reinforcement, lack of monitoring and supervision of the child, inconsistency in applying discipline, and use of corporal punishment. Dissociation also mediated the association between childhood maltreatment (physical and emotional abuse and neglect) and inconsistency in applying discipline. Implications for research and practice are discussed.

摘要

关于童年期性虐待与后期父母教养功能之间的关系,研究得出了相互矛盾的结果。本研究旨在明确童年期性虐待与母亲教养方式之间的联系,同时考虑母亲童年期的身体和情感创伤以及当前的抑郁和解离症状。数据通过自我报告测量收集,由93名说法语的加拿大母亲完成,她们的孩子年龄在6至11岁之间,已被转介至青少年保护服务机构。所考察的父母行为包括与孩子的互动、积极强化的使用、对孩子缺乏监督、纪律执行不一致以及体罚的使用。还评估了母亲对与孩子关系质量的认知。此外,分别使用儿童创伤问卷、简化版诊断访谈表和分离体验量表来测量虐待和忽视史、抑郁和解离情况。使用马洛-克劳恩社会赞许性量表简版来控制旨在最小化自身问题的应答偏差。未发现母亲当前的抑郁症状能预测所测量的任何父母教养维度。多重分层回归结果表明,解离症状是父母教养行为和态度的关键预测因素。更具体地说,解离症状预测了积极强化的使用、对孩子缺乏监督、纪律执行不一致以及体罚的使用。解离还介导了童年期虐待(身体和情感虐待及忽视)与纪律执行不一致之间的关联。讨论了对研究和实践的启示。

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