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童年期虐待史与年轻母亲产后五个月时的分离程度增加有关。

History of childhood abuse is accompanied by increased dissociation in young mothers five months postnatally.

机构信息

Departments of Child and Adolescent Psychiatry, University of Heidelberg, Heidelberg, Germany.

出版信息

Psychopathology. 2010;43(2):104-9. doi: 10.1159/000276999. Epub 2010 Jan 23.

Abstract

BACKGROUND

Dissociation has been recognized as a relevant factor within the context of traumatization. Since childhood maltreatment as well as child birth can be regarded as a potential trauma, this study examined dissociation in a sample of 58 young mothers with a history of abuse in comparison to a control group.

METHODS

All women with newborn children were contacted by mail and presented with the Childhood Trauma Questionnaire. Women who reached a cutoff for moderate or severe sexual and/or physical abuse and whose children were term babies with Apgar scores >7 were included in the study to form the index group (n = 58); the control group was formed by matching mothers with no reported experiences of physical and/or sexual abuse (n = 61). Dissociative experiences were assessed by the Scale of Dissociative Experiences (German version of the Dissociative Experiences Scale).

RESULTS

The results show that mothers with a history of physical or sexual abuse - matched for infant gender, maternal education, marital status, number of infants and birth weight - had significantly more dissociative experiences.

CONCLUSIONS

Maternal history of abuse significantly increases maternal dissociative experiences, which has frequently been postulated but never empirically shown in a prospective design in a sample of young mothers. As maternal psychopathology has been found to have a profound impact on child development, specifically in the first year of life, these data are of immediate relevance for preventive efforts when targeting at-risk mother-infant dyads.

摘要

背景

在创伤背景下,分离已被认为是一个相关因素。由于儿童期虐待以及分娩可以被视为潜在的创伤,因此本研究在一组有虐待史的 58 名年轻母亲中检查了分离,与对照组进行了比较。

方法

通过邮件联系所有有新生儿的妇女,并向她们提供儿童期创伤问卷。符合中度或重度性虐待和/或身体虐待标准且其孩子为 Apgar 评分>7 的足月婴儿的妇女被纳入研究以形成指数组(n=58);对照组由没有报告身体和/或性虐待经历的母亲组成(n=61)。分离体验通过分离体验量表(分离体验量表的德语版本)进行评估。

结果

结果表明,有身体或性虐待史的母亲——在婴儿性别、母亲教育、婚姻状况、婴儿数量和出生体重方面匹配——有明显更多的分离体验。

结论

母亲虐待史显著增加了母亲的分离体验,这在有风险的母婴对子的预防工作中具有重要意义。因为已经发现母体心理病理学对儿童发展有深远影响,特别是在生命的第一年,这些数据具有直接的相关性。

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