School of Psychology, University of Minho, Portugal.
J Psychosom Res. 2013 Aug;75(2):178-83. doi: 10.1016/j.jpsychores.2013.04.001. Epub 2013 May 1.
To test the potential mediation effect of psychosomatic symptoms on the relationship between parents' history of childhood physical victimization and current risk for child physical maltreatment.
Data from the Portuguese National Representative Study of Psychosocial Context of Child Abuse and Neglect were used. Nine-hundred and twenty-four parents completed the Childhood History Questionnaire, the Psychosomatic Scale of the Brief Symptom Inventory, and the Child Abuse Potential Inventory.
Mediation analysis revealed that the total effect of the childhood physical victimization on child maltreatment risk was significant. The results showed that the direct effect from the parents' history of childhood physical victimization to their current maltreatment risk was still significant once parents' psychosomatic symptoms were added to the model, indicating that the increase in psychosomatic symptomatology mediated in part the increase of parents' current child maltreatment risk.
The mediation analysis showed parents' psychosomatic symptomatology as a causal pathway through which parents' childhood history of physical victimization exerts its effect on increased of child maltreatment risk. Somatization-related alterations in stress and emotional regulation are discussed as potential theoretical explanation of our findings. A cumulative risk perspective is also discussed in order to elucidate about the mechanisms that contribute for the intergenerational continuity of child physical maltreatment.
检验心身症状在父母童年期身体受虐史与当前儿童身体虐待风险之间关系中的潜在中介效应。
本研究使用了葡萄牙全国儿童虐待和忽视的心理社会环境代表性研究的数据。924 名父母完成了儿童期史问卷、简明症状量表的身心症状量表和儿童虐待倾向量表。
中介分析显示，童年期身体受虐对儿童虐待风险的总效应显著。结果表明，在模型中加入父母的心身症状后，父母童年期身体受虐史对其当前虐待风险的直接效应仍然显著，这表明心身症状的增加部分中介了父母当前儿童虐待风险的增加。
中介分析表明，父母的心身症状是父母童年期身体受虐史对增加儿童虐待风险产生影响的一个因果途径。应激和情绪调节相关的躯体化改变被认为是我们研究结果的潜在理论解释。还讨论了累积风险视角，以阐明导致儿童身体虐待代际连续性的机制。
