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心脏迷走神经张力与育儿质量呈现出同时存在且有时间顺序的关联,这种关联在虐待型、忽视型和非虐待型母亲中有所不同。

Cardiac Vagal Tone and Quality of Parenting Show Concurrent and Time-Ordered Associations That Diverge in Abusive, Neglectful, and Non-Maltreating Mothers.

作者信息

Skowron Elizabeth A, Cipriano-Essel Elizabeth, Benjamin Lorna Smith, Pincus Aaron L, Van Ryzin Mark J

机构信息

University of Oregon.

Pennsylvania State University.

出版信息

Couple Family Psychol. 2013 Jun 1;2(2):95-115. doi: 10.1037/cfp0000005.

Abstract

Concurrent and lagged maternal respiratory sinus arrhythmia (RSA) was monitored in the context of parenting. One hundred and forty-one preschooler-mother dyads-involved with child welfare as documented perpetrators of child abuse or neglect, or non-maltreating (non-CM)-were observed completing a resting baseline and joint challenge task. Parenting behaviors were coded using SASB (Benjamin, 1996) and maternal RSA was simultaneously monitored, longitudinally-nested within-person (WP), and subjected to MLM. Abusive and neglectful mothers displayed less positive parenting and more strict/hostile control, relative to non-CM mothers. Non-CM mothers displayed greater WP heterogeneity in variance over time in their RSA scores, and greater consistency over time in their parenting behaviors, relative to abusive or neglectful mothers. CM group also moderated concurrent and lagged WP associations in RSA and positive parenting. When abusive mothers displayed lower RSA in a given epoch, relative to their task average, they showed concurrent increases in positive parenting, and higher subsequent levels of hostile control in the following epoch, suggesting that it is physiologically taxing for abusive mothers to parent in positive ways. In contrast, lagged effects for non-CM mothers were observed in which RSA decreases led to subsequent WP increases in positive parenting and decreases in control. Reversed models were significant only for neglectful mothers: Increases in positive parenting led to subsequent increases in RSA levels, and increases in strict, hostile control led to subsequent RSA decreases. These results provide new evidence that concurrent and time-ordered coupling in maternal physiology and behavior during parenting vary in theoretically meaningful ways across CM and non-CM mothers. Implications for intervention and study limitations are discussed.

摘要

在育儿背景下监测了同时期和滞后的母亲呼吸性窦性心律不齐(RSA)。观察了141对学龄前儿童与母亲的二元组——其中涉及儿童福利,有记录显示存在虐待或忽视儿童行为的施虐者,或无虐待行为(非CM组)——他们完成了静息基线和联合挑战任务。使用SASB(本杰明,1996年)对育儿行为进行编码,同时监测母亲的RSA,纵向嵌套在个体内部(WP),并进行多层线性模型分析。与非CM组母亲相比,虐待和忽视型母亲表现出较少的积极育儿行为和更多的严厉/敌意控制。相对于虐待或忽视型母亲,非CM组母亲在RSA得分随时间变化的方差上表现出更大的WP异质性,并且在育儿行为上随时间表现出更大的一致性。CM组也调节了RSA与积极育儿之间同时期和滞后的WP关联。当虐待型母亲在某一时期相对于其任务平均水平表现出较低的RSA时,她们同时期的积极育儿行为增加,并且在接下来的时期中敌意控制水平更高,这表明以积极方式育儿对虐待型母亲来说在生理上是有压力的。相比之下,观察到非CM组母亲存在滞后效应,即RSA降低导致随后WP的积极育儿行为增加和控制行为减少。反向模型仅对忽视型母亲具有显著性:积极育儿行为的增加导致随后RSA水平的增加,而严厉、敌意控制行为的增加导致随后RSA的降低。这些结果提供了新的证据,表明在育儿过程中,母亲生理和行为的同时期和时间顺序耦合在理论上有意义的方式上,在CM组和非CM组母亲之间存在差异。讨论了干预的意义和研究局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a88d/3980485/a8541dc83229/nihms561191f1.jpg

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