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亲密伴侣暴力背景下的关系创伤。

Relational trauma in the context of intimate partner violence.

作者信息

Lannert Brittany K, Garcia Antonia M, Smagur Kathryn E, Yalch Matthew M, Levendosky Alytia A, Bogat G Anne, Lonstein Joseph S

机构信息

Department of Psychology, Michigan State University, USA.

出版信息

Child Abuse Negl. 2014 Dec;38(12):1966-75. doi: 10.1016/j.chiabu.2014.10.002. Epub 2014 Oct 28.

Abstract

The relational model of trauma (Scheeringa & Zeanah, 2001) proposes that infants' trauma symptoms may be influenced by their mothers' trauma symptoms and disruptions in caregiving behavior, although the mechanisms by which this occurs are less well understood. In this research, we examined the direct and indirect effects of a traumatic event (maternal intimate partner violence [IPV]), maternal trauma symptoms, and impaired (harsh and neglectful) parenting on infant trauma symptoms in a sample of mother-infant dyads (N=182) using structural equation modeling. Mothers completed questionnaires on IPV experienced during pregnancy and the child's first year of life, their past-month trauma symptoms, their child's past-month trauma symptoms, and their parenting behaviors. Results indicated that the effects of prenatal IPV on infant trauma symptoms were partially mediated by maternal trauma symptoms, and the relationship between maternal and infant trauma symptoms was fully mediated by neglectful parenting. Postnatal IPV did not affect maternal or infant trauma symptoms. Findings support the application of the relational model to IPV-exposed mother-infant dyads, with regard to IPV experienced during pregnancy, and help identify potential foci of intervention for professionals working with mothers and children.

摘要

创伤关系模型(谢林加和泽纳,2001年)提出,婴儿的创伤症状可能会受到其母亲的创伤症状以及养育行为中断的影响,尽管其发生机制尚不太清楚。在本研究中,我们使用结构方程模型,在一个母婴二元组样本(N = 182)中,考察了创伤事件(母亲亲密伴侣暴力[IPV])、母亲创伤症状以及受损(严厉和疏忽)养育方式对婴儿创伤症状的直接和间接影响。母亲们完成了关于孕期和孩子一岁时所经历的IPV、她们过去一个月的创伤症状、孩子过去一个月的创伤症状以及她们养育行为的问卷。结果表明,产前IPV对婴儿创伤症状的影响部分由母亲创伤症状介导,母亲与婴儿创伤症状之间的关系完全由疏忽养育方式介导。产后IPV并未影响母亲或婴儿的创伤症状。研究结果支持将关系模型应用于暴露于IPV的母婴二元组,涉及孕期经历的IPV,并有助于为从事母婴工作的专业人员确定潜在的干预重点。

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