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亲密伴侣关系对童年期遭受虐待的成年父母抑郁症状的保护作用。

The Protective Effects of Intimate Partner Relationships on Depressive Symptomatology Among Adult Parents Maltreated as Children.

作者信息

Henry Kimberly L, Thornberry Terence P, Lee Rosalyn D

机构信息

Department of Psychology, Colorado State University, Fort Collins, Colorado.

Department of Criminology and Criminal Justice, University of Maryland, College Park, Maryland.

出版信息

J Adolesc Health. 2015 Aug;57(2):150-6. doi: 10.1016/j.jadohealth.2015.02.015. Epub 2015 Apr 23.

Abstract

PURPOSE

We examined whether intimate partner relationships in general, and satisfying and stable intimate partner relationships in particular, protect victims of child maltreatment from depressive symptoms during young adulthood.

METHODS

Prospective, longitudinal data on 485 parents, 99 maltreated during childhood, were used. Longitudinal multilevel models (12 annual interviews, conducted from 1999 to 2010, nested in individuals) were specified to estimate the effects of relationship characteristics on depressive symptomatology by maltreatment status.

RESULTS

Relationship characteristics operated as direct protective factors for maltreated and not maltreated individuals. Higher relationship satisfaction and stability were prospectively predictive of less depressive symptomatology. Models of inter and intraindividual variability were also consistent with significant direct protective effects. Between persons, a more satisfying and stable relationship was associated with fewer depressive symptoms. Within person, periods when an individual moved into a relationship and periods of enhanced satisfaction and stability were associated with fewer depressive symptoms. Relationship satisfaction and stability operated as significant buffering protective factors for the effect of maltreatment on depressive symptoms in most models, suggesting that positive intimate partner relationships may reduce the risk that childhood maltreatment poses for adult depressive symptoms.

CONCLUSIONS

The Centers for Disease Control and Prevention identifies safe, stable, and nurturing relationships as key in preventing maltreatment and its consequences. This study adds to the evidence on the protective role of safe, stable, and nurturing relationships by identifying intimate partner relationship factors that may protect parents who were maltreated during childhood from depressive symptoms.

摘要

目的

我们研究了一般的亲密伴侣关系,特别是满意且稳定的亲密伴侣关系,是否能保护童年受虐受害者在成年早期免受抑郁症状的困扰。

方法

使用了关于485名父母的前瞻性纵向数据,其中99人在童年时期受过虐待。指定纵向多层次模型(1999年至2010年进行了12次年度访谈,嵌套在个体中)来估计关系特征对按虐待状况划分的抑郁症状的影响。

结果

关系特征对受过虐待和未受过虐待的个体均起到直接保护因素的作用。更高的关系满意度和稳定性在预测上意味着更少的抑郁症状。个体间和个体内变异性模型也与显著的直接保护作用一致。在个体之间,更满意和稳定的关系与更少的抑郁症状相关。在个体内部,个体进入一段关系的时期以及满意度和稳定性增强的时期与更少的抑郁症状相关。在大多数模型中,关系满意度和稳定性对虐待对抑郁症状的影响起到了显著的缓冲保护因素的作用,这表明积极的亲密伴侣关系可能会降低童年虐待对成人抑郁症状造成的风险。

结论

疾病控制与预防中心将安全、稳定且滋养性的关系确定为预防虐待及其后果的关键。本研究通过确定可能保护童年受过虐待的父母免受抑郁症状困扰的亲密伴侣关系因素,补充了关于安全、稳定且滋养性的关系的保护作用的证据。

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