Michl Louisa C, Handley Elizabeth D, Rogosch Fred, Cicchetti Dante, Toth Sheree L
Mt. Hope Family Center, University of Rochester, Rochester, NY, USA
Mt. Hope Family Center, University of Rochester, Rochester, NY, USA.
Child Maltreat. 2015 Nov;20(4):291-300. doi: 10.1177/1077559515602095. Epub 2015 Aug 27.
The primary aim of the current study was to examine self-criticism as a potential mechanism mediating the relation between mothers' own childhood maltreatment history and changes in subsequent maternal efficacy beliefs in a diverse sample of low-income mothers with and without major depressive disorder. Longitudinal data were drawn from a larger randomized clinical trial evaluating the effectiveness of interpersonal psychotherapy for depression among low-income mothers and their 12-month-old infant. Results indicated that higher levels of maltreatment in childhood led mothers to hold more self-critical judgments in adulthood. Additionally, mothers who had experienced more extensive childhood maltreatment histories perceived themselves as less efficacious in their role as mother. Structural equation modeling indicated that self-criticism mediated the relationship between childhood maltreatment and mothers' decreased perceived competency in her maternal role from when her child was an infant to the more demanding toddler years. Finally, this relationship held over and above the influence of mothers' depressive diagnostic status. Directions for future research and the clinical implications of these findings are discussed.
本研究的主要目的是，在患有和未患有重度抑郁症的低收入母亲这一多样化样本中，检验自我批评作为一种潜在机制，介导母亲自身童年期受虐待经历与随后母亲效能信念变化之间关系的作用。纵向数据取自一项更大规模的随机临床试验，该试验评估了人际心理治疗对低收入母亲及其12个月大婴儿抑郁症的疗效。结果表明，童年期受虐待程度越高，母亲在成年后持有更多自我批评性的评判。此外，童年期受虐待经历更广泛的母亲认为自己作为母亲的效能较低。结构方程模型表明，自我批评介导了童年期受虐待与母亲从孩子婴儿期到要求更高的幼儿期，其对母亲角色的胜任感降低之间的关系。最后，这种关系在母亲抑郁诊断状态的影响之外依然成立。本文讨论了未来研究方向以及这些发现的临床意义。
