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一项关于父母离婚15年后儿童报告的母亲温暖对皮质醇应激反应影响的纵向研究。

A Longitudinal Study of the Effects of Child-Reported Maternal Warmth on Cortisol Stress Response 15 Years After Parental Divorce.

作者信息

Luecken Linda J, Hagan Melissa J, Wolchik Sharlene A, Sandler Irwin N, Tein Jenn-Yun

机构信息

From the Department of Psychology, Arizona State University, Tempe, Arizona.

出版信息

Psychosom Med. 2016 Feb-Mar;78(2):163-70. doi: 10.1097/PSY.0000000000000251.

Abstract

OBJECTIVES

The experience of parental divorce during childhood is associated with an increased risk of behavioral and physical health problems. Alterations in adrenocortical activity may be a mechanism in this relation. Parent-child relationships have been linked to cortisol regulation in children exposed to adversity, but prospective research is lacking. We examined maternal warmth in adolescence as a predictor of young adults' cortisol stress response 15 years after parental divorce.

METHODS

Participants included 240 youth from recently divorced families. Mother and child reports of maternal warmth were assessed at 6 time points across childhood, adolescence, and young adulthood. Offspring salivary cortisol was measured in young adulthood before and after a social stress task. Structural equation modeling was used to predict cortisol response from maternal warmth across early and late adolescence.

RESULTS

Higher child-reported maternal warmth in early adolescence predicted higher child-reported maternal warmth in late adolescence (standardized regression = 0.45, standard error = 0.065, p < .01), which predicted lower cortisol response to a challenging interpersonal task in young adulthood (standardized regression = -0.20, standard error = 0.094, p = .031). Neither mother-reported warmth in early adolescence nor late adolescence was significantly related to offspring cortisol response in young adulthood.

CONCLUSIONS

Results suggest that for children from divorced families, a warm mother-child relationship after divorce and across development, as perceived by the child, may promote efficient biological regulation later in life.

TRIAL REGISTRATION

ClinicalTrials.gov Identifier: NCT01407120.

摘要

目的

童年时期父母离异的经历与行为和身体健康问题风险增加有关。肾上腺皮质活动的改变可能是这种关联的一种机制。亲子关系与处于逆境中的儿童的皮质醇调节有关,但缺乏前瞻性研究。我们研究了青少年时期母亲的温情作为父母离婚15年后年轻人皮质醇应激反应预测因素的作用。

方法

参与者包括240名来自近期离异家庭的青少年。在童年、青少年和青年期的6个时间点评估母亲和孩子报告的母亲温情情况。在青年期进行社交应激任务前后测量后代的唾液皮质醇。采用结构方程模型从青少年早期和晚期的母亲温情来预测皮质醇反应。

结果

青少年早期孩子报告的母亲温情较高,预测青少年晚期孩子报告的母亲温情也较高(标准化回归系数=0.45,标准误=0.065,p<0.01),而这又预测了青年期对具有挑战性的人际任务的皮质醇反应较低(标准化回归系数=-0.20,标准误=0.094,p=0.031)。青少年早期或晚期母亲报告的温情与青年期后代的皮质醇反应均无显著相关性。

结论

结果表明,对于来自离异家庭的孩子,孩子所感知的离婚后及整个成长过程中温暖的母子关系可能会促进其日后生活中有效的生理调节。

试验注册

ClinicalTrials.gov标识符:NCT01407120。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8966/4738014/98ddcaeee9d9/nihms718432f1.jpg

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