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亲密伴侣暴力与母婴对子代母亲头发皮质醇的增加有关。

Intimate partner violence is associated with increased maternal hair cortisol in mother-child dyads.

机构信息

Developmental Cognitive Neuroscience Lab (DCNL), Pontifical Catholic University of Rio Grande do Sul, Av. Ipiranga, 6681 Prédio 11 Sala 936, Porto Alegre, RS 90619-900, Brazil.

Department of Psychobiology, Faculty of Psychology, University of Valencia, Avda Blasco Ibañez, Valencia 2146010, Spain.

出版信息

Compr Psychiatry. 2017 Jan;72:18-24. doi: 10.1016/j.comppsych.2016.09.006. Epub 2016 Sep 19.

Abstract

BACKGROUND

The chronic consequences of intimate partner violence (IPV) on HPA activation are a topic of debate. The current study investigated hair cortisol concentrations in female victims of IPV and their children.

METHODS

A total of 52 mother-child dyads were divided into two groups depending on exposure to IPV: IPV group (n=27 dyads) and control group (n=25 dyads). Hair cortisol concentration was measured in 1-cm-long hair strands, representing 30days of exposure before assessment. PTSD and depression symptoms were assessed in the mother and child.

RESULTS

Women reporting IPV presented with higher hair cortisol levels, depression and PTSD symptoms severity in comparison to control women. Children who witnessed IPV reported more severe PTSD symptoms, but depressive symptoms and hair cortisol were not statistically different than those in control children. Correlation analyses revealed a positive association between the number of injury events and the level of hair cortisol in children. No associations between the hair cortisol levels in mothers and those in their children were found.

CONCLUSION

Higher hair cortisol levels detected in women exposed to IPV reflected long-lasting changes in HPA axis functioning associated with chronic stress exposure. Children whose parents recurrently engage in violent conflicts with intimate partners may often feel threatened and consequently reporting more PTSD-related symptoms. Given that experiencing and witnessing violence during childhood and adolescence are predictive of intimate partner violence in adulthood, the need of early interventions is crucial.

摘要

背景

亲密伴侣暴力(IPV)对 HPA 激活的慢性后果是一个有争议的话题。本研究调查了 IPV 女性受害者及其子女的头发皮质醇浓度。

方法

总共 52 对母婴被分为两组,根据是否暴露于 IPV:IPV 组(n=27 对)和对照组(n=25 对)。在评估前,测量 1 厘米长的头发样本中代表 30 天暴露的皮质醇浓度。评估了母亲和孩子的 PTSD 和抑郁症状。

结果

与对照组女性相比,报告有 IPV 的女性的头发皮质醇水平、抑郁和 PTSD 症状严重程度更高。目睹 IPV 的儿童报告的 PTSD 症状更严重,但与对照组儿童相比,抑郁症状和头发皮质醇并无统计学差异。相关分析显示,儿童的受伤事件数量与头发皮质醇水平之间存在正相关。未发现母亲和子女头发皮质醇水平之间存在关联。

结论

暴露于 IPV 的女性中检测到的较高头发皮质醇水平反映了 HPA 轴功能的长期变化,与慢性应激暴露有关。父母经常发生亲密伴侣暴力冲突的儿童可能经常感到受到威胁,因此报告更多与 PTSD 相关的症状。鉴于儿童和青少年时期经历和目睹暴力与成年期的亲密伴侣暴力有关,早期干预的必要性至关重要。

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