Veterans Affairs Ann Arbor Healthcare System.
Department of Psychiatry, University of Michigan.
Psychol Trauma. 2017 Sep;9(5):622-626. doi: 10.1037/tra0000272. Epub 2017 May 8.
A history of childhood maltreatment (CM) is associated with increased rates of maternal psychiatric symptoms and other adverse outcomes in adulthood among postpartum women. However, to date only a few studies have examined associations between CM and mother-child interactions among a nonclinical sample of postpartum women, and the specific potential influence of the type of abuse or neglect is poorly understood. This study was an aim to examine the relationships between CM types and observed parenting in a nonclinical group of recently postpartum mothers with maltreatment histories.
Participants were 173 postpartum, nonclinically referred mothers oversampled in the community for CM histories (n = 123, 72%) and their infants who underwent high- and low-stress interactive tasks during their 6-month postpartum visits, which were videotaped for later independent coding on hostile, controlling, and positive parenting. Mothers also provided information on demographics and type of CM they had experienced (i.e., emotional, sexual, physical abuse, and neglect). Differences of maternal parenting by history of CM and specific type were analyzed via 2-way univariate general linear models.
Inconsistent with a priori hypotheses, no significant differences emerged between overall CM severity or exposure to any particular CM type and hostile, controlling, or positive parenting in the high- or low-stress tasks.
Findings suggest that nonclinical postpartum women with CM histories show resilience regarding postpartum parenting quality and do not differentiate from non-CM maltreated postpartum mothers. We discuss the potential influence of resilience, moderating factors, clinical implications, and recommendations based on our findings. (PsycINFO Database Record
儿童期虐待（CM）史与产后妇女精神症状发生率增加和成年后其他不良后果相关。然而，迄今为止，只有少数研究检查了 CM 与产后非临床样本中母婴互动之间的关系，并且对虐待类型的具体潜在影响了解甚少。本研究旨在检查有 CM 史的非临床产后母亲中 CM 类型与观察到的养育方式之间的关系。
参与者为 173 名产后、非临床推荐的母亲，她们在社区中因 CM 史而被抽样（n=123，72%），并在产后 6 个月的访视中与婴儿一起进行了高应激和低应激的互动任务，这些任务被录像，以便以后对敌对、控制和积极的养育方式进行独立编码。母亲还提供了有关人口统计学和经历的 CM 类型（即情绪、性、身体虐待和忽视）的信息。通过 2 因素单变量一般线性模型分析了 CM 史和特定类型对母亲养育方式的差异。
与假设不符的是，在高应激或低应激任务中，总体 CM 严重程度或暴露于任何特定 CM 类型与敌对、控制或积极养育方式之间均无显著差异。
研究结果表明，有 CM 史的非临床产后妇女在产后养育质量方面表现出韧性，与无 CM 受虐待的产后母亲没有区别。我们根据研究结果讨论了韧性、调节因素、临床意义和建议的潜在影响。
