Lind Mackenzie J, Brown Ruth C, Sheerin Christina M, York Timothy P, Myers John M, Kendler Kenneth S, Amstadter Ananda B
Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, 800 E. Leigh Street, Biotech One, P. O. Box 980126, Richmond, VA, 23298-0126, USA.
Department of Human and Molecular Genetics, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, USA.
Child Psychiatry Hum Dev. 2018 Feb;49(1):33-41. doi: 10.1007/s10578-017-0727-y.
This study examined the effect of parenting on the association between childhood sexual abuse (CSA) and psychiatric resilience in adulthood in a large female twin sample (n = 1423) assessed for severe CSA (i.e., attempted or completed intercourse before age 16). Severe CSA was associated with lower resilience to recent stressors in adulthood (defined as the difference between their internalizing symptoms and their predicted level of symptoms based on cumulative exposure to stressful life events). Subscales of the Parental Bonding Instrument were significantly associated with resilience. Specifically, parental warmth was associated with increased resilience while parental protectiveness was associated with decreased resilience. The interaction between severe CSA and parental authoritarianism was significant, such that individuals with CSA history and higher authoritarianism scores had lower resilience. Results suggest that CSA assessment remains important for therapeutic work in adulthood and that addressing parenting may be useful for interventions in children with a CSA history.
本研究在一个大型女性双胞胎样本（n = 1423）中，考察了养育方式对童年期性虐待（CSA）与成年期心理韧性之间关联的影响。该样本针对严重CSA（即16岁之前有过性交未遂或既遂经历）进行了评估。严重CSA与成年期对近期压力源的较低心理韧性相关（心理韧性定义为其内化症状与基于累积暴露于应激性生活事件所预测的症状水平之间的差异）。父母教养方式问卷的分量表与心理韧性显著相关。具体而言，父母的温暖与心理韧性增强相关，而父母的过度保护与心理韧性降低相关。严重CSA与父母专制之间的交互作用显著，即有CSA史且专制得分较高的个体心理韧性较低。结果表明，CSA评估对成年期的治疗工作仍然很重要，并且解决养育方式问题可能有助于对有CSA史的儿童进行干预。
