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儿童期创伤时与父母分离可预测成人依恋安全性和创伤后应激障碍。

Separation from parents during childhood trauma predicts adult attachment security and post-traumatic stress disorder.

机构信息

School of Psychology,University of New South Wales,Sydney,NSW 2052,Australia.

Phoenix Institute,University of Melbourne,161 Barry Street,Carlton,VIC 3053,Australia.

出版信息

Psychol Med. 2017 Aug;47(11):2028-2035. doi: 10.1017/S0033291717000472. Epub 2017 May 24.

Abstract

BACKGROUND

Prolonged separation from parental support is a risk factor for psychopathology. This study assessed the impact of brief separation from parents during childhood trauma on adult attachment tendencies and post-traumatic stress.

METHOD

Children (n = 806) exposed to a major Australian bushfire disaster in 1983 and matched controls (n = 725) were assessed in the aftermath of the fires (mean age 7-8 years) via parent reports of trauma exposure and separation from parents during the fires. Participants (n = 500) were subsequently assessed 28 years after initial assessment on the Experiences in Close Relationships scale to assess attachment security, and post-traumatic stress disorder (PTSD) was assessed using the PTSD checklist.

RESULTS

Being separated from parents was significantly related to having an avoidant attachment style as an adult (B = -3.69, s.e. = 1.48, β = -0.23, p = 0.013). Avoidant attachment was associated with re-experiencing (B = 0.03, s.e. = 0.01, β = 0.31, p = 0.045), avoidance (B = 0.03, s.e. = 0.01, β = 0.30, p = 0.001) and numbing (B = 0.03, s.e. = 0.01, β = 0.30, p < 0.001) symptoms. Anxious attachment was associated with re-experiencing (B = 0.03, s.e. = 0.01, β = 0.18, p = 0.001), numbing (B = 0.03, β = 0.30, s.e. = 0.01, p < 0.001) and arousal (B = 0.04, s.e. = 0.01, β = 0.43, p < 0.001) symptoms.

CONCLUSIONS

These findings demonstrate that brief separation from attachments during childhood trauma can have long-lasting effects on one's attachment security, and that this can be associated with adult post-traumatic psychopathology.

摘要

背景

与父母的长期分离是心理病理学的一个风险因素。本研究评估了儿童期创伤期间与父母短暂分离对成人依恋倾向和创伤后应激的影响。

方法

1983 年澳大利亚丛林大火灾害中暴露的儿童(n = 806)和匹配的对照者(n = 725)在火灾后(平均年龄 7-8 岁)通过父母报告的创伤暴露和火灾期间与父母分离进行评估。随后,28 年后,有 500 名参与者根据亲密关系经历量表评估依恋安全性,使用创伤后应激障碍检查表评估创伤后应激障碍(PTSD)。

结果

与父母分离与成年时具有回避型依恋风格显著相关(B = -3.69,s.e. = 1.48,β = -0.23,p = 0.013)。回避型依恋与再体验(B = 0.03,s.e. = 0.01,β = 0.31,p = 0.045)、回避(B = 0.03,s.e. = 0.01,β = 0.30,p = 0.001)和麻木(B = 0.03,s.e. = 0.01,β = 0.30,p < 0.001)症状有关。焦虑型依恋与再体验(B = 0.03,s.e. = 0.01,β = 0.18,p = 0.001)、麻木(B = 0.03,β = 0.30,s.e. = 0.01,p < 0.001)和觉醒(B = 0.04,s.e. = 0.01,β = 0.43,p < 0.001)症状有关。

结论

这些发现表明,儿童期创伤期间与依恋的短暂分离会对一个人的依恋安全性产生持久影响,并且这种影响可能与成人创伤后心理病理学有关。

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