Kaitz Marsha, Levy Mindy, Ebstein Richard, Faraone Stephen V, Mankuta David
Hebrew University.
Agoola Birth Center.
Infant Ment Health J. 2009 Mar;30(2):158-179. doi: 10.1002/imhj.20209.
The goals of this article are to discuss the potential risk of children whose parents were traumatized by terror, to present literature on parenting in the context of terror, and to consider factors that may mediate the transmission of trauma-effects from parents to children. Mediators considered are parents' traumatic distress, disturbed parent-child interactions, trauma-related disturbances in parents' thinking, and effects of stress on children's neural functioning. Also discussed are genetic and environmental factors that may moderate the transmission of intergenerational effects and promote children's risk and resilience. Points raised during the discussion are illustrated with segments from interviews of women who were pregnant or gave birth some time after direct exposure to a terror attack. The authors conclude that empirical studies are needed to learn more about the intergenerational transmission of trauma-effects and processes that underlie it. The authors join others in the call to improve evaluation, treatment, and support of trauma victims and their children to stymie the transmission of problems from one generation to the next.
本文的目的是探讨父母遭受恐怖创伤对子女的潜在风险，呈现恐怖背景下育儿方面的文献，并考虑可能调节创伤影响从父母传递给子女的因素。所考虑的调节因素包括父母的创伤性痛苦、亲子互动失调、父母思维中与创伤相关的紊乱，以及压力对儿童神经功能的影响。还讨论了可能缓和代际影响传递并影响儿童风险和恢复力的遗传和环境因素。讨论中提出的观点通过对在直接遭受恐怖袭击后一段时间内怀孕或分娩的女性的访谈片段加以说明。作者得出结论，需要进行实证研究以更多地了解创伤影响的代际传递及其背后的过程。作者与其他人一道呼吁改善对创伤受害者及其子女的评估、治疗和支持，以阻止问题代代相传。
