1 Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
2 Eastern Tennessee State University, Johnson City, TN, USA.
Child Maltreat. 2018 Feb;23(1):44-53. doi: 10.1177/1077559517720070. Epub 2017 Jul 14.
The persistence of shame-based reactions to child maltreatment (CM) has been associated with poor posttraumatic adjustment. Despite evidence that the postpartum period is a vulnerable time for women with CM histories, little is known about the consequences of maltreatment-specific (MS) shame for postpartum functioning. The current study examined individual differences in MS shame among a sample of women during the postpartum period ( n = 100) as well as prospective relations from MS shame to postpartum psychopathology at 6-, 12-, 15-, and 18-month postpartum. Linear growth curve (LGC) analyses showed that MS shame predicted higher levels of depression symptoms but not post-traumatic stress disorder (PTSD) symptoms at all time points whereas path analyses showed that shame mediated the relations from multi-maltreatment to both depression and PTSD symptoms at all time points. Results point to the long-term consequences of MS shame during postpartum and the importance of attending to shame in clinical care of maltreatment survivors who present with postpartum psychopathology.
对儿童虐待（CM）的羞耻反应持续存在与创伤后调整不良有关。尽管有证据表明产后时期是有 CM 病史的女性的脆弱时期，但对于与虐待特异性（MS）羞耻相关的产后功能后果知之甚少。本研究在产后期间（n=100）的女性样本中检查了 MS 羞耻的个体差异，以及从 MS 羞耻到产后 6、12、15 和 18 个月时产后精神病理学的前瞻性关系。线性增长曲线（LGC）分析表明，MS 羞耻预测了更高水平的抑郁症状，但在所有时间点均未预测创伤后应激障碍（PTSD）症状，而路径分析表明，羞耻在多方面的虐待与抑郁和 PTSD 症状之间的关系在所有时间点均起中介作用。结果表明，产后期间 MS 羞耻的长期后果，以及在出现产后精神病理学的虐待幸存者的临床护理中关注羞耻的重要性。
