Université Laval École de psychologie, 2325 rue des Bibliothèques, Québec (QC), Canada G1V 0A6.
Université Laval École de psychologie, 2325 rue des Bibliothèques, Québec (QC), Canada G1V 0A6.
Psychiatry Res. 2017 Nov;257:361-366. doi: 10.1016/j.psychres.2017.07.051. Epub 2017 Jul 26.
The objective was to examine pathways from child sexual abuse (CSA) and maternal mentalizing to child internalizing and externalizing difficulties and to test a model of MRF as a moderator of the relationships between CSA and child difficulties. The sample was comprised of 154 mothers and children aged 2-12 where 64 children had experienced CSA. To assess parental mentalizing the Parental Development Interview was rated with the Parental Reflective Functioning Scale. Child internalizing and externalizing difficulties were assessed with the Child Behavior Checklist (CBCL). Results indicate that there were significant inverse relationships between maternal mentalizing and child internalizing and externalizing difficulties. When maternal mentalizing was considered together with CSA, only maternal mentalizing was a significant predictor of child difficulties. Furthermore, maternal mentalizing moderated the relationship between CSA and child internalizing difficulties. These findings provide evidence of the importance of the parents' mentalizing stance for psychiatric symptoms of children aged 2-12, as well as children's recovery from CSA. The clinical implications of the findings are discussed.
目的是探讨儿童性虐待（CSA）和母亲心理化与儿童内化和外化困难之间的途径，并检验 MRF 作为 CSA 和儿童困难之间关系的调节因素的模型。该样本包括 154 名 2-12 岁的母亲和儿童，其中 64 名儿童经历过 CSA。为了评估父母的心理化，使用父母发展访谈和父母反射功能量表对其进行评估。使用儿童行为检查表（CBCL）评估儿童的内化和外化困难。结果表明，母亲心理化与儿童内化和外化困难之间存在显著的负相关关系。当同时考虑母亲心理化和 CSA 时，只有母亲心理化是儿童困难的显著预测因子。此外，母亲心理化调节了 CSA 与儿童内化困难之间的关系。这些发现为父母的心理化立场对 2-12 岁儿童的精神症状以及儿童从 CSA 中恢复的重要性提供了证据。讨论了研究结果的临床意义。
