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当一个童年与另一个童年相遇——母亲童年创伤与后代儿童精神病理学:一项系统综述。

When one childhood meets another - maternal childhood trauma and offspring child psychopathology: A systematic review.

作者信息

Plant Dominic T, Pawlby Susan, Pariante Carmine M, Jones Fergal W

机构信息

1 Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.

2 Salomons Centre for Applied Psychology, Canterbury Christ Church University, UK.

出版信息

Clin Child Psychol Psychiatry. 2018 Jul;23(3):483-500. doi: 10.1177/1359104517742186. Epub 2017 Nov 24.

Abstract

BACKGROUND

Child maltreatment can have a long-term impact on mental health. Less is known about the consequences of child maltreatment on the next generation's psychological wellbeing.

AIM

This systematic review aimed to synthesise the existing empirical literature on the association between a mother's history of maltreatment in her own childhood and her children's experiences of psychopathology, and to characterise potential mediating pathways.

METHOD

Electronic database and hand searches yielded 12 studies, with a combined sample size of 45,723 mother-child dyads, which met criteria for inclusion in the review.

RESULTS

There was evidence of an overall positive association between a mother's history of child maltreatment and her child's experience of emotional and behavioural difficulties across childhood and adolescence. Maternal psychological distress and poorer parenting practices were found to be key mediating pathways of this association.

CONCLUSION

Children of mothers who were exposed to maltreatment in childhood appear to be at an increased risk for psychopathology. Mothers with traumatic childhood experiences should be offered improved access to psychological therapies and parenting programmes to help mitigate the potential impact of child maltreatment on future generations.

摘要

背景

儿童虐待会对心理健康产生长期影响。关于儿童虐待对下一代心理健康的影响,人们了解得较少。

目的

本系统评价旨在综合现有实证文献,探讨母亲童年期受虐待经历与子女心理病理学体验之间的关联,并描述潜在的中介途径。

方法

通过电子数据库检索和手工检索,共纳入12项研究,样本量总计45723对母婴二元组,符合纳入本评价的标准。

结果

有证据表明,母亲童年期受虐待经历与子女在童年和青少年期出现的情绪和行为问题之间总体呈正相关。母亲的心理困扰和较差的养育方式是这种关联的关键中介途径。

结论

童年期遭受虐待的母亲的子女出现心理病理学问题的风险似乎更高。应让有童年创伤经历的母亲更容易获得心理治疗和养育项目,以帮助减轻儿童虐待对后代的潜在影响。

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