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创伤后应激障碍、母亲的情绪调节与亲密伴侣暴力幸存者的养育方式

Post-Traumatic Stress, Mother's Emotion Regulation, and Parenting in Survivors of Intimate Partner Violence.

作者信息

Gurtovenko Kyrill, Katz Lynn Fainsilber

机构信息

University of Washington, Seattle, USA.

出版信息

J Interpers Violence. 2020 Feb;35(3-4):876-898. doi: 10.1177/0886260517690874. Epub 2017 Feb 13.

Abstract

Post-traumatic stress symptoms (PTSS) are high among female survivors of intimate partner violence (IPV), and children of parents experiencing PTSS are at heightened risk for a wide range of emotional and behavioral problems. Parenting has significant influence on child adjustment, and although links have been found between parental psychopathology and maladaptive parenting, little is known about the factors that may explain this relation. The current study examines mother's emotion regulation (ER) as a factor influencing the relation between mother PTSS and parenting around children's emotions in a study sample of sixty-four female survivors of IPV and their 6- to 12-year-old children. Mothers reported on their own PTSS and their parenting. Respiratory sinus arrhythmia (RSA) was used as a psychophysiological index of mother's ER. Experiential components of mother's ER was also measured by observer coding of the Meta-Emotion Interview, a structured assessment that asks parents about their attitudes toward and experiences with emotions, including their regulation of emotions. Mother's RSA reactivity moderated the relation between PTSS and negative parenting. There was also a significant indirect relation between mothers' PTSS symptom severity and supportive parenting reactions through mothers' self-report of ER. Results suggest that mother's ER abilities represent factors that significantly affect associations between maternal PTSS and parent's emotion socialization practices. Implications for assessment and intervention with families exposed to the stress of IPV are discussed.

摘要

创伤后应激症状(PTSS)在亲密伴侣暴力(IPV)的女性幸存者中很常见,而父母有PTSS症状的孩子出现各种情绪和行为问题的风险更高。养育方式对孩子的适应有重大影响,虽然已经发现父母的精神病理学与适应不良的养育方式之间存在联系,但对于可能解释这种关系的因素却知之甚少。本研究在一个由64名IPV女性幸存者及其6至12岁孩子组成的样本中,考察了母亲的情绪调节(ER)作为影响母亲PTSS与围绕孩子情绪的养育方式之间关系的一个因素。母亲们报告了自己的PTSS和养育方式。呼吸性窦性心律不齐(RSA)被用作母亲ER的心理生理指标。母亲ER的体验成分也通过对元情绪访谈的观察者编码来测量,这是一种结构化评估,询问父母对情绪的态度和体验,包括他们对情绪的调节。母亲的RSA反应性调节了PTSS与消极养育方式之间的关系。母亲的PTSS症状严重程度与支持性养育反应之间也通过母亲对ER的自我报告存在显著的间接关系。结果表明,母亲的ER能力是显著影响母亲PTSS与父母情绪社会化行为之间关联的因素。本文还讨论了对遭受IPV压力的家庭进行评估和干预的意义。

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