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母婴童年期应激暴露的跨代关联与婴儿情绪反应特征。

Transgenerational associations between maternal childhood stress exposure and profiles of infant emotional reactivity.

机构信息

Department of Psychiatry,University of Pittsburgh,Pittsburgh, PA,USA.

Department of Psychiatry and Behavioral Neuroscience,University of Chicago,Chicago, IL,USA.

出版信息

Dev Psychopathol. 2019 Aug;31(3):887-898. doi: 10.1017/S0954579419000324. Epub 2019 Apr 26.

DOI:10.1017/S0954579419000324
PMID:31025614
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6620149/
Abstract

Childhood exposure to stress can induce prolonged negative effects on health, which in turn confer risks for the next generation, but greater specificity is needed to inform intervention. A first step is to measure individual differences in emotional reactivity to stress early in life in ways that can account for heterogeneity in child exposure. The present study tested the hypothesis that mothers' childhood exposure to stress would be differentially associated with patterns of positive and negative emotional reactivity in their offspring, suggesting transmission of stress response across generations. Participants were 268 young mothers (age 14-23 years) followed longitudinally since childhood, and their infants aged 3-9 months. Latent class analysis of infant emotions expressed before and during the still-face paradigm yielded five subgroups that varied in valence, intensity, and reactivity. After accounting for sociodemographic factors, infant temperament, and postpartum depression, multinomial regression models showed that, relative to an emotionally regulated still-face response, infants showing low negative reactivity were more likely to have mothers exposed to childhood emotional abuse, and infants showing high and increasing negative reactivity were more likely to have mothers exposed to childhood emotional neglect. Mechanisms by which early maternal stress exposure influences emotional reactivity in offspring are discussed.

摘要

儿童时期的压力暴露会对健康产生长期的负面影响,进而增加下一代的风险,但需要更具体的信息来指导干预。第一步是在生命早期以能够解释儿童暴露异质性的方式测量个体对压力的情绪反应差异。本研究检验了以下假设:母亲在儿童时期的压力暴露与后代积极和消极情绪反应模式相关,这表明压力反应在代际间传递。参与者是 268 名年轻母亲(年龄 14-23 岁),从儿童时期开始进行纵向随访,以及他们 3-9 个月大的婴儿。对婴儿在静止面孔范式前后表达的情绪进行潜在类别分析,得出了五个在效价、强度和反应性方面存在差异的亚组。在考虑社会人口因素、婴儿气质和产后抑郁后,多项回归模型显示,与情绪调节的静止面孔反应相比,表现出低负性反应的婴儿的母亲更有可能在儿童期遭受情绪虐待,而表现出高且不断增加的负性反应的婴儿的母亲更有可能在儿童期遭受情绪忽视。讨论了早期母婴压力暴露影响后代情绪反应的机制。

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