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代际虐待与儿童情绪调节障碍。

Intergenerational maltreatment and child emotion dysregulation.

作者信息

Warmingham Jennifer M, Rogosch Fred A, Cicchetti Dante

机构信息

University of Rochester, Mt. Hope Family Center, 187 Edinburgh St, Rochester, NY 14608, United States.

University of Rochester, Mt. Hope Family Center, 187 Edinburgh St, Rochester, NY 14608, United States; University of Minnesota, United States.

出版信息

Child Abuse Negl. 2020 Apr;102:104377. doi: 10.1016/j.chiabu.2020.104377. Epub 2020 Feb 1.

Abstract

BACKGROUND

Childhood maltreatment has been related to adverse outcomes on social, cognitive, and biological development with sequelae present throughout the lifespan. As such, caregivers maltreated in childhood may face a different set of challenges and interpersonal stressors in rearing their children. Parental history of maltreatment has the potential to increase the risk of parental depression and exposure to maltreatment in the next generation, both of which can have a negative effect on children's development.

OBJECTIVE

The purpose of this study is to investigate maternal depression and child experiences of maltreatment as mediators of the relationship between mothers' own maltreatment experiences and child emotion dysregulation in children aged 10-12.

PARTICIPANTS AND SETTING

378 low-income mothers and their children were recruited to participate in a research summer camp from 2004-2007.

METHOD

Mothers self-reported on their experiences of maltreatment in childhood and current depressive symptoms. Current generation child maltreatment information was coded from Child Protective Services records. Child emotion dysregulation (rated by camp counselors) was the outcome measure in this study. Structural equation modeling was employed to test associations between maternal maltreatment and child emotion dysregulation.

RESULTS

Maternal history of maltreatment related to both child maltreatment (β = .24, SE = .052, p < .001) and greater maternal depressive symptoms (β = .28, SE = .049, p < .001). Only child maltreatment mediated the effect of mothers' maltreatment on child emotion dysregulation (95 %CI: .005-.023).

CONCLUSIONS

In this low-income sample, the rate of intergenerational maltreatment is high and represents a pathway of influence that increases risk for maladaptive socioemotional child development.

摘要

背景

童年期受虐待与社会、认知和生物发展方面的不良后果相关,其后遗症会贯穿一生。因此,童年期受过虐待的照料者在抚养子女时可能会面临一系列不同的挑战和人际压力源。父母的虐待史有可能增加父母患抑郁症的风险以及下一代遭受虐待的几率,而这两者都会对儿童的发展产生负面影响。

目的

本研究旨在调查母亲抑郁以及儿童受虐待经历作为母亲自身受虐待经历与10至12岁儿童情绪失调之间关系的中介因素。

参与者与研究背景

2004年至2007年期间,招募了378名低收入母亲及其子女参加一个研究夏令营。

方法

母亲们自行报告其童年期受虐待经历和当前的抑郁症状。当代儿童受虐待信息由儿童保护服务记录编码而来。儿童情绪失调(由夏令营辅导员评定)是本研究的结果指标。采用结构方程模型来检验母亲受虐待与儿童情绪失调之间的关联。

结果

母亲的虐待史与儿童受虐待(β = 0.24,标准误 = 0.052,p < 0.001)以及母亲更严重的抑郁症状(β = 0.28,标准误 = 0.049,p < 0.001)均相关。只有儿童受虐待介导了母亲受虐待对儿童情绪失调的影响(95%置信区间:0.005 - 0.023)。

结论

在这个低收入样本中,代际虐待率很高,并且代表了一种会增加儿童适应不良的社会情绪发展风险的影响途径。

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