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经历亲密伴侣暴力的母亲和儿童创伤后应激症状的二元特征

Dyadic Profiles of Posttraumatic Stress Symptoms in Mothers and Children Experiencing Intimate Partner Violence.

作者信息

Galano Maria M, Grogan-Kaylor Andrew C, Stein Sara F, Clark Hannah M, Graham-Bermann Sandra A

机构信息

Department of Psychological and Brain Sciences, University of Massachusetts, Tobin Hall 615, 135 Hicks Way, Amherst, MA, 01003, USA.

School of Social Work, University of Michigan, Ann Arbor, USA.

出版信息

Child Psychiatry Hum Dev. 2020 Dec;51(6):943-955. doi: 10.1007/s10578-020-00973-y.

Abstract

Children who witness intimate partner violence (IPV) develop posttraumatic stress disorder at alarmingly high rates. Research suggests that caregivers' symptoms of posttraumatic stress (PTSS) often co-occur alongside children's PTSS, a phenomenon termed "relational posttraumatic stress." The goal of this study is to use dyad-centered analyses to examine heterogeneity in relational PTSS presentations in mother-child dyads, and to determine factors differentiating relational PTSS profiles. Data were drawn from a sample of 231 IPV-exposed, ethno-racially diverse mother-child dyads, with children ranging from ages 4 to 12. The results of a latent profile analysis indicated that a two-profile model was the best fit with the data. Both profiles indicated similar levels of PTSS across the dyad; however, they differed in overall symptom severity. Parenting and IPV severity significantly predicted profile membership; however, age did not. Results suggest that similarities in PTSS presentation should be expected in mother-child dyads, at least in families who experience IPV.

摘要

目睹亲密伴侣暴力(IPV)的儿童患创伤后应激障碍的比例高得惊人。研究表明,照顾者的创伤后应激症状(PTSS)常常与儿童的PTSS同时出现,这种现象被称为“关系性创伤后应激”。本研究的目的是使用以二元组为中心的分析方法,来检验母子二元组中关系性PTSS表现的异质性,并确定区分关系性PTSS概况的因素。数据取自231个暴露于IPV、种族各异的母子二元组样本,儿童年龄在4至12岁之间。潜在概况分析的结果表明,双概况模型与数据拟合度最佳。两个概况在二元组中显示出相似的PTSS水平;然而,它们在总体症状严重程度上有所不同。育儿方式和IPV严重程度显著预测了概况归属;然而,年龄则没有。结果表明,至少在经历IPV的家庭中,母子二元组的PTSS表现应该会有相似之处。

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