Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel.
Child Abuse Negl. 2020 Jun;104:104469. doi: 10.1016/j.chiabu.2020.104469. Epub 2020 Apr 1.
Orientation to bodily signals reflects the ways in which individuals interpret their bodily sensations. Such orientation is formed within early interpersonal context. Findings reveal that trauma may result in catastrophic and fearful orientation towards bodily signals. However, not much is known regarding the link between trauma and orientation towards the body as manifested within a family intergenerational context.
This study examines the link between child maltreatment, complex posttraumatic stress symptoms (CPTS symptoms), and a posttraumatic orientation to bodily signals among dyads of mothers and their young adult daughters.
194 mother-daughter dyads (mothers' mean age = 56, SD = 6.3; daughters' mean age = 26, SD = 3.03) completed self-reported questionnaires, assessing child maltreatment (CTQ), CPTS symptoms (ITQ), and orientation to bodily signals (pain catastrophizing, anxiety sensitivity-physical, body vigilance).
Orientation to bodily signals was associated with child maltreatment, through the mediation of CPTS symptoms among mothers (indirect effects between 0.13-0.28; p > 0.021) and daughters (indirect effects between 0.21-0.11; p > 0.032). Mothers' child maltreatment was associated with daughters' child maltreatment (effect = 0.35; p < 0.001), and mothers' orientation to bodily signals was associated with daughters' orientation (effects between 0.19-0.27; p < 0.016). Daughters' orientation to bodily signals was partially associated with mothers' child maltreatment through mothers' CPTS symptoms and orientation to body (indirect effect = 0.064; p = 0.023).
Child maltreatment is implicated in posttraumatic orientation towards bodily signals. Such secondary processes may be intergenerationally transmitted.
对身体信号的定向反映了个体对身体感觉的解释方式。这种定向是在早期人际环境中形成的。研究发现，创伤可能导致对身体信号产生灾难性和恐惧的定向。然而，对于创伤与在家庭代际背景下表现出的身体定向之间的联系，我们知之甚少。
本研究考察了儿童虐待、复杂创伤后应激症状 (CPTS 症状) 与母亲及其成年女儿的二元体之间身体信号创伤后定向之间的联系。
194 对母子 (母亲平均年龄 = 56，SD = 6.3；女儿平均年龄 = 26，SD = 3.03) 完成了自我报告问卷，评估儿童虐待 (CTQ)、CPTS 症状 (ITQ) 和身体信号定向 (疼痛灾难化、焦虑敏感-身体、身体警觉)。
身体信号定向与 CPTS 症状通过母亲 (间接影响 0.13-0.28；p > 0.021) 和女儿 (间接影响 0.21-0.11；p > 0.032) 中的儿童虐待介导。母亲的儿童虐待与女儿的儿童虐待相关 (效应 = 0.35；p < 0.001)，母亲的身体信号定向与女儿的身体信号定向相关 (效应 0.19-0.27；p < 0.016)。女儿的身体信号定向通过母亲的 CPTS 症状和身体定向与母亲的儿童虐待部分相关 (间接影响 = 0.064；p = 0.023)。
儿童虐待与身体信号的创伤后定向有关。这种二次过程可能会在代际间传播。
