Department of Psychological Sciences, Texas Tech University, Box 42051, Lubbock, TX, 79409, USA.
Human Development and Family Studies, Texas Tech University, Lubbock, TX, USA.
Child Psychiatry Hum Dev. 2021 Feb;52(1):154-165. doi: 10.1007/s10578-020-01000-w.
Children with internalizing and externalizing difficulties are at risk for long-term negative effects in adulthood and are impacted by several caregiver factors. Findings of the present study are consistent with previous studies that found direct associations between caregiver victimization history (e.g., physical and sexual abuse) and child behavior problems. Examination of potential mechanisms revealed that caregiver everyday stress related to relationships/responsibilities (RR) served as a mediator between caregiver victimization history and increased children's internalizing symptoms. Though there may be other pathways that contribute to this relation, there does seem to be clinical and policy utility of this knowledge, particularly for at-risk families that are faced with high levels of everyday RR stress. Attenuation of this impact may be accomplished through connection to community resources such as access to family counseling to mitigate relational stress and policy addressing disparities.
有内化和外化问题的儿童在成年后有长期负面后果的风险，并且受到几个照顾者因素的影响。本研究的结果与先前的研究一致，这些研究发现照顾者受害史（如身体和性虐待）与儿童行为问题之间存在直接关联。对潜在机制的研究表明，与人际关系/责任相关的照顾者日常压力（RR）是照顾者受害史和儿童内化症状增加之间的中介。虽然可能还有其他途径导致这种关系，但这种知识似乎具有临床和政策意义，特别是对于面临高水平日常 RR 压力的高危家庭。通过与社区资源（如家庭咨询）建立联系来减轻关系压力和解决政策差距，可以减轻这种影响。
