University of Minnesota School of Nursing, 308 Harvard Street SE, Minneapolis, MN, 55455, USA.
Graduate School of Professional Psychology, International Disaster Psychology Program, University of Denver, Denver, USA.
J Immigr Minor Health. 2020 Dec;22(6):1232-1239. doi: 10.1007/s10903-020-01052-z.
The intergenerational effects of trauma resulting from torture and war are complex and multi-faceted and have important implications for the family system. The current study aimed to identify key relationships between refugee maternal caregiver exposure to torture, mental health, and physical health with maternal-reported youth adjustment. Ninety-six Karen maternal caregivers originating from Burma and resettled in the United States participated in a cross-sectional, explanatory mixed methods study. Maternal mental health distress was found to mediate the relationship betweenmaternal torture experiences and youth adjustment, R = .357. Physical health problems was found to moderate the degree to which mental health distress mediated the relationship between torture and war trauma experiences and youth adjustment, R = .409. The current study is significant in that it enhances our mechanistic understanding of factors relevant to the intergenerational effects of trauma within families where maternal caregivers experienced trauma from torture and/or war.
创伤后应激障碍的代际效应是复杂的、多方面的，对家庭系统有重要影响。本研究旨在确定难民母亲照顾者遭受酷刑、心理健康和身体健康与母亲报告的青少年适应之间的关键关系。96 名来自缅甸的克伦族母亲照顾者在美国重新定居，参与了一项横断面、解释性混合方法研究。研究发现，母亲心理健康困扰在母亲遭受酷刑经历与青少年适应之间的关系中起中介作用，R=0.357。身体问题被发现调节了心理健康困扰在母亲经历酷刑和/或战争创伤经历与青少年适应之间的关系程度，R=0.409。本研究的意义在于，它增强了我们对家庭中与母亲照顾者经历酷刑和/或战争创伤的创伤代际效应相关因素的机械理解。
