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检查母亲的儿童期虐待史、父母的反思功能以及“用心养育婴儿”家庭探访干预的长期效果。

Examining Mothers' Childhood Maltreatment History, Parental Reflective Functioning, and the Long-Term Effects of the Minding the Baby® Home Visiting Intervention.

机构信息

16230Yale School of Nursing, Orange, CT, USA.

Department of Psychiatry and Human Behavior, Warren Alpert Medical School, 12321Brown University, Providence, RI, USA.

出版信息

Child Maltreat. 2022 Aug;27(3):378-388. doi: 10.1177/1077559521999097. Epub 2021 Mar 8.

Abstract

Research is needed to better understand how childhood maltreatment history affects parental reflective capacities, and whether early childhood interventions help mitigate these effects. We examined associations between childhood maltreatment and current parenting (parental reflective functioning, parenting behaviors) among mothers who participated in a follow-up study ( = 97) of the ® (MTB) randomized control trial. MTB is a home visiting program that aims to help mothers understand their child's mental states (feelings, intentions, needs) by promoting parental reflective functioning. Mothers retrospectively reported childhood maltreatment using the Childhood Trauma Questionnaire. Endorsing a higher number of childhood maltreatment subtypes was associated with less supportive/engaged parenting and higher pre-mentalizing modes, or difficulty with appropriately reflecting on the child's mental states. These relationships were not moderated by participation in the MTB intervention. However, exploratory analyses of individual maltreatment subtypes revealed that participation in MTB may mitigate the harmful effects of childhood emotional abuse on pre-mentalizing modes, specifically. Further research is needed to understand the mechanisms through which early childhood interventions may prevent intergenerational cycles of maltreatment.

摘要

需要进一步的研究来深入了解儿童期虐待史如何影响父母的反思能力,以及早期儿童干预是否有助于减轻这些影响。我们研究了 ® (MTB) 随机对照试验中参与随访研究的母亲(n=97)的童年期虐待与当前养育方式(父母的反思功能、养育行为)之间的关系。MTB 是一项家访项目,旨在通过促进父母的反思功能,帮助母亲了解孩子的心理状态(感受、意图、需求)。母亲使用童年创伤问卷回顾性报告童年期虐待经历。报告的童年期虐待亚类越多,与支持性/参与性养育和更高的前心理化模式或适当反思孩子心理状态的能力较差相关。这些关系不受 MTB 干预的调节。然而,对个别虐待亚类的探索性分析表明,参与 MTB 可能减轻童年情绪虐待对前心理化模式的有害影响,特别是。需要进一步的研究来了解早期儿童干预可能预防代际虐待循环的机制。

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