积极回应式育儿可缓冲母亲创伤后应激障碍对幼儿的影响。
Responsive Parenting Buffers the Impact of Maternal PTSD on Young Children.
作者信息
Greene Carolyn A, McCarthy Kimberly J, Estabrook Ryne, Wakschlag Lauren S, Briggs-Gowa Margaret J
机构信息
Department of Psychiatry, University of Connecticut School of Medicine, 65 Kane Street, West Hartford, Connecticut 06119.
University of Connecticut School of Medicine.
出版信息
Parent Sci Pract. 2020;20(2):141-165. doi: 10.1080/15295192.2019.1707623. Epub 2020 Feb 7.
Abstract
OBJECTIVE
This study investigates maternal responsive parenting behaviors as a theorized buffer to the detrimental impact of maternal PTSD symptoms on young children's depression and anxiety symptoms, disruptive behavior, and stress-related symptoms.
DESIGN
A multi-ethnic sample of 242 trauma-exposed mothers and their preschool-aged children was assessed. Maternal responsive parenting behaviors were observed during standardized parent-child interactions. Maternal and child mental health symptoms were reported by mothers.
RESULTS
Maternal PTSD symptoms were associated with their responsive parenting behaviors and predicted children's mental health symptoms. Responsive parenting was inversely associated with children's depression and stress-related symptoms. Moderation analyses revealed an interactive effect of maternal symptoms and responsive parenting on preschool children's disruptive behavior and stress-related symptoms.
CONCLUSIONS
Responsive parenting behaviors can mitigate the ill effects of maternal PTSD symptoms. Nurturing relationships buffer the impact of maternal PTSD. Helping parents' to sensitively respond to their young children's distress can support positive outcomes in children.
摘要
目的
本研究调查了母亲的反应性养育行为，作为一种理论上的缓冲因素，以应对母亲创伤后应激障碍（PTSD）症状对幼儿抑郁、焦虑症状、破坏性行为和压力相关症状的不利影响。
设计
对242名遭受创伤的母亲及其学龄前儿童进行了多民族样本评估。在标准化的亲子互动中观察母亲的反应性养育行为。母亲报告了自己和孩子的心理健康症状。
结果
母亲的PTSD症状与她们的反应性养育行为相关，并预测了孩子的心理健康症状。反应性养育与孩子的抑郁和压力相关症状呈负相关。调节分析揭示了母亲症状和反应性养育对学龄前儿童破坏性行为和压力相关症状的交互作用。
结论
反应性养育行为可以减轻母亲PTSD症状的不良影响。良好的亲子关系可以缓冲母亲PTSD的影响。帮助父母敏感地回应幼儿的痛苦可以促进孩子的积极发展。
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