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分离使母婴童年虐待史与不良养育联系起来。

Dissociation Links Maternal History Of Childhood Abuse To Impaired parenting.

机构信息

Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany.

Department of Child and Adolescent Psychiatry, Saarland University Medical Center, Homburg, Germany.

出版信息

J Trauma Dissociation. 2022 Jan-Feb;23(1):37-51. doi: 10.1080/15299732.2021.1934938. Epub 2021 Jun 29.

Abstract

The present study investigated dissociation as a predictor of parenting and a potential mediator in the relationship between early life maltreatment (ELM) and impaired parenting. Mothers reporting moderate to severe sexual and/or physical abuse (assessed with the Childhood Trauma Questionnaire) formed the maltreatment group (n = 58; MG) and were compared to a non-maltreated comparison group (n = 61; CG) 5 months (T1) and 12 months (T2) postpartum. Dissociative symptoms were assessed with the Dissociative Experiences Scale (DES) at T1. Parenting was investigated by self-report questionnaires and behavior observation (Emotional Availability Scales; EA) at T2. Higher dissociation scores significantly predicted more self-reported parental bonding impairment and stress, higher physical abuse risk and less observed maternal sensitivity, non-intrusiveness and a lower total EA-score during mother-child interactions ( < .001 to < .05). Dissociation mediated the associations between ELM and self-reported parenting, but not the associations between ELM and parenting as observed during mother-child interactions. Our results suggest that maternal dissociative symptoms play a distinct role in the intergenerational transmission of adverse childhood experiences and should therefore be targeted in therapeutic interventions provided for victims of physical/sexual childhood abuse and in preventive family programs.

摘要

本研究探讨了分离作为父母养育的预测指标,以及在早期生活虐待(ELM)与不良父母养育之间关系中的潜在中介作用。报告有中度至重度性虐待和/或身体虐待的母亲(使用儿童创伤问卷评估)构成了虐待组(n=58;MG),并与未受虐待的对照组(n=61;CG)进行了比较,分别在产后 5 个月(T1)和 12 个月(T2)。在 T1 时使用分离体验量表(DES)评估分离症状。在 T2 时通过自我报告问卷和行为观察(情感可用性量表;EA)来评估养育情况。较高的分离评分显著预测了更多的自我报告的父母养育障碍和压力、更高的身体虐待风险、较少的观察到的母亲敏感性、非侵入性和母子互动中的总 EA 评分较低(<.001 至 <.05)。分离中介了 ELM 与自我报告的养育之间的关联,但不能中介 ELM 与母子互动中观察到的养育之间的关联。我们的结果表明,母亲的分离症状在不良儿童经历的代际传递中起着独特的作用,因此应该成为针对身体/性虐待儿童的受害者的治疗干预措施和预防性家庭计划的目标。

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