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