Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.
Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.
Child Abuse Negl. 2022 May;127:105590. doi: 10.1016/j.chiabu.2022.105590. Epub 2022 Mar 11.
Previous studies have found that children of mothers with adverse childhood experiences (ACEs) are more likely to have adverse mental health outcomes. However, little is known about the role of other cognitive abilities, such as resilience and self-esteem, in how children deal with stressful situations.
To examine the association between maternal ACEs and resilience and self-esteem in children.
The data was collected as part of the population-based Kochi Child Health Impact of Living Difficulty (K-CHILD) study in 2016. Participants included 2759 in first grade, 2878 in fifth grade, 3143 in eighth grade, and 3611 children in 11th grade living in Kochi Prefecture, Japan (N = 12,391).
Maternal ACEs and covariates were reported by mothers. Mothers provided information regarding their children's resilience for children in the first, fifth, and eighth grades. Children in the fifth, eighth, and 11th grades reported their own self-esteem.
Children of mothers with a larger number of ACEs had lower levels of resilience (p for trend (i.e., linear associations) < 0.001) as well as lower levels of self-esteem (p for trend <0.001), adjusting for potential confounding variables. These associations became non-significant after adjusting for potential mediators, and the relationship was mediated by variables such as maternal psychological distress, current socioeconomic status, and parenting behaviors.
There was a significant dose-response relationship between the number of maternal ACEs and children's resilience and self-esteem, and this relationship may be mediated by maternal psychological distress, current socioeconomic status, and positive parenting behaviors. Further interventional studies that break the link between maternal ACEs and resilience and self-esteem should be conducted.
先前的研究发现，经历过不良童年经历（ACEs）的母亲的孩子更有可能出现不良心理健康结果。然而，对于其他认知能力（如韧性和自尊心）在孩子如何应对压力情境中的作用，人们知之甚少。
研究母亲 ACEs 与儿童韧性和自尊心之间的关联。
该数据是作为 2016 年基于人群的 Kochi 儿童生活困难对健康影响（K-CHILD）研究的一部分收集的。参与者包括日本高知县的 2759 名一年级学生、2878 名五年级学生、3143 名八年级学生和 3611 名 11 年级学生（N=12391）。
母亲报告了母亲 ACEs 和协变量。母亲为一年级、五年级和八年级的孩子提供了关于其韧性的信息。五年级、八年级和 11 年级的孩子报告了自己的自尊心。
经历过更多 ACEs 的母亲的孩子，其韧性水平较低（趋势 p 值<0.001），自尊心水平也较低（趋势 p 值<0.001），调整了潜在混杂变量。在调整潜在中介变量后，这些关联变得无统计学意义，且这种关系可能由母亲的心理困扰、当前社会经济地位和育儿行为等变量介导。
母亲 ACEs 的数量与儿童的韧性和自尊心之间存在显著的剂量反应关系，这种关系可能由母亲的心理困扰、当前社会经济地位和积极的育儿行为介导。应该开展进一步的干预性研究，以打破母亲 ACEs 与韧性和自尊心之间的联系。
