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童年忽视、情绪调节困难与心理困扰对新冠疫情的关联:代际分析。

Associations of childhood neglect, difficulties in emotion regulation, and psychological distresses to COVID-19 pandemic: An intergenerational analysis.

机构信息

School of Psychology, Jiangxi Normal University, Nanchang, China.

Hangzhou College of Preschool Teacher Education, Zhejiang Normal University, Hangzhou, China.

出版信息

Child Abuse Negl. 2022 Jul;129:105674. doi: 10.1016/j.chiabu.2022.105674. Epub 2022 May 17.

DOI:10.1016/j.chiabu.2022.105674
PMID:35609405
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9110570/
Abstract

BACKGROUND

Although individuals' psychological responses to trauma are varied, significant associations between parental and offspring's reactions have been documented among trauma-exposed families. Common susceptible factors originated from intergenerational transmission may be underlying mechanisms of this phenomenon.

OBJECTIVE

This study aimed to investigate the intergenerational transmission of depression and anxiety during early outbreak of COVID-19 and further examined whether the transmission of child neglect and difficulties in emotion regulation (ER) was associated with the transmission of psychological distresses.

METHODS

Self-reported questionnaires of depression, anxiety, COVID-19 related worries, difficulties in ER, physical and emotional neglect suffered in childhood were completed by 2011 Chinese parent - offspring dyads. Path analysis was used to examine hypothesized relationships.

RESULTS

The proportions of physical neglect and emotional neglect were 31.2% and 16.9% respectively among parents, while 28.6% and 20.8% respectively among offspring. There were remarkably similar in response patterns between parents and offspring. Parents' COVID-19 related worries, depression and anxiety levels were significantly associated with offspring's COVID-19 related worries, depression and anxiety. Difficulties in ER not only impacted psychological distresses directly, but also mediated the relationships between childhood neglect and psychological distresses among both parents and offspring. Difficulties in ER and childhood neglect, as important risk factors, were modestly transmitted from parent to offspring.

CONCLUSIONS

Family members shared a certain degree of similarity in psychological reactions to trauma. Transmitted susceptible factors from parents to offspring may contribute to this similarity. Family therapy may be suitable for family members exposed to the same traumatic events.

摘要

背景

尽管个体对创伤的心理反应各不相同,但有研究记录表明,创伤暴露家庭中父母和子女的反应存在显著关联。代际传递的常见易感因素可能是这一现象的潜在机制。

目的

本研究旨在探讨 COVID-19 早期爆发期间抑郁和焦虑的代际传递,并进一步研究儿童忽视和情绪调节困难的传递是否与心理困扰的传递有关。

方法

2011 年,2011 对中国亲子对完成了抑郁、焦虑、COVID-19 相关担忧、情绪调节困难、儿童期遭受的身体和情感忽视的自我报告问卷。采用路径分析检验假设关系。

结果

父母中身体忽视和情感忽视的比例分别为 31.2%和 16.9%,而子女中分别为 28.6%和 20.8%。父母和子女的反应模式非常相似。父母的 COVID-19 相关担忧、抑郁和焦虑水平与子女的 COVID-19 相关担忧、抑郁和焦虑水平显著相关。情绪调节困难不仅直接影响心理困扰,还在父母和子女的儿童忽视与心理困扰之间的关系中起中介作用。情绪调节困难和儿童忽视作为重要的风险因素,从父母到子女有一定程度的传递。

结论

家庭成员对创伤的心理反应具有一定程度的相似性。从父母到子女传递的易感因素可能促成了这种相似性。家庭治疗可能适合暴露于相同创伤事件的家庭成员。

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