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创伤后应激与养育行为:情绪调节的中介作用

Posttraumatic Stress and Parenting Behaviors: The Mediating Role of Emotion Regulation.

作者信息

Kumar Shaina A, Franz Molly R, Brock Rebecca L, DiLillo David

机构信息

University of Nebraska-Lincoln, Psychology Department, 238 Burnett Hall, Lincoln, Nebraska 68588-0308.

出版信息

J Fam Violence. 2020 Jul;35(5):417-426. doi: 10.1007/s10896-019-00124-5. Epub 2019 Dec 19.

Abstract

PURPOSE

Maternal trauma has been linked with problematic parenting, including both harsh and permissive behaviors. However, little is known about mechanisms accounting for this association. The current study examined the potential impact of posttraumatic stress disorder (PTSD) and emotion regulation on dysfunctional parenting behaviors in a sample of community mothers. We hypothesized a mediation model wherein PTSD would be associated with dysfunctional parenting (i.e., lax and overreactive behaviors) indirectly through deficits in maternal emotion regulation.

METHOD

Seventy-eight community mothers of 18- to 36-month-old children were administered the Clinician Administered PTSD Scale for DSM-5 (CAPS-5) and 19 mothers met criteria for PTSD. Mothers also completed self-report measures of difficulties with emotion regulation and maternal laxness and overreactivity in parenting.

RESULTS

Results revealed that emotion dysregulation fully mediated relations between PTSD status and lax (but not overreactive) parenting behaviors. Compared to mothers without PTSD, those with PTSD reported greater lax parenting behaviors indirectly through greater emotion dysregulation.

CONCLUSIONS

Mothers with PTSD may struggle to parent assertively when trauma symptoms interfere with emotion regulation abilities. The current study highlights the need to design interventions focused on helping trauma-exposed mothers manage distress, ultimately aiming to enhance parenting effectiveness and improve child outcomes.

摘要

目的

母亲创伤与不良养育方式有关,包括严厉和放任行为。然而,对于这种关联的机制知之甚少。本研究考察了创伤后应激障碍(PTSD)和情绪调节对社区母亲样本中功能失调养育行为的潜在影响。我们假设了一个中介模型,其中PTSD会通过母亲情绪调节缺陷间接与功能失调的养育方式(即宽松和过度反应行为)相关。

方法

对78名18至36个月大孩子的社区母亲施测《精神疾病诊断与统计手册》第5版临床医生用创伤后应激障碍量表(CAPS-5),19名母亲符合PTSD标准。母亲们还完成了关于情绪调节困难以及养育中母亲宽松和过度反应的自我报告测量。

结果

结果显示,情绪失调完全中介了PTSD状态与宽松(而非过度反应)养育行为之间的关系。与没有PTSD的母亲相比,有PTSD的母亲通过更大的情绪失调间接报告了更宽松的养育行为。

结论

当创伤症状干扰情绪调节能力时,患有PTSD的母亲可能难以坚定地养育孩子。本研究强调需要设计干预措施,专注于帮助受过创伤的母亲应对痛苦,最终目标是提高养育效果并改善儿童结局。

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