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母亲早期的敏感性与身体健康指标:从儿童期到成年期,是持久的还是短暂的关联?

Early maternal sensitivity and markers of physical health: Enduring or transient associations from childhood to adulthood?

机构信息

Institute of Child Development.

Department of Child, Family, and Population Health Nursing.

出版信息

Dev Psychol. 2022 Dec;58(12):2252-2263. doi: 10.1037/dev0001430. Epub 2022 Sep 8.

DOI:10.1037/dev0001430
PMID:36074590
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9762122/
Abstract

Individual differences in the quality of early experiences with primary caregivers have been reliably implicated in the development of socioemotional adjustment and, more recently, physical health. However, few studies have examined the development of such associations with physical health into the adult years. To that end, the current study used prospective, longitudinal data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development ( = 1,306, 52% male, 77% White/non-Hispanic) to investigate whether associations between direct observations of maternal sensitivity in the first 3 years of life and repeated assessments of two commonly used, objective indicators of physical health (i.e., body mass and mean arterial blood pressure) remained stable or diminished in magnitude over time. Associations between early maternal sensitivity and lower body mass remained relatively stable from age 54 months to 26 years and were robust to the modeling of autoregressive and second-order stability processes as well as the inclusion of potential demographic confounders. In contrast, although associations between early caregiving and lower mean arterial pressure remained relatively stable from Grade 4 to age 15 years (the oldest age for which mean arterial pressure was assessed thus far), these associations were not robust to the inclusion of covariates and the modeling of second-order stability processes. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

个体在与主要照顾者早期经历的质量方面存在差异,这与社会情感调节的发展,以及最近的身体健康有可靠的关联。然而,很少有研究探讨这种与身体健康相关的关联在成年后的发展情况。为此,本研究使用了国家儿童健康与人类发展研究所早期儿童保育和青年发展研究(n = 1306,52%为男性,77%为白种人/非西班牙裔)的前瞻性、纵向数据,调查了生命头 3 年中直接观察到的母亲敏感性与两种常用的客观身体健康指标(即体重和平均动脉血压)的重复评估之间的关联是否随着时间的推移而保持稳定或强度减弱。早期母亲敏感性与较低体重之间的关联从 54 个月到 26 岁相对稳定,并且在考虑自回归和二阶稳定过程的建模以及包括潜在人口统计学混杂因素时仍然稳健。相比之下,尽管早期养育与较低平均动脉压之间的关联从 4 年级到 15 岁(目前评估平均动脉压的最年长年龄)相对稳定,但这些关联在纳入协变量和二阶稳定过程建模时并不稳健。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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