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母亲的逆境史及早期母婴互动:一项系统综述

Maternal History of Adversity and Subsequent Mother-Child Interactions at Early Ages: A Systematic Review.

作者信息

Leite Ongilio Fernanda, Gaspardo Cláudia Maria, Linhares Maria Beatriz Martins

机构信息

University of São Paulo, Ribeirao Preto, Brazil.

出版信息

Trauma Violence Abuse. 2023 Dec;24(5):3412-3432. doi: 10.1177/15248380221130355. Epub 2022 Nov 11.

Abstract

Adverse childhood experiences (ACEs) can negatively impact physical, emotional, cognitive, and social development, consequently affecting the next generation. The aim of the present study was to systematically review evidence from empirical studies on the association between maternal history of adversity in childhood (maltreatment and household dysfunction) and subsequent mother-child interactions at an early age. A search was performed in the PubMed, Web of Science, PsycINFO, EMBASE, Scopus, LILACS, and SciELO databases to identify studies, including measures of maternal childhood adversities and mother-child interaction, published between 2016 and 2022. Twenty-nine studies met the inclusion criteria. The results showed that in 90% of the studies, maternal childhood adversities negatively impacted subsequent mother-child interactions in early childhood, reducing maternal displays of affection, emotional availability, sensitivity, mother-child communication, and bonding. Biological factors (e.g., genetic and hormonal) and maternal emotional recognition moderated these associations. In addition, biological factors (i.e., neurobiological and hormonal) and psychosocial factors (e.g., depression, executive functioning, and violence) acted as mediators. Preventive interventions should be implemented to break out of the intergenerational cycle of violence that impacts mother-child interactions.

摘要

童年不良经历(ACEs)会对身体、情感、认知和社会发展产生负面影响,进而影响下一代。本研究的目的是系统回顾实证研究中关于童年时期母亲的逆境经历(虐待和家庭功能障碍)与早期母婴互动之间关联的证据。在PubMed、科学网、PsycINFO、EMBASE、Scopus、LILACS和SciELO数据库中进行了检索,以识别2016年至2022年间发表的包括母亲童年逆境和母婴互动测量的研究。29项研究符合纳入标准。结果显示,在90%的研究中,母亲童年时期的逆境对早期的母婴互动产生了负面影响,减少了母亲的情感表达、情感可及性、敏感性、母婴沟通和情感联结。生物因素(如遗传和激素)以及母亲的情感识别调节了这些关联。此外,生物因素(即神经生物学和激素)和心理社会因素(如抑郁、执行功能和暴力)起到了中介作用。应实施预防性干预措施,以打破影响母婴互动的代际暴力循环。

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