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代际关联:不良和积极的母婴童年经历与幼儿心理社会福祉的关系。

Intergenerational associations of adverse and positive maternal childhood experiences with young children's psychosocial well-being.

机构信息

Graduate School of Comprehensive Human Science, University of Tsukuba, Tsukuba, Japan.

Faculty of Educational Science, Anhui Normal University, Wuhu, People's Republic of China.

出版信息

Eur J Psychotraumatol. 2023;14(1):2185414. doi: 10.1080/20008066.2023.2185414.

Abstract

Maternal adverse childhood experiences (ACEs) are believed to have negative consequences on offspring health. However, positive childhood experiences (PCEs) may be concurrent with ACEs, and little is known about how ACEs and PCEs transmit intergenerationally in the context of each other. To explore the independent effect of maternal ACEs and PCEs on offspring psychosocial well-being and how ACEs and PCEs are intergenerationally transmitted in their context. Data were 2587 mother-child dyads in Anhui provinces of China. Mothers retrospectively reported their ACEs and PCEs, as well as provided demographic characteristics and their children's psychosocial well-being. Logistic regression models were performed to explore the associations of maternal ACEs and PCEs with offspring psychosocial well-being. Separate unadjusted logistic regression models showed that children with mothers reported high ACEs scores were more likely to have psychosocial challenges (total difficulties and prosocial problems), while children whose mothers reported high PCEs scores were less likely to have psychosocial challenges. When we added maternal ACEs and PCEs to a same model, we found that PCEs slightly neutralised the negative effects of ACEs on offspring's total difficulties and prosocial problems. When stratified by sample, mothers with high PCE scores and higher maternal ACEs were related with a higher risk of offspring total difficulties; mothers with low levels of ACEs and high PCEs tend to report a lower risk of offspring total difficulties. Results suggest that PCEs are positively and intergenerationally transmitted. Results suggest that PCEs are positively and intergenerationally transmitted. More programme should be provided to increase maternal PCEs. When preventing the intergenerational transmission of ACEs, specific interventions should be provided to mothers with different levels of PCEs.

摘要

母亲的不良童年经历(ACEs)被认为对后代的健康有负面影响。然而,积极的童年经历(PCEs)可能与 ACEs 同时存在,并且对于 ACEs 和 PCEs 在彼此的背景下如何在代际间传递知之甚少。为了探讨母亲的 ACEs 和 PCEs 对后代心理社会健康的独立影响,以及 ACEs 和 PCEs 在其背景下如何在代际间传递。本研究的数据来自中国安徽省的 2587 对母子。母亲们回顾性地报告了她们的 ACEs 和 PCEs,以及提供了人口统计学特征和她们孩子的心理社会健康状况。使用逻辑回归模型来探讨母亲的 ACEs 和 PCEs 与后代心理社会健康之间的关联。单独的未调整逻辑回归模型显示,报告 ACEs 得分高的母亲的孩子更有可能面临心理社会挑战(总困难和亲社会问题),而报告 PCEs 得分高的母亲的孩子则不太可能面临心理社会挑战。当我们将母亲的 ACEs 和 PCEs 加入到同一个模型中时,我们发现 PCEs 略微减轻了 ACEs 对后代总困难和亲社会问题的负面影响。当按样本分层时,PCEs 得分高且 ACEs 得分高的母亲与后代总困难的风险增加有关;ACEs 得分低且 PCEs 得分高的母亲则倾向于报告后代总困难的风险较低。结果表明,PCEs 是积极的并在代际间传递的。结果表明,PCEs 是积极的并在代际间传递的。应该提供更多的方案来增加母亲的 PCEs。在预防 ACEs 的代际传递时,应该为不同 PCEs 水平的母亲提供特定的干预措施。

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