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母亲儿童期创伤与 4 个月大婴儿观察到的母婴互动行为。

Maternal childhood trauma and observed maternal care behaviors with 4-month-old infants.

机构信息

Department of Psychiatry, Columbia University Medical Center, New York State Psychiatric Institute.

Department of Child and Adolescent Psychiatry, New York University.

出版信息

Psychol Trauma. 2024 Apr;16(Suppl 1):S81-S87. doi: 10.1037/tra0001554. Epub 2023 Aug 3.

Abstract

OBJECTIVE

To examine the relationship between maternal childhood trauma and early maternal caregiving behaviors (MCB).

METHOD

Participants included 74 mother-infant dyads (maternal age 20-45 years; ethnicity 64.9% Latina) from a longitudinal pregnancy cohort study. Maternal childhood trauma was assessed during pregnancy with the childhood trauma questionnaire (CTQ). Observed mother-infant interactions at infant age 4 months were coded utilizing modified Ainsworth's MCB rating scales that assessed a range of behaviors (e.g., acceptance, soothing, and delight) which we analyze grouped together and will summarize using the term "maternal sensitivity." Linear regressions tested the associations between maternal childhood trauma and MCB. Primary analyses examined the relationships of MCB with (a) any maternal childhood trauma (moderate or greater exposure to physical abuse, sexual abuse, emotional abuse, physical neglect, and/or emotional neglect) and (b) cumulative childhood trauma. Secondary analyses examined the relationships between each type of childhood trauma and MCB.

RESULTS

Exposure to childhood trauma was not associated with MCB ( = .88). Cumulative childhood trauma score was associated with lower scores on MCB (β = -1.88, < .05). Emotional abuse and emotional neglect were individually associated with lower scores on MCB (β = -1.78, = .04; β = -1.55, = .04, respectively). Physical abuse, sexual abuse, and physical neglect were not associated with MCB.

CONCLUSIONS

Many mothers exposed to childhood trauma may be resilient to negative effects on parenting behaviors, while specific experiences of childhood trauma (emotional abuse, emotional neglect, and cumulative childhood trauma) may predict less sensitive early parenting behaviors. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

探讨母婴童年创伤与早期母婴照护行为(MCB)之间的关系。

方法

本研究参与者包括来自一项纵向妊娠队列研究的 74 对母婴(母亲年龄 20-45 岁;种族 64.9%为拉丁裔)。母婴童年创伤在孕期通过童年创伤问卷(CTQ)进行评估。在婴儿 4 个月大时,使用改良的安斯沃思 MCB 评分量表对母婴互动进行观察编码,该量表评估了一系列行为(例如,接受、抚慰和愉悦),我们将这些行为进行分组并总结为“母亲敏感性”。线性回归检验了母婴童年创伤与 MCB 之间的关联。主要分析考察了 MCB 与以下方面的关系:(a)母婴童年创伤的任何一种(中度或更高程度的身体虐待、性虐待、情感虐待、身体忽视和/或情感忽视)和(b)累积童年创伤。次要分析考察了每种类型的母婴童年创伤与 MCB 之间的关系。

结果

母婴童年创伤暴露与 MCB 无关( =.88)。累积童年创伤评分与 MCB 得分较低相关(β = -1.88, <.05)。情感虐待和情感忽视与 MCB 得分较低有关(β = -1.78, =.04;β = -1.55, =.04,分别)。身体虐待、性虐待和身体忽视与 MCB 无关。

结论

许多暴露于母婴童年创伤的母亲可能对育儿行为的负面影响具有弹性,而特定的母婴童年创伤经历(情感虐待、情感忽视和累积母婴童年创伤)可能预示着早期育儿行为不太敏感。(PsycInfo Database Record(c)2024 APA,保留所有权利)。

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