Yale University School of Medicine, New Haven, Connecticut, USA.
University of Michigan School of Social Work, Ann Arbor, Michigan, USA.
Infant Ment Health J. 2023 Nov;44(6):767-780. doi: 10.1002/imhj.22084. Epub 2023 Sep 2.
For new fathers, parenting stress is a risk factor for impaired early parenting and child maltreatment perpetration. Predictors of parenting stress, including fathers' own experiences of trauma, could be useful intervention targets to support new fathers. We aim to examine associations between new fathers' own histories of child maltreatment, and their perinatal mental health, relationships, and parenting stress. We recruited 298 first-time fathers for a survey that measured child maltreatment history, trauma sequelae including posttraumatic stress disorder (PTSD), major depressive disorder (MDD), interpersonal reactivity, substance use, anger expression, coparenting quality, and parenting stress. On the Parenting Stress Index (PSI) (from 36 to 180), bivariate analysis demonstrated that new fathers who experienced child maltreatment (n = 94) had significantly higher parenting stress (x̅ = 85.3, σ = 18.7) than those who did not (n = 204; x̅ = 76.0, σ = 16.6; P < .000). Hierarchical linear regression modeling indicated that a child maltreatment history, PTSD, and MDD were significantly associated with parenting stress. The strongest predictors of parenting stress were coparenting quality and complex trauma sequelae-interpersonal reactivity and anger expression. Interventions to reduce fathers' parenting stress by targeting known mental health and relationship sequelae of maltreatment are promising avenues to breaking intergenerational transmission of child maltreatment and psychiatric vulnerability.
对于新手父亲来说,育儿压力是影响早期育儿和虐待儿童行为的一个风险因素。育儿压力的预测因素,包括父亲自身的创伤经历,可能是支持新手父亲的有用干预目标。我们旨在研究新手父亲自身的虐待儿童史与其围产期心理健康、人际关系和育儿压力之间的关联。我们招募了 298 名初为人父的男性参与一项调查,该调查测量了他们的虐待儿童史、创伤后遗症,包括创伤后应激障碍(PTSD)、重度抑郁症(MDD)、人际反应、物质使用、愤怒表达、共同养育质量和育儿压力。在《父母压力指数》(PSI)(范围为 36 到 180)中,双变量分析表明,经历过虐待儿童的新手父亲(n=94)的育儿压力显著较高(x̅=85.3,σ=18.7),而没有经历过虐待儿童的父亲(n=204;x̅=76.0,σ=16.6;P<.000)。分层线性回归模型表明,虐待儿童史、PTSD 和 MDD 与育儿压力显著相关。育儿压力的最强预测因素是共同养育质量和复杂创伤后遗症——人际反应和愤怒表达。通过针对已知的虐待儿童对心理健康和人际关系的影响来减少父亲育儿压力的干预措施,是打破虐待儿童和精神脆弱性代际传递的有前途的途径。