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母亲童年期虐待创伤的解决:一种新型叙事编码测量方法的开发及其对代际养育过程的影响。

Maternal childhood maltreatment trauma resolution: Development of a novel narrative coding measure and implications for intergenerational parenting processes.

作者信息

Swerbenski Hannah G, Sturge-Apple Melissa L, Messina Grace, Toth Sheree L, Rogosch Fred, Cicchetti Dante

机构信息

University of Rochester, Rochester, NY, USA.

Mt. Hope Family Center, University of Rochester, Rochester, NY, USA.

出版信息

Dev Psychopathol. 2023 Oct 4:1-16. doi: 10.1017/S0954579423001256.

DOI:10.1017/S0954579423001256
PMID:37791540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12034303/
Abstract

Child maltreatment constitutes a significant environmental risk for children, with carryover effects into future generations. There is a need to characterize protective factors that may buffer against the intergenerational transmission of maltreatment. The current study addresses this gap through two primary aims: 1) the development and validation of a novel measure assessing resolution of maternal childhood maltreatment trauma using narrative coding methods and 2) the evaluation of maternal maltreatment trauma resolution as a buffering factor that may moderate associations between maternal neglect histories and sensitive parenting of offspring. Results of reliability analyses from this sample of 210 diverse, low-income mothers suggest the novel childhood maltreatment trauma resolution measure is highly reliable. Furthermore, results highlight the generalizability, criterion validity, and concurrent and predictive validity of the measure. Results from cross-sectional analyses show that trauma resolution moderates associations between maternal physical neglect histories and sensitive parenting, such that under high maternal trauma resolution, there is no longer a negative association between neglect histories and sensitive parenting. Results from longitudinal analyses also show a protective effect of maternal trauma resolution, such that trauma resolution has a protective-enhancing effect on maternal sensitivity. Implications for research and clinical practice with families are discussed.

摘要

儿童虐待是儿童面临的重大环境风险,并会对后代产生延续影响。有必要确定可能缓冲虐待代际传递的保护因素。本研究通过两个主要目标填补这一空白:1)开发并验证一种使用叙事编码方法评估母亲童年虐待创伤解决情况的新测量方法;2)评估母亲虐待创伤的解决情况作为一种缓冲因素,是否可以调节母亲忽视史与对后代的敏感养育之间的关联。对210名不同的低收入母亲样本进行的可靠性分析结果表明,新的童年虐待创伤解决情况测量方法具有很高的可靠性。此外,结果突出了该测量方法的普遍性、标准效度、同时效度和预测效度。横断面分析结果表明,创伤解决情况调节了母亲身体忽视史与敏感养育之间的关联,即在母亲创伤解决程度较高的情况下,忽视史与敏感养育之间不再存在负相关。纵向分析结果还显示了母亲创伤解决情况的保护作用,即创伤解决情况对母亲的敏感性具有保护增强作用。文中讨论了对家庭研究和临床实践的启示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1200/12034303/0d65717ead00/nihms-2073798-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1200/12034303/0b399240c393/nihms-2073798-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1200/12034303/35ec4fe99fea/nihms-2073798-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1200/12034303/9d9b70728b79/nihms-2073798-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1200/12034303/0d65717ead00/nihms-2073798-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1200/12034303/0b399240c393/nihms-2073798-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1200/12034303/35ec4fe99fea/nihms-2073798-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1200/12034303/9d9b70728b79/nihms-2073798-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1200/12034303/0d65717ead00/nihms-2073798-f0004.jpg

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The transition to parenthood following a history of childhood maltreatment: a review of the literature on prospective and new parents' experiences.
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Hostile/Helpless maternal representations in pregnancy and later child removal: A pilot study.孕期敌对/无助的母亲形象与后期孩子被送走:一项初步研究。
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Clin Psychol Rev. 2020 Aug;80:101891. doi: 10.1016/j.cpr.2020.101891. Epub 2020 Jul 23.
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Intergenerational Cycles of Maltreatment: A Scoping Review of Psychosocial Risk and Protective Factors.虐待的代际循环:心理社会风险与保护因素的范围综述
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