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产后妇女的父母倦怠与母亲不良童年经历之间的关联。

Associations between parenting burnout and maternal adverse childhood experiences among postnatal women.

机构信息

Department of Pediatric Clinic, The Second Hospital in Shandong University, Jinan, Shandong Province, China.

Department of Epidemiology, Erasmus Medical Center, Erasmus University Rotterdam, Rotterdam, The Netherlands.

出版信息

Psychol Health Med. 2024 Jun;29(5):988-997. doi: 10.1080/13548506.2023.2248565. Epub 2023 Aug 21.

DOI:10.1080/13548506.2023.2248565
PMID:38761379
Abstract

This study aims at exploring the relationships between adverse childhood experience (ACEs) and parental burnout. A total of 583 postnatal Chinese mothers were recruited in this cross-sectional study. Maternal ACEs were measured by Adverse Childhood Experience Questionnaire-Revised and parental burnout was measured by Parental Burnout Assessment. Multiple linear and binary logistic regression, and latent class analysis were used to explore the association between each type and cumulative ACEs and parental burnout. We found ACEs were associated with a higher risk of parental burnout. However, the association differed in the type of ACEs. The higher levels of physical abuse ( = 0.971 ~ 0.459, all  < 0.05) and emotional neglect ( = 1.010 ~ 1.407, all  < 0.05) in childhood were correlated with more serious parental burnout. The higher levels of self-threatened ( = 0.429 ~ 0.559, all  < 0.05) and self-deprived experience ( = 0.384 ~ 0.462, all  < 0.05), higher number of ACEs type ( = 2.909 ~ 3.918, all  < 0.05) were associated with more serious parental burnout. Results were consistent after combining four dimensions of parental burnout as a whole in LCA. This study indicated that maternal ACEs were associated with parental burnout. Women with self-deprived, self-threatened and more types of ACEs should be paid special attention.

摘要

本研究旨在探讨不良童年经历(ACEs)与父母倦怠之间的关系。本横断面研究共招募了 583 名产后中国母亲。采用修订后的不良童年经历问卷(ACEs)测量母亲的 ACEs,采用父母倦怠评估量表(Parental Burnout Assessment)测量父母倦怠。采用多元线性和二元逻辑回归以及潜在类别分析来探讨每种类型和累积 ACEs 与父母倦怠之间的关系。我们发现 ACEs 与父母倦怠的风险增加有关。然而,ACEs 的类型不同,其与父母倦怠的关联也不同。童年时期较高水平的身体虐待( = 0.971 ~ 0.459,均  < 0.05)和情感忽视( = 1.010 ~ 1.407,均  < 0.05)与更严重的父母倦怠相关。较高水平的自我威胁( = 0.429 ~ 0.559,均  < 0.05)和自我剥夺经历( = 0.384 ~ 0.462,均  < 0.05)、较多类型的 ACEs( = 2.909 ~ 3.918,均  < 0.05)与更严重的父母倦怠相关。在 LCA 中将父母倦怠的四个维度合并为整体后,结果仍然一致。本研究表明,母亲的 ACEs 与父母倦怠有关。应特别关注自我剥夺、自我威胁和经历 ACEs 较多的女性。

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