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台湾地区母亲创伤相关心理健康问题及其与儿童情绪和行为问题的关系。

Trauma-related mental health problems among mothers in Taiwan and their relationship with children's emotional and behavioral problems.

机构信息

School of Nursing and Health Studies, Hong Kong Metropolitan University, Ho Man Tin, Hong Kong.

Department of Educational Psychology and Counseling, National Tsing Hua University, Hsinchu City, Taiwan.

出版信息

Eur J Psychotraumatol. 2024;15(1):2382554. doi: 10.1080/20008066.2024.2382554. Epub 2024 Jul 31.

Abstract

Trauma can give rise to mental health problems and emotional and interpersonal difficulties, which in turn can perpetuate the cycle of trauma and adversity for future generations. However, little is known about the prevalence and potential effects of trauma and trauma-related mental health problems among parents. The primary goal of this study was to examine childhood and adulthood trauma and trauma-related symptoms among mothers of children aged between 6 and 18. We also conducted exploratory analyses of their potential relationship with children's emotional and behavioural problems. A total of 817 mothers living with a child aged between 6 and 18 in Taiwan completed standardized self-report assessments of trauma exposure, trauma-related symptoms, and children's emotional and behavioural problems. A subsample ( = 256) also provided follow-up data after six months. Most surveyed mothers reported at least one childhood traumatic event (74.79%) and one adulthood traumatic event (78.70%); 4.4% met the ICD-11 criteria for PTSD, and 12.1% for complex PTSD; 11.4% reported clinically significant dissociative symptoms. Mothers' complex PTSD and dissociative symptoms were cross-sectionally correlated with children's emotional and behavioural problem (rs = .186 to .239,  < .001). After controlling for possible confounding variables and baseline scores, mothers' childhood non-betrayal trauma reported at baseline was found to be a predictor of children's emotional and behavioural problems reported at follow up. This study is the first to provide data regarding childhood and adulthood trauma and trauma-related disorders, including ICD-11 complex PTSD, among mothers in the community. It calls for more studies to understand the potential effects of intergenerational trauma.

摘要

创伤可能会导致心理健康问题以及情绪和人际关系方面的困难,而这些反过来又会使后代陷入创伤和逆境的循环之中。然而,人们对父母创伤和与创伤相关的心理健康问题的流行程度和潜在影响知之甚少。本研究的主要目的是调查 6 至 18 岁儿童的母亲的童年和成年创伤以及与创伤相关的症状。我们还对这些症状与儿童情绪和行为问题之间的潜在关系进行了探索性分析。台湾共有 817 名与 6 至 18 岁儿童一起生活的母亲完成了创伤暴露、与创伤相关的症状以及儿童情绪和行为问题的标准化自我报告评估。一个子样本( = 256)还在六个月后提供了随访数据。大多数接受调查的母亲报告至少有一次童年创伤事件(74.79%)和一次成年创伤事件(78.70%);4.4%符合 ICD-11 创伤后应激障碍标准,12.1%符合复杂创伤后应激障碍标准;11.4%报告了临床上显著的分离症状。母亲的复杂创伤后应激障碍和分离症状与儿童的情绪和行为问题呈横断面相关(rs = .186 至.239,  < .001)。在控制可能的混杂变量和基线分数后,发现母亲在基线时报告的童年非背叛创伤是预测儿童在随访时报告的情绪和行为问题的因素。这项研究首次提供了关于社区中母亲的童年和成年创伤以及与创伤相关的疾病(包括 ICD-11 复杂创伤后应激障碍)的数据,呼吁进行更多研究以了解代际创伤的潜在影响。

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