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母亲童年受虐史可预测后代应激反应系统功能失调。

Maternal History of Child Maltreatment Predicts Dysregulated Offspring Stress Response System Functioning.

作者信息

Levin Rachel Y, Russotti Justin, Toth Sheree L, Cicchetti Dante, Handley Elizabeth D

机构信息

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

University of Minnesota, Minneapolis, MN, USA.

出版信息

Child Maltreat. 2025 Jan 29:10775595251317449. doi: 10.1177/10775595251317449.

Abstract

Identifying proximal and multigenerational distal risk mechanisms through which adversity exposure may shape neuroendocrine dysregulation among children is critical to advancing effective preventive interventions for adversity-exposed individuals. Utilizing longitudinal data ( = 247), the current study examined maternal and offspring history of childhood maltreatment (CM) as predictors of offspring cortisol/DHEA ratios, and, in exploratory analyses, extended this longitudinally to offspring depressive symptoms in young adulthood. Youth (ages 8-13 years) initially attended a research camp, then were followed up approximately eight years later (ages 18-22 years). Maternal history of CM significantly predicted their offspring's childhood cortisol/DHEA ratio over and above the effects of the offspring's history of CM. Offspring CM was not a significant predictor of the ratio. The cortisol/DHEA ratio did not mediate the relationship between maternal history of CM and offspring emerging adulthood depression. Results highlight an intergenerational cascade of CM and negative outcomes and support inclusion of maternal experiences in screening for at-risk youth.

摘要

识别逆境暴露可能导致儿童神经内分泌失调的近端和多代远端风险机制,对于推进针对逆境暴露个体的有效预防性干预措施至关重要。本研究利用纵向数据(n = 247),考察了母亲和后代的童年虐待史(CM)作为后代皮质醇/脱氢表雄酮比值的预测因素,并在探索性分析中,将此纵向扩展至成年早期后代的抑郁症状。青少年(8 - 13岁)最初参加了一个研究营地,然后在大约八年后(18 - 22岁)接受随访。母亲的CM史在超过后代CM史影响的情况下,显著预测了其后代的儿童期皮质醇/脱氢表雄酮比值。后代的CM不是该比值的显著预测因素。皮质醇/脱氢表雄酮比值并未介导母亲的CM史与后代成年早期抑郁之间的关系。结果突出了CM和负面结果的代际级联效应,并支持将母亲的经历纳入对高危青少年的筛查中。

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