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母亲童年创伤与儿童4至12岁攻击行为的发展历程

Maternal Childhood Trauma and Children's Developmental Course of Aggressive Behavior from Ages 4 to 12.

作者信息

Kim June-Yung, Minnes Sonia, Kobulsky Julia M, Kim Sun Kyung, Min Meeyoung O, Albert Jeffrey M, Yoo Changmin, Singer Lynn T

机构信息

Department of Social Work, College of Nursing & Professional Disciplines, University of North Dakota, Grand Forks, ND, USA.

Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH, USA.

出版信息

Psychol Violence. 2025 Mar;15(2):181-191. doi: 10.1037/vio0000541. Epub 2024 Sep 26.

Abstract

OBJECTIVE

A growing literature documents the intergenerational effects of maternal childhood trauma (MCT) on offspring developmental outcomes. However, cross-sectional designs of prior studies limit understanding of long-term effects of MCT on the next generation. We examined the long-term association of MCT with the developmental trajectory of their children's aggressive behavior from preschool years to preadolescence, while considering maternal psychological distress as a potential mediator in a high-risk sample.

METHOD

Mother-child dyads ( = 256; 55% girls), urban, primarily African American, were enrolled in a prospective study about the sequelae of prenatal cocaine exposure. Aggressive behavior was assessed with the caregiver-reported Child Behavior Checklist at ages 4, 6, 9, 10, 11, and 12. At offspring age of 4 years, MCT was caregiver-reported using the Childhood Trauma Questionnaire and psychological distress via the Brief Symptom Inventory.

RESULTS

Latent growth curve modeling indicated that MCT was indirectly associated with overall child aggressive behavior from 4-12 years of age via maternal psychological distress. Children's postnatal violence exposure was associated with a slower rate of decline in aggressive behavior over time. Boys had slower declines in aggression at a trend level, compared to girls.

CONCLUSIONS

MCT has a long-term adverse association with children's aggressive behavior via maternal psychological distress, which points to the need for therapeutic interventions that involve the provision of trauma-informed maternal support and the promotion of healthy behaviors of children. Postnatal violence exposure was also identified as a critical target of prevention to mitigate maladaptive development of aggression in children.

摘要

目的

越来越多的文献记载了母亲童年创伤(MCT)对后代发育结果的代际影响。然而,先前研究的横断面设计限制了对MCT对下一代长期影响的理解。我们研究了MCT与子女从学龄前到青春期前攻击行为发展轨迹的长期关联,同时将母亲心理困扰视为高危样本中的一个潜在中介因素。

方法

招募了城市地区以非裔美国人为主的母婴二元组(n = 256;55%为女孩),参与一项关于产前可卡因暴露后遗症的前瞻性研究。在4岁、6岁、9岁、10岁、11岁和12岁时,通过照顾者报告的儿童行为清单评估攻击行为。在子代4岁时,通过儿童期创伤问卷由照顾者报告MCT,并通过简明症状量表报告心理困扰。

结果

潜在增长曲线模型表明,MCT通过母亲心理困扰与4至12岁儿童的总体攻击行为间接相关。儿童出生后接触暴力与攻击行为随时间下降速度较慢有关。与女孩相比,男孩的攻击行为下降趋势较慢。

结论

MCT通过母亲心理困扰与儿童攻击行为存在长期不良关联,这表明需要进行治疗干预,包括提供创伤知情的母亲支持以及促进儿童的健康行为。出生后接触暴力也被确定为预防儿童攻击行为适应不良发展的关键目标。

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