A deeper look at the association between childhood maltreatment and reflective functioning.

IF 3.3 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL
Attachment & Human Development Pub Date : 2023-06-01 Epub Date: 2023-05-02 DOI:10.1080/14616734.2023.2207558
Julia Garon-Bissonnette, Karine Dubois-Comtois, Diane St-Laurent, Nicolas Berthelot
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引用次数: 0

Abstract

Childhood maltreatment is theorized as impeding the development of reflective functioning (RF; ability to perceive and interpret oneself and others in terms of mental states). However, previous research typically failed to support this association or yielded small sized and mixed associations. This study aims to provide a deeper look at the association between childhood maltreatment and RF by characterizing two non-mentalizing categories. One-hundred-and-sixteen pregnant women (mean age = 27.62, SD = 4.52) from the community (48.3% with a university degree, 96.5% in a relationship with the other parent) retrospectively reported on childhood abuse and neglect using the Childhood Trauma Questionnaire. They also participated in the Adult Attachment Interview subsequently coded using the Reflective Functioning Scale. Participants with poor to low RF were allocated to one of two groups (disavowal-distancing or distorted-inconsistent) using indicators provided in the RF Scale. No association was found between childhood maltreatment and overall RF when controlling for education level. A multinomial logistic regression revealed that childhood maltreatment was strongly predictive of a disrupted, over-analytical and inconsistent reflection about mental states but not of a tendency to discourse little about mental states. This tendency was rather only predicted by education level. Findings suggest that childhood maltreatment would lead to specific impairments in RF and that not considering how individuals fail to mentalize about attachment relationships may mask strong associations between RF and its determinants and correlates, including childhood maltreatment.

深入研究儿童期虐待与反思功能之间的联系。
童年时期的虐待被认为阻碍了反思功能的发展(RF;从精神状态角度感知和解释自己和他人的能力)。然而,以前的研究通常无法支持这种关联,或者产生了小规模和混合的关联。本研究旨在通过表征两个非心理化类别,更深入地了解儿童虐待与RF之间的关系。116名孕妇(平均年龄 = 27.62,标准差 = 4.52)(48.3%具有大学学历,96.5%与另一位父母有关系)使用儿童创伤问卷对儿童虐待和忽视进行了回顾性报告。他们还参加了随后使用反射功能量表进行编码的成人依恋访谈。使用RF量表中提供的指标,将RF较差至较低的参与者分为两组(否认距离或扭曲不一致)中的一组。在控制教育水平时,未发现儿童期虐待与总体RF之间存在关联。多项逻辑回归显示,童年时期的虐待强烈预示着对精神状态的反思被打乱、过度分析和不一致,而不是很少谈论精神状态的倾向。这种趋势只是根据教育水平来预测的。研究结果表明,儿童期虐待会导致RF的特定损伤,而不考虑个体如何未能对依恋关系进行心理化,可能会掩盖RF与其决定因素和相关因素之间的强烈关联,包括儿童期虐待。
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来源期刊
Attachment & Human Development
Attachment & Human Development PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
7.00
自引率
6.20%
发文量
11
期刊介绍: Attachment & Human Development is the leading forum for the presentation of empirical research, reviews and clinical case studies that reflect contemporary advances in attachment theory and research. The journal addresses the growing demand from the domains of psychology, psychiatry, psychotherapy and related disciplines including nursing and social work, for a clear presentation of ideas, methods and research based on attachment theory.
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