探讨关系和心理困扰在产后儿童虐待代际连续性风险中的前瞻性作用

R. Langevin, M. Hébert, A. Bernier, J. Frappier
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引用次数: 1

摘要

目的:这项前瞻性纵向研究旨在探讨家庭关系(浪漫满意度和母婴关系)和心理困扰在四种虐待儿童亚型(性虐待、身体虐待和情感虐待、忽视)与年轻母亲早期虐待儿童潜力之间的关系中的作用。方法:招募85名孕妇(18-29岁)在时间1(T1)完成在线调查;在T2(产后3个月)有57位母亲参与。该调查使用经验证的问卷记录了CM的经历、产前浪漫满意度、产后心理困扰、母婴关系和虐待儿童的可能性。结果:测试了四个顺序中介模型,每个CM亚型一个。结果表明,母亲有CM(所有亚型)病史与产后三个月虐待儿童的可能性增加间接相关。所有CM亚型均与产前浪漫满意度呈负相关,而产前浪漫满意度又与产后心理困扰呈负相关。产后心理困扰与母婴关系的降低有关,而母婴关系又与虐待儿童的可能性增加有关。完整序列模型对身体、性和情感虐待具有重要意义,而部分序列则被认为是被忽视的。启示:我们的研究结果与理论模型和实证结果一致,证明了关系因素和心理健康在CM代际连续性中的重要性,他们强调需要在围产期早期干预心理健康和家庭关系,以中断高危家庭CM的代际循环。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the prospective role of relationships and psychological distress in postpartum risk of intergenerational continuity of child maltreatment
Objectives: This prospective longitudinal study aimed to explore the role of family relationships (romantic satisfaction and mother-infant bonding) and psychological distress in the associations between four child maltreatment (CM) subtypes (sexual, physical, and emotional abuse, neglect) and early child abuse potential in young mothers.Methods: A sample of 85 pregnant mothers (18-29 years old) was recruited to complete an online survey at Time 1 (T1); 57 mothers participated at T2 (3 months postpartum). The survey documented experiences of CM, prenatal romantic satisfaction, postnatal psychological distress, mother-infant bonding, and child abuse potential using validated questionnaires.Results: Four sequential mediation models were tested, one for each CM subtype. Results show that a maternal history of CM (all subtypes) was indirectly associated with heightened child abuse potential three months postpartum. All CM subtypes were negatively related to prenatal romantic satisfaction, which was in turn negatively associated with postnatal psychological distress. Postnatal psychological distress was related to lower mother-infant bonding which, in turn, was related to increased child abuse potential. The complete sequential model was significant for physical, sexual, and emotional abuse, while a partial sequence was identified with neglect.Implications: Our results are consistent with theoretical models and empirical findings demonstrating the importance of relational factors and mental health in the intergenerational continuity of CM. While our findings await replication, they emphasize the need to intervene early - during the perinatal period - on mental health and family relationships to interrupt intergenerational cycles of CM in at-risk families.
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