Child behavior/mental health conditions and abuse: which causes which?

Child behavior/mental health conditions and abuse: which causes which?
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儿童行为/心理健康状况和虐待:哪个导致哪个?

DOI:
10.1016/j.chiabu.2008.08.001
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发表时间:
2009
影响因子:
4.8
通讯作者:
Strathearn,Lane
Strathearn,Lane
中科院分区:
心理学2区
文献类型:
--
作者:
Strathearn,Lane

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作为一名发育儿科医生,我对这篇文章很感兴趣,“慢性疾病会增加幼儿受到虐待的风险吗?”(Jaudes&Mackey-Bilaver,2008)。儿童的行为和精神健康状况,而不是身体或认知障碍,与虐待和忽视儿童的风险增加有关。尽管作者关注的是行为障碍是虐待的风险因素,并试图根据先前的虐待进行调整,但在我看来,问题仍然存在:哪个导致了哪个?来自人类和动物研究的大量证据表明,长期虐待会改变后代的大脑发育和行为(格拉泽,2000;Strathearn,Gray,O‘Callaghan&Wood,2001;Trickett&Bride-Chang,1995)。例如,在婴儿期遭受母性虐待的非人类灵长类动物在童年时更有可能焦虑和依赖(McCormack,Sanchez,Bardi&Maestripieri,2006),更具攻击性,并表现出夸大的生理应激反应(Maestripieri,Lindell,Ayala,Gold&Higley,2005)。同样,经历不安全依恋关系和心理社会逆境的婴儿更有可能表现出冲动和注意力不集中的行为(Fearon&Belsky 2004),以及其他行为问题(Belsky&Fearon,2002)。
As a developmental pediatrician, I was interested to read the article,“Do chronic conditions increase young children’s risk of being maltreated?”(Jaudes & Mackey-Bilaver, 2008). Behavioral and mental health conditions in children, more so than physical or cognitive disabilities, were associated with an increased risk of child abuse and neglect. Although the authors focused on the behavioral disorder as a risk factor for maltreatment, and attempted to adjust for prior maltreatment, in my mind the question still remains: which causes which?There is an abundance of evidence from both human and animal studies to indicate that chronic maltreatment alters brain development and behavior in the offspring (Glaser, 2000; Strathearn, Gray, O’Callaghan & Wood, 2001; Trickett & Bride-Chang, 1995). Non-human primates experiencing maternal abuse in infancy, for example, are more likely to be anxious and dependent in childhood (McCormack, Sanchez, Bardi & Maestripieri, 2006), more aggressive, and show an exaggerated physiological stress response (Maestripieri, Lindell, Ayala, Gold & Higley, 2005). Likewise, human infants who experience insecure attachment relationships and psychosocial adversity are more likely to display impulsive and inattentive behavior (Fearon & Belsky 2004), as well as other behavioral problems (Belsky & Fearon, 2002).
恒河猴在生命前 6 个月内受虐待婴儿的母亲护理模式和行为发育。
DOI: 10.1002/dev.20157
发表时间: 2006
影响因子: 2.2
作者:
McCormack,K;Sanchez,MM;Bardi,M;Maestripieri,D
通讯作者: Maestripieri,D
极低出生体重婴儿的童年忽视和认知发展:一项前瞻性研究。
DOI: 10.1542/peds.108.1.142
发表时间: 2001
期刊: Pediatrics
影响因子: 8
作者:
Lane Strathearn;P. Gray;Michael J O'Callaghan;David O. Wood
通讯作者: David O. Wood
依恋和关注:与性别和累积的社会背景逆境相关的保护。
DOI: 10.1111/j.1467-8624.2004.00809.x
发表时间: 2004
期刊: Child development.
影响因子: --
作者:
Fearon,RMPasco;Belsky,Jay
通讯作者: Belsky,Jay
极低出生体重婴儿的童年忽视和认知发展:一项前瞻性研究
DOI: 10.1097/00004703-200112000-00029
发表时间: 2001
影响因子: 2.4
作者:
A. Sandler
通讯作者: A. Sandler