Adverse Childhood Experiences, Poverty, and Parenting Stress
Adverse Childhood Experiences, Poverty, and Parenting Stress
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DOI：
10.1037/cbs0000034
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发表时间：
2016-01-01
影响因子：
2.5
通讯作者：
Murphy, Anne
中科院分区：
文献类型：
--
作者：
Steele, Howard;Bate, Jordan;Murphy, Anne
不良童年经历（ACE）与成年后的身心健康问题以及依恋关系中未解决或不和谐的心理状态有关，这些心理状态会对有问题的养育方式产生影响。目前，还没有关于 ACE 与成年人在养育角色中的主观压力体验之间关系的研究，其中与社会经济地位（SES）相关的贫困效应已被控制，这是当前研究背后的核心问题。我们研究了 118 名母亲（n = 33 名低社会经济地位/贫困，n = 85 名中/高社会经济地位）的 ACE 暴露情况和养育子女的困扰。参与者完成了 ACE 调查问卷，评估了童年时期 10 种不良经历的暴露程度（例如虐待、忽视、家庭功能障碍），以及育儿压力指数简表。低 SES 组的育儿困扰和 ACE 显着较高；然而，即使在控制了 SES 后，较高的 ACE 分数在线性回归模型中也增加了父母痛苦的显着解释方差。讨论的重点是需要在产前和儿科环境中进行 ACE 筛查，以识别并提供创伤和依恋知情治疗，从而减少与养育问题相关的风险代际传播。
Adverse childhood experiences (ACEs) are associated with physical and mental health problems in adulthood, as well as unresolved or discordant states of mind regarding attachments that have implications for problematic parenting. Currently, there are no studies on the association between ACEs and adults' subjective experiences of stress in the parenting role, where socioeconomic status (SES)-related poverty effects have been controlled for-the central question behind the current study. We examined exposure to ACEs among 118 mothers (n = 33 low SES/impoverished and n = 85 middle/high SES) and parenting distress. Participants completed an ACE questionnaire that assessed exposure to 10 adverse experiences from childhood (e. g., abuse, neglect, household dysfunction), and the Parenting Stress Index-Short Form. Parenting distress and ACEs were significantly higher in the low SES group; yet, even after controlling for SES, higher ACE scores added significant explained variance in parental distress in a linear regression model. Discussion focuses on the need to administer ACE screening in prenatal and pediatric settings to identify and to offer trauma-and attachment-informed treatment, so to reduce the intergenerational transmission of risk associated with problematic parenting.