Young children's traumatic stress reactions to the COVID-19 pandemic: The long reach of mothers' adverse childhood experiences.
Young children's traumatic stress reactions to the COVID-19 pandemic: The long reach of mothers' adverse childhood experiences.
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DOI：
10.1016/j.jad.2022.08.061
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发表时间：
2022-12-01
影响因子：
6.6
通讯作者：
Bush, Nicole R.
中科院分区：
文献类型：
--
作者：
Hagan, Melissa J.;Roubinov, Danielle R.;Cordeiro, Alana;Lisha, Nadra;Bush, Nicole R.
新冠肺炎大流行对父母和儿童的心理健康产生了负面影响；然而，将这种影响放在父母的逆境病史中考察是至关重要的。我们假设，母亲的不良童年经历(ACE)和与大流行相关的负性生活事件将预测儿童创伤应激症状(TSS)，并测试了在大流行期间通过与大流行相关的TSS和/或较差的母亲敏感性的潜在中介途径。数据是从低收入、种族/民族多样化的母亲及其子女的纵向样本中收集的。在2020年5月至11月期间，年幼儿童的母亲(n=1111)完成了问卷调查，以评估自己和孩子与流行病相关的TSS、暴露于与流行病相关的负面事件以及亲子关系质量。母亲的A级、母亲的抑郁、亲子关系质量和儿童内化症状大约在1-3年前进行了评估。结构方程分析表明，大流行负性生活事件通过更大的母体TSS与儿童TSS间接相关。对于母亲来说，最近与大流行相关的负面事件与她们自己的TS有关，而母亲的A级与此无关。母亲的A直接预测更大的儿童TSS，没有证据表明母亲的TSS或母亲的敏感性起到了中介作用。所有措施都是家长报告，与大流行相关的措施是在同一时间点收集的。调查结果强调了母亲自身不良童年经历的长期影响，突出了这些先前的创伤暴露以及目前与大流行有关的产妇创伤症状对儿童在大流行期间的适应造成的负面后果。
The COVID-19 pandemic has negatively impacted parental and child mental health; however, it is critical to examine this impact in the context of parental histories of adversity. We hypothesized that maternal adverse childhood experiences (ACEs) and pandemic-related negative life events would predict child traumatic stress symptoms (TSS) and tested potential mediating pathways through maternal pandemic-related TSS and/or poorer maternal sensitivity during the pandemic. Data were collected from a longitudinal sample of low-income, racially/ethnically diverse mothers and their children. Between May and November 2020, mothers (n = 111) of young children (M age = 7.42 years, SD = 0.45) completed questionnaires to assess their own and their child's pandemic-related TSS, exposure to pandemic-related negative events, and parent-child relationship quality. Maternal ACEs, maternal depression, parent-child relationship quality, and child internalizing symptoms had been assessed approximately 1–3 years prior. Structural equation analyses revealed that pandemic negative life events were indirectly associated with child TSS via greater maternal TSS. For mothers, recent pandemic-related negative events were associated with their own TSS, whereas maternal ACEs were not. Maternal ACEs directly predicted greater child TSS, with no evidence of mediation by either maternal TSS or maternal sensitivity. All measures were parent report, and pandemic-related measures were collected at the same time point. Findings underscore the long reach of mothers' own adverse childhood experiences, highlighting the negative consequences of these prior traumatic exposures alongside current pandemic-related maternal trauma symptoms for children's adjustment during the pandemic.
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