Maternal posttraumatic stress symptoms and infant emotional reactivity and emotion regulation.

Maternal posttraumatic stress symptoms and infant emotional reactivity and emotion regulation.
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DOI:
10.1016/j.infbeh.2011.07.007
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发表时间:
2011-12
影响因子:
2.1
通讯作者:
Wright, Rosalind J.
Wright, Rosalind J.
中科院分区:
心理学3区
文献类型:
--
作者:
Enlow, Michelle Bosquet;Kitts, Robert L.;Blood, Emily;Bizarro, Andrea;Hofmeister, Michelle;Wright, Rosalind J.

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目前的研究调查了母亲创伤后应激障碍(PTSD)症状与婴儿出生后第一年的情绪反应和情绪调节之间的关系,研究对象主要是低收入、城市、少数民族/种族的52对母子。当婴儿6个月大时,母亲们完成了问卷调查,评估自己的创伤暴露史、目前的创伤后应激障碍和抑郁症状以及婴儿的气质。二人组在婴儿6个月大时参与重复静止面孔范式,并对每次重复静止面孔范式的婴儿情感状态进行编码。当婴儿13个月大时,母亲们完成了评估婴儿创伤暴露史和婴儿当前情绪和行为症状的问卷。通过(a)婴儿在fp - r期间从痛苦中恢复的能力和(b)母亲报告的婴儿在日常生活中从痛苦/觉醒中恢复的比率,母亲的PTSD症状预测了婴儿在6个月时的情绪调节。母亲创伤后应激障碍症状也可预测母亲在13个月时报告的婴儿外化、内化和失调症状。母亲创伤后应激障碍与婴儿情绪反应的测量无关。母亲抑郁症状和婴儿直接接触创伤都不能解释母亲创伤后应激障碍症状和婴儿结局之间的关联。这些发现表明,早在婴儿时期,母亲的创伤后应激障碍就与子女的情绪调节困难有关。这些困难可能会增加母亲患有创伤后应激障碍的孩子出现精神健康问题的风险。
The current study examined associations between maternal posttraumatic stress disorder (PTSD) symptoms and infant emotional reactivity and emotion regulation during the first year of life in a primarily low-income, urban, ethnic/racial minority sample of 52 mother-infant dyads. Mothers completed questionnaires assessing their own trauma exposure history and current PTSD and depressive symptoms and their infants’ temperament when the infants were 6 months old. Dyads participated in the repeated Still-Face Paradigm (SFP-R) when the infants were 6 months old, and infant affective states were coded for each SFP-R episode. Mothers completed questionnaires assessing infant trauma exposure history and infant current emotional and behavioral symptoms when the infants were 13 months old. Maternal PTSD symptoms predicted infants’ emotion regulation at 6 months as assessed by (a) infant ability to recover from distress during the SFP-R and (b) maternal report of infant rate of recovery from distress/arousal in daily life. Maternal PTSD symptoms also predicted maternal report of infant externalizing, internalizing, and dysregulation symptoms at 13 months. Maternal PTSD was not associated with measures of infant emotional reactivity. Neither maternal depressive symptoms nor infant direct exposure to trauma accounted for the associations between maternal PTSD symptoms and infant outcomes. These findings suggest that maternal PTSD is associated with offspring emotion regulation difficulties as early as infancy. Such difficulties may contribute to increased risk of mental health problems among children of mothers with PTSD.
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