Buffering effects of safe, supportive, and nurturing relationships among women with childhood histories of maltreatment.
Buffering effects of safe, supportive, and nurturing relationships among women with childhood histories of maltreatment.
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DOI：
10.1017/s0033291717001027
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发表时间：
2017-11
影响因子：
6.9
通讯作者：
Arseneault L
中科院分区：
文献类型：
--
作者：
Jaffee SR;Takizawa R;Arseneault L
与没有遭受虐待的成年人相比，儿童时期遭受虐待的成年人的健康状况往往较差。然而，许多人的健康状况良好。我们测试了是否安全，支持和培育的关系缓冲妇女与儿童虐待的历史，从健康状况不佳的结果在以后的生活。参与者包括来自环境风险（E-Risk）纵向双胞胎研究的女性，她们在双胞胎孩子10岁时的某个时候参与了亲密关系。1999-2000年（平均年龄=33岁）和2年、5年和7年后对妇女进行了首次采访。他们报告了自己的身心健康状况以及危害健康的行为。与儿童时期没有遭受虐待的妇女相比，有虐待史的妇女在精神、身体和健康风险行为方面的风险更高，包括严重抑郁症、睡眠和物质使用问题。累积起来，安全，支持和培育的关系，其特点是缺乏暴力，情感上的亲密和社会支持缓冲了妇女的虐待历史，从健康状况不佳的结果。我们的研究结果强调，健康的负面社会决定因素-如童年虐待史-赋予精神病理学和其他身体健康问题的风险。然而，如果妇女目前的社会环境足够积极，就可以促进健康，特别是在过去面临逆境的情况下。
Adults who were victims of childhood maltreatment tend to have poorer health compared to adults who did not experience abuse. However, many are in good health. We tested whether safe, supportive, and nurturing relationships buffer women with a history of childhood maltreatment from poor health outcomes in later life. Participants included women from the Environmental Risk (E-Risk) Longitudinal Twin Study who were involved in an intimate relationship at some point by the time their twin children were 10 years old. Women were initially interviewed in 1999–2000 (mean age=33 years) and two, five, and seven years later. They reported on their physical and mental health, and their health risk behaviours. Compared to women who did not experience abuse in childhood, women with histories of maltreatment were at elevated risk for mental, physical, and health risk behaviours including major depressive disorder, sleep and substance use problems. Cumulatively, safe, supportive, and nurturing relationships characterized by a lack of violence, emotional intimacy and social support buffered women with a history of maltreatment from poor health outcomes. Our findings emphasize that negative social determinants of health – such as a childhood history of maltreatment – confer risk for psychopathology and other physical health problems. If, however, a woman’s current social circumstances are sufficiently positive, they can promote good health, particularly in the face of past adversity.