War trauma lingers on: Associations between maternal posttraumatic stress disorder, parent-child interaction, and child development.
War trauma lingers on: Associations between maternal posttraumatic stress disorder, parent-child interaction, and child development.
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战争创伤挥之不去：母亲创伤后应激障碍、亲子互动和儿童发展之间的关联。
DOI：
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发表时间：
2012
影响因子：
2.4
通讯作者：
T. Mooren
中科院分区：
文献类型：
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作者：
Elisa van Ee;R. Kleber;T. Mooren
产妇创伤被认为是儿童发育的一个风险因素，但所涉及的机制知之甚少。本研究分析了49名寻求庇护者和难民母亲及其子女（18-42个月）的母亲创伤后应激症状，亲子互动（情感可用性）和婴儿的心理社会功能和发展之间的相互关系。测量包括评估母亲的创伤和共病症状（哈佛创伤问卷：R.F. Mollica等人，1992;霍普金斯症状自评量表：L.德罗加蒂斯河Lipman，K. Rickels，E. Uhlenhuth，& L. Covi，1974），亲子互动中的情感可用性（情感可用性量表：Z。Biringen，2008），以及婴儿的心理社会功能（儿童行为检查表：T.M. Achenbach & L.A. Rescorla，2000）和发育（Bayley婴儿发育量表：B.F.货货车der Meulen，S.A.J. Ruiter，H.C. Spelberg，& M. Smrkovsky，2000）。结果表明，母亲创伤后应激症状的水平较高，与婴儿的心理社会问题的水平较高，但在他们的精神或心理发展的延迟。研究结果还表明，较高水平的母亲创伤后应激症状与较高水平的不敏感，非结构化，或敌对，但不是侵入性的，亲子互动。婴儿对受到创伤的母亲的反应和参与程度较低。亲子互动在母亲创伤症状和婴儿心理社会功能之间没有中介作用。结果进行了讨论，在有关的二分体的情绪调节。结果表明，有必要重新建立之间的协调创伤的母亲和他们的非创伤儿童。
Maternal traumatization has been proposed as a risk factor for child development, but the mechanisms involved are poorly understood. This study analyzed the interrelations among maternal posttraumatic stress symptoms, parent-child interaction (emotional availability), and infants' psychosocial functioning and development among 49 asylum-seeker and refugee mothers and their children (18-42 months). Measures included assessment of mothers' trauma and comorbid symptoms (Harvard Trauma Questionnaire: R.F. Mollica et al., 1992; Hopkins Symptom Checklist: L. Derogatis, R. Lipman, K. Rickels, E. Uhlenhuth, & L. Covi, 1974), emotional availability within parent-child interaction (Emotional Availability Scales: Z. Biringen, 2008), and infants' psychosocial functioning (Child Behavior Checklist: T.M. Achenbach & L.A. Rescorla, 2000) and development (Bayley Scales of Infant Development: B.F. van der Meulen, S.A.J. Ruiter, H.C. Spelberg, & M. Smrkovsky, 2000). The results show that higher levels of maternal posttraumatic stress symptoms are associated with a higher level of psychosocial problems of infants, but not with delays in their mental or psychomotor development. The results also show that higher levels of maternal posttraumatic stress symptoms are associated with higher levels of insensitive, unstructuring, or hostile, but not intrusive, parent-child interactions. Infants show lower levels of responsiveness and involvement to their traumatized mothers. Parent-child interaction did not function as a mediator between maternal trauma symptoms and infants' psychosocial functioning. Results are discussed in relation to the dyad's regulation of emotions. Results implicate a need to reestablish attunement between traumatized mothers and their nontraumatized children.