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母亲早年受虐和母亲抑郁史对儿童精神病理学的影响:母亲敏感性的中介作用?

Impact of Maternal Early Life Maltreatment and Maternal History of Depression on Child Psychopathology: Mediating Role of Maternal Sensitivity?

机构信息

Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité - Universitätsmedizin Berlin, Charité Campus Virchow Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany.

Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany.

出版信息

Child Psychiatry Hum Dev. 2019 Apr;50(2):278-290. doi: 10.1007/s10578-018-0839-z.

Abstract

The study addresses the impact of maternal early life maltreatment (ELM) and maternal history of depression (HoD) on offspring's mental health. Maternal sensitivity was examined as a potential mediator explaining the relationship between maternal ELM, maternal HoD and child psychopathology. Participants were 194 mothers with and without HoD and/or ELM as well as their children between 5 and 12 years. Maternal sensitivity was assessed using the Emotional Availability Scales. Parent and teacher ratings were utilized to assess child psychopathology. Path analyses showed an indirect effect of maternal HoD on parents' ratings of child psychopathology with maternal sensitivity as mediating variable. In contrast, maternal ELM was directly linked to teachers' ratings of child psychopathology; this effect was not mediated by maternal sensitivity. Our results indicate that the impact of maternal HoD, maternal ELM, and maternal sensitivity on offspring psychopathology might vary depending on the context in which child psychopathology is assessed.

摘要

该研究探讨了母体早期生活虐待(ELM)和母体抑郁史(HoD)对后代心理健康的影响。研究考察了母体敏感性作为一种潜在的中介因素,解释了母体 ELM、母体 HoD 和儿童精神病理学之间的关系。参与者为 194 名有和没有 HoD 和/或 ELM 的母亲及其 5 至 12 岁的子女。使用情感可用性量表评估母体敏感性。利用父母和教师的评分来评估儿童的精神病理学。路径分析显示,母体 HoD 通过母体敏感性作为中介变量对父母对儿童精神病理学的评分有间接影响。相比之下,母体 ELM 与教师对儿童精神病理学的评分直接相关;母体敏感性并没有起到中介作用。我们的研究结果表明,母体 HoD、ELM 和母体敏感性对后代精神病理学的影响可能因儿童精神病理学评估的情境而异。

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