PDF(Pubmed)
Abstract：
Maternal childhood maltreatment (CM) represents an important factor in the transmission of trauma that may lead to impaired child mental health. Apart from childhood maltreatment insecure attachment has been identified as a risk factor for insensitive caregiving behavior, which may affect child\'s mental health. The aim of this study is to identify the working mechanisms in the relationship between maternal CM and child mental health, considering maternal attachment representation, mother-child-interaction und maternal helplessness and fear. N = 103 mother-child-dyads from a longitudinal cohort study were examined at four different measuring points. Data was assessed using self and external report questionnaires as well as the AMBIANCE scales during the Strange Situation Procedure and the Adult Attachment Projective Picture System (AAP). Maternal CM experience did not predict an insecure attachment representation (OR = 2.46 [0.98, 6.53], p = .060). Maternal insecure attachment was associated with higher AMBIANCE scores (F(8, 94) = 11.46, p < .001), which indicates more disrupted communication between mother and child. AMBIANCE scores in turn predicted higher self-perceived helplessness (F(9, 93) = 8.62, p < .001) and fear (F(9, 93) = 7.40, p < .001) in mothers. Helplessness and fear both were associated with higher SDQ-scores, indicating more mental health problems in children (F(10, 92) = 3.98, p < .001; F(10, 92) = 3.87, p < .001). The results of this study highlight how even insecure attachment in a low-risk sample has a long-term impact on parenting behavior and child mental health, therefore underlining the need of early intervention programs in affected and at-risk families.
摘要：
母婴虐待（CM）是创伤传播的重要因素，可能导致儿童心理健康受损。除了儿童虐待外，不安全的依恋已被确定为不敏感的照顾行为的风险因素，这可能会影响孩子的心理健康。本研究的目的是确定母亲CM与儿童心理健康之间关系的工作机制，考虑到母亲的依恋表现，母子互动和母亲的无助和恐惧。在四个不同的测量点检查了来自纵向队列研究的N=103个母子。在奇怪的情况程序和成人依恋投影图像系统（AAP）中，使用自我和外部报告问卷以及AMBIANCE量表对数据进行了评估。母亲CM经验并不能预测不安全的依恋表现(OR=2.46[0.98，6.53]，p=.060）。产妇不安全依恋与较高的AMBIANCE评分相关（F（8，94）=11.46，p<.001），这表明母亲和孩子之间的交流更加中断。AMBIANCE分数反过来预测了母亲自我感知的无助感（F（9，93）=8.62，p<.001）和恐惧（F（9，93）=7.40，p<.001）。无助和恐惧都与较高的SDQ分数有关，表明儿童存在更多的心理健康问题（F（10，92）=3.98，p<.001；F（10，92）=3.87，p<.001）。这项研究的结果突出表明，在低风险样本中，即使是不安全的依恋也会对育儿行为和儿童心理健康产生长期影响。因此，强调需要在受影响和高危家庭中进行早期干预计划。
