Objective To explore the relationship of maternal adverse childhood experiences (ACEs) with mother-child relationship, so as to provide reference for parent-child relationship and child health promotion.
Methods In June 2021, children aged 3-6 years old of 36 kindergartens in three areas in Anhui Province were selected by stratified cluster sampling method, follow-up data were collected in December 2021, and a total of 6 111 children were included in the study. Maternal ACEs and mother-child relationship were respectively assessed using the Adverse Childhood Experiences International Questionnaire (ACEs–IQ) and the Child-Parent Relationship Scale (CPRS). A multiple linear regression model was established to analyze the association of maternal ACEs and mother-child relationship in preschool children.
Results History of maternal childhood sexual abuse, physical neglect and peer bullying were negatively associated with mother-child intimacy ( r= −0.03, −0.03, −0.03, P<0.05). Maternal emotional abuse, physical abuse, sexual abuse, emotional neglect, physical neglect, peer bullying, community violence, and total family dysfunction were positively associated with mother-child dependence and mother-child conflict ( r= 0.09, 0.08, 0.05, 0.14, 0.06, 0.11, 0.08, 0.04; 0.18, 0.17, 0.07, 0.20, 0.11, 0.16, 0.12, 0.10, P<0.01). There was no statistically significant between all types of maternal ACEs and mother-child intimacy in boys ( P>0.05). Mothers with a history of physical abuse, sexual abuse and peer bullying had a statistically significant relationship between mother-child intimacy in girls ( β =−0.17, −0.62, −0.19, P<0.05). All types of maternal ACEs were positive predictors of mother-child conflict between boys and girls ( β=0.37−1.96, P<0.05). There was statistical significance between maternal childhood sexual abuse and mother-child dependence of boys ( β=0.53, P<0.05), but no statistical significance between maternal childhood sexual abuse and mother-child dependence of girls ( P>0.05). All other types of maternal ACEs were positive predictors of mother-child dependence ( β=0.09−0.41, P<0.05).
Conclusion Maternal ACEs are associated with poor mother-child relationship among preschool children, and maternal ACEs should be actively followed, which is of great significance for improving the parent-child relationship and promoting child healthy development.
【摘要】 目的 探讨母亲童年期不良经历(adverse childhood experiences, ACEs)对母子关系的影响, 为提髙亲子关系水 平、促进儿童身心健康发展提供参考。 方法 采用分层整群抽样, 于2021年6月选取安徽省3个地区36所幼儿园的3~6 岁儿童为基线研究对象, 于2021年12月收集随访资料, 共6 111名儿童纳人研究。采用童年期不良经历问卷(ACEs–IQ) 和儿童-家长关系量表(CPRS)分别评估母亲ACEs和母子关系, 通过多元线性回归模型分析母亲ACEs与学龄前儿童母子 关系的关联。 结果 母亲童年期性虐待、躯体忽视和同伴欺凌与母子亲密呈负相关 ( r 值分别为 −0.03, −0.03, −0.03), 母亲 情感虐待、躯体虐待、性虐待、情感忽视、躯体忽视、同伴欺凌、社区暴力、家庭功能不全与母子依赖和母子冲突均呈正相关 ( r 值分别为 0.09, 0.08, 0.05, 0.14, 0.06, 0.11, 0.08, 0.04; 0.18, 0.17, 0.07, 0.20, 0.11, 0.16, 0.12, 0.10) ( P 值均<0.01)。多元线 性回归分析显示, 母亲各种类型ACEs与男童亲密性母子关系关联均无统计学意义 ( P 值均>0.05), 有躯体虐待、性虐待和 同伴欺凌史的母亲与女童亲密性母子关系关联有统计学意义 ( β 值分别为 −0.17, −0.62, −0.19, P 值均<0.05); 母亲各种类 型ACEs对男女童冲突性母子关系均有正向预测作用 ( β= 0.37~1.96, P值均<0.05); 母亲童年期性虐待与男童依赖性母子 关系呈正相关 ( β=0.53, P<0.05), 与女童依赖性母子关系关联无统计学意义 ( P>0.05), 母亲其他类型 ACEs 对依赖性母子 关系均有正向预测作用 ( β=0.09~0.41, P 值均<0.05)。 结论 母亲 ACEs 与学龄前儿童不良母子关系有关, 关注有ACEs 的母亲对改善亲子关系、促进儿童健康发展具有重要意义。