非表示:
キーワード:
post-traumatic stress disorder, trauma, temperament, epidemiology, family burden
要旨:
ObjectiveThe role of behavioral inhibition (BI) and parenting for an
unfavorable emotional trauma response (DSM-IV criterion A2) and
post-traumatic stress disorder (PTSD) development is unclear.
MethodA community sample of adolescents and young adults (aged 14-24)
was followed up over 10years (N=2378). Traumatic events, criterion A2,
and PTSD (according to DSM-IV-TR) were assessed using the M-CIDI. BI and
parenting were assessed using the Retrospective Self-Report of
Inhibition and the Questionnaire of Recalled Parenting Rearing Behavior.
Multiple logistic regressions adjusted for sex, age, and number of
traumata were used to examine associations of BI as well as maternal and
paternal overprotection, rejection, and reduced emotional warmth with
(i) criterion A2 in those with trauma (N=1794) and (ii) subsequent PTSD
in those with criterion A2 (N=1160).
ResultsBehavioral inhibition (BI; odds ratio, OR = 1.32) and paternal
overprotection (OR = 1.27) predicted criterion A2 in those with trauma,
while only BI (OR = 1.53) predicted subsequent PTSD. BI and paternal
emotional warmth interacted on subsequent PTSD (OR=1.32), that is, BI
only predicted PTSD in those with low paternal emotional warmth.
ConclusionOur findings suggest that BI and adverse parenting increase
the risk of an unfavorable emotional trauma response and subsequent
PTSD. Paternal emotional warmth buffers the association between BI and
PTSD development.
