Paavilainen E, Astedt-Kurki P, Paunonen-Ilmonen M, Laippala P
Department of Nursing Science, University of Tampere, FIN-33014, Finland.
Int J Nurs Stud. 2001 Jun;38(3):297-303. doi: 10.1016/s0020-7489(00)00074-2.
The purpose of this study was to compare family dynamics in child maltreating families (n=42) with that in ordinary families with children (n=77), and to ascertain risk factors of child maltreatment within the family. Child maltreatment was defined as physical, psychological or sexual abuse or neglect of a child by a parent. Data were collected using questionnaires (Family Dynamics Measure 2, FMD 2) (N=119) basing on Barnhill's conceptual framework of healthy family systems and analysed by forming sum variables and logistic regression. The study results indicate that family functioning in child maltreating families is lower on all dimensions of family dynamics (individuation, mutuality, flexibility, stability, communication and roles) than that in ordinary families with children. Furthermore, it seems that specific risk factors, detected with logistic regression analysis, are related to whether child maltreatment occurs in the family or not. These include the parent's low educational background, many children in the family, unemployment of a parent, low individuation of the family members, and poor stability and security within the family. The results of this study provide guidelines for detecting and preventing child maltreatment as well as for recognising its existence, although no generalizations can be made due to the small sample size and complexity of the phenomenon under study.
本研究的目的是比较虐待儿童家庭（n = 42）与普通有子女家庭（n = 77）的家庭动态，并确定家庭内儿童虐待的风险因素。儿童虐待被定义为父母对儿童的身体、心理或性虐待或忽视。基于Barnhill的健康家庭系统概念框架，使用问卷（家庭动态测量2，FMD 2）（N = 119）收集数据，并通过形成总和变量和逻辑回归进行分析。研究结果表明，虐待儿童家庭的家庭功能在家庭动态的所有维度（个性化、相互性、灵活性、稳定性、沟通和角色）上均低于普通有子女家庭。此外，逻辑回归分析检测到的特定风险因素似乎与家庭中是否发生儿童虐待有关。这些因素包括父母教育背景低、家庭子女众多、父母一方失业、家庭成员个性化程度低以及家庭内部稳定性和安全感差。本研究结果为检测和预防儿童虐待以及认识其存在提供了指导方针，尽管由于样本量小和所研究现象的复杂性，无法进行一般性概括。
