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童年期受虐待父母的归因与行为:虐待儿童代际连续性的中介分析(第二部分)

Attributions and behaviours of parents abused as children: a mediational analysis of the intergenerational continuity of child maltreatment (Part II).

作者信息

Dixon Louise, Hamilton-Giachritsis Catherine, Browne Kevin

机构信息

Centre for Forensic and Family Psychology, School of Psychology, University of Birmingham, UK.

出版信息

J Child Psychol Psychiatry. 2005 Jan;46(1):58-68. doi: 10.1111/j.1469-7610.2004.00340.x.

Abstract

BACKGROUND

This study extends previous research (Dixon, Browne, & Hamilton-Giachritsis, 2004) by exploring the mediational properties of parenting styles and their relation to risk factors in the intergenerational cycle of child maltreatment. Families with newborns where at least one of the parents was physically and/or sexually abused as a child (AP families) were compared, in terms of parents' attributions and behaviour, to families where the parents had no childhood history of victimization (NAP families).

METHODS

Information was collected from 4351 families (135 AP families) by community nurses as part of the 'health visiting' service. The same health visitor visited each family twice at home when the child was 4 to 6 weeks and 3 to 5 months of age, to assess behavioural indicators of positive parenting.

RESULTS

Within 13 months after birth, 9 (6.7%) AP families were referred for maltreating their own child in comparison to 18 (.4%) NAP families. Assessments found a significantly higher number of risk factors and measures indicating poor parenting for AP families. Mediational analysis found that intergenerational continuity of child maltreatment was explained to a larger extent (62% of the total effect) by the presence of poor parenting styles together with the three significant risk factors (parenting under 21 years, history of mental illness or depression, residing with a violent adult). The three risk factors alone were less explanatory (53% of the total effect).

CONCLUSION

This study provides an explanation for why a minority of parents abused in childhood go on to maltreat their own infant, evidencing poor parenting styles and mediating risk factors. Hence, prevention may be enhanced in AP families by the promotion of 'positive parenting' in addition to providing additional support to young parents, tackling mental illness/depression and domestic violence problems.

摘要

背景

本研究通过探讨养育方式的中介作用及其与儿童虐待代际循环中的风险因素的关系,扩展了先前的研究(迪克森、布朗和汉密尔顿 - 贾赫里茨西斯,2004年)。将父母中至少有一方在童年时期遭受过身体和/或性虐待的有新生儿的家庭(AP家庭)与父母没有童年受害史的家庭(NAP家庭)在父母的归因和行为方面进行了比较。

方法

作为“健康访视”服务的一部分,社区护士从4351个家庭(135个AP家庭)收集了信息。同一位健康访视员在孩子4至6周和3至5个月大时,两次到每个家庭进行家访,以评估积极养育的行为指标。

结果

在孩子出生后的13个月内,9个(6.7%)AP家庭因虐待自己的孩子而被转介,相比之下,NAP家庭有18个(0.4%)。评估发现,AP家庭的风险因素和表明养育方式不良的指标明显更多。中介分析发现,儿童虐待的代际连续性在很大程度上(占总效应的62%)可由不良养育方式以及三个重要风险因素(21岁以下生育、有精神疾病或抑郁症病史、与暴力成年人同住)来解释。仅这三个风险因素的解释力较小(占总效应的53%)。

结论

本研究解释了为什么少数童年受虐的父母会继续虐待自己的婴儿,证明了不良养育方式和中介风险因素的存在。因此,除了为年轻父母提供额外支持、解决精神疾病/抑郁症和家庭暴力问题外,通过推广“积极养育”,可以加强对AP家庭的预防工作。

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