Schuetze Pamela, Eiden Rina Das
Department of Psychology, SUNY College at Buffalo, NY 14222-1095, USA.
Child Abuse Negl. 2005 Jun;29(6):645-59. doi: 10.1016/j.chiabu.2004.11.004.
This study examined the association between childhood sexual abuse (CSA) and parenting outcomes including parenting stress, feelings of competence and discipline strategies. Maternal depression and current partner violence were hypothesized to be mediators of the association between CSA and parenting.
This study is based on secondary data analysis of archived data. The participants were 263 primiparous mothers (107 with a history of CSA and 156 comparison mothers recruited from a prenatal clinic prior to the birth of their first child. Mothers were interviewed twice: once when they were between 28 and 32 weeks gestation and again when their child was between 2 and 4 years of age. During the first interview, women were asked about childhood experiences of sexual abuse. During their second interview, they were asked about current symptoms of pathology and experiences with partner violence and parenting beliefs and practices.
Structural Equation Modeling indicated that the relationship between CSA and punitive discipline was mediated by maternal depression and current partner violence. CSA was associated with higher maternal depression and higher partner violence. CSA, maternal depression, and current partner violence were associated with more negative parental perceptions and higher punitive discipline. Once maternal depression and current partner violence were in the model, the relationship between CSA and parenting outcomes was no different from zero.
These results highlight the risks associated with CSA for parenting outcomes and suggest two potential pathways for this increased risk.
本研究探讨儿童期性虐待（CSA）与养育子女结果之间的关联，包括养育压力、胜任感和管教策略。研究假设母亲抑郁和当前伴侣暴力是CSA与养育子女之间关联的中介因素。
本研究基于对存档数据的二次数据分析。参与者为263名初产妇（107名有CSA史，156名对照母亲，从产前诊所招募，在其第一个孩子出生前参与研究）。母亲们接受了两次访谈：一次是在妊娠28至32周之间，另一次是在孩子2至4岁时。在第一次访谈中，询问女性儿童期性虐待经历。在第二次访谈中，询问她们当前的病理症状、伴侣暴力经历以及养育子女的信念和行为。
结构方程模型表明，CSA与惩罚性管教之间的关系由母亲抑郁和当前伴侣暴力介导。CSA与更高的母亲抑郁程度和更高的伴侣暴力发生率相关。CSA、母亲抑郁和当前伴侣暴力与更多负面的父母认知以及更高的惩罚性管教相关。一旦将母亲抑郁和当前伴侣暴力纳入模型，CSA与养育子女结果之间的关系就与零无异。
这些结果凸显了CSA对养育子女结果的风险，并提示了这种风险增加的两条潜在途径。
