Hanson Rochelle F, Self-Brown Shannon, Fricker-Elhai Adrienne E, Kilpatrick Dean G, Saunders Benjamin E, Resnick Heidi S
National Crime Victim's Research and Treatment Center, Medical University of South Carolina, USA.
Child Maltreat. 2006 Feb;11(1):3-15. doi: 10.1177/1077559505279295.
A national household probability sample of 4,023 adolescents (ages 12 to 17) completed telephone interviews assessing demographics, adverse family environment, and violence exposure. Logistic regressions examined relations among family environment and each violence exposure type, controlling for demographics and other violence exposures. Relationships between family environment and violence exposure varied, depending on type of violence reported, most notably between intrafamilial versus extrafamilial violence. After controlling for family environment, exposure to one violence type significantly increased the likelihood of other violence exposures. Family substance use and not always living with a natural parent were significantly associated with all three types of violence exposure. Findings indicate that clinical assessments should include a thorough evaluation of family environment and violence exposure and also highlight the need for treatment to focus on the adolescent and broader family unit. Future research is needed to further examine these complex interrelationships and their associations with adolescent outcomes.
一项对4023名青少年(年龄在12至17岁之间)的全国家庭概率抽样调查完成了电话访谈,评估了人口统计学特征、不良家庭环境和暴力暴露情况。逻辑回归分析检验了家庭环境与每种暴力暴露类型之间的关系,同时控制了人口统计学特征和其他暴力暴露因素。家庭环境与暴力暴露之间的关系因所报告的暴力类型而异,最显著的是在家庭内暴力与家庭外暴力之间。在控制了家庭环境之后,接触一种暴力类型会显著增加接触其他暴力类型的可能性。家庭物质使用情况以及并非总是与亲生父母生活在一起与所有三种暴力暴露类型均显著相关。研究结果表明,临床评估应包括对家庭环境和暴力暴露的全面评估,同时也强调治疗需要关注青少年及其更广泛的家庭单元。未来需要进一步研究这些复杂的相互关系及其与青少年结局的关联。