Hazen Andrea L, Connelly Cynthia D, Kelleher Kelly J, Barth Richard P, Landsverk John A
Child and Adolescent Services Research Center, Children's Hospital and Health Center, San Diego, California, USA.
Pediatrics. 2006 Jan;117(1):99-109. doi: 10.1542/peds.2004-2542.
We examined the relationship between women's experiences with intimate partner violence and their reports of child behavior problems.
Data were from the National Survey of Child and Adolescent Well-Being, a national probability study of children who were the subjects of child abuse and neglect investigations. The sample consisted of 2020 female caregivers of children between the ages of 4 and 14 years who were interviewed about demographic characteristics, child behavior problems, female caregiver mental health, parenting behaviors, experiences with intimate partner violence, and community characteristics. Information on child abuse and neglect was obtained in interviews with child protective services workers. Multiple-regression analyses were used to investigate the association between caregiver victimization and child behavior problems while controlling for the effects of child, family, and environmental characteristics. The potential moderating effects of caregiver depression and parenting practices on the relation between intimate partner violence and child behavior problems were examined also.
Severe intimate partner violence was associated with both externalizing and internalizing behavior problems when other risk factors were controlled. Use of corporal punishment and psychological aggression were significant moderators, but maternal depression did not moderate the relation between intimate partner violence and behavior problems.
This study adds to the evidence that maternal caregivers' experiences with intimate partner violence are related to child functioning. The findings suggest that systematic efforts are needed to ensure that mental health needs are identified and addressed appropriately in children exposed to this violence.
我们研究了女性遭受亲密伴侣暴力的经历与其报告的儿童行为问题之间的关系。
数据来自全国儿童和青少年幸福调查,这是一项对遭受虐待和忽视调查的儿童进行的全国概率研究。样本包括2020名4至14岁儿童的女性照料者,她们接受了关于人口统计学特征、儿童行为问题、女性照料者心理健康、养育行为、亲密伴侣暴力经历和社区特征的访谈。通过与儿童保护服务工作者的访谈获取了有关虐待和忽视儿童的信息。多元回归分析用于研究照料者受侵害与儿童行为问题之间的关联,同时控制儿童、家庭和环境特征的影响。还检验了照料者抑郁和养育方式对亲密伴侣暴力与儿童行为问题之间关系的潜在调节作用。
在控制其他风险因素后,严重的亲密伴侣暴力与外化和内化行为问题均有关联。使用体罚和心理攻击是显著的调节因素,但母亲抑郁并未调节亲密伴侣暴力与行为问题之间的关系。
本研究进一步证明了母亲照料者遭受亲密伴侣暴力的经历与儿童机能有关。研究结果表明,需要做出系统性努力,以确保识别并适当解决遭受这种暴力的儿童的心理健康需求。