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亲密伴侣身体和性侵犯与儿童行为问题。

Intimate partner physical and sexual assault & child behavior problems.

作者信息

McFarlane Judith, Malecha Ann, Watson Kathy, Gist Julia, Batten Elizabeth, Hall Iva, Smith Sheila

机构信息

Texas Woman's University, College of Nursing, Houston, USA.

出版信息

MCN Am J Matern Child Nurs. 2007 Mar-Apr;32(2):74-80. doi: 10.1097/01.NMC.0000264285.03609.66.

Abstract

PURPOSE

To describe the type and extent of child behavior problems reported by mothers who report intimate partner physical and sexual assault compared to mothers who reported physical assault only.

STUDY DESIGN AND METHODS

A descriptive analysis of child behaviors, as measured on the Child Behavior Checklist, for 109 children, aged 18 months to 18 years, who were exposed to intimate partner physical and sexual assault. Multivariate analysis of variance and analysis of variance were used to determine whether children from physically and sexually assaulted mothers differed significantly in scores from children of physically assaulted only mothers.

RESULTS

Scores for youth (n = 21) 12 through 18 years of age of physically and sexually assaulted mothers were significantly higher (M = 61.5, SD = 2.4; p = .025) than scores of youth (n = 10) of physically assaulted only mothers (M = 50.8, SD = 3.5) and higher than scores of clinically referred youth in a treatment sample. Child behavior was associated with the type of violence experienced by the mother; older children were at the highest risk for behavior disorders, especially behaviors of depression and anxiety.

CLINICAL IMPLICATIONS

Intimate partner violence assessment of mothers during child health visits is recommended with safety planning and guided referral to community counseling, legal, shelter, and health agencies, along with information on the child behavior problems associated with domestic violence.

摘要

目的

描述报告亲密伴侣身体和性侵犯的母亲所报告的儿童行为问题的类型和程度,并与仅报告身体侵犯的母亲进行比较。

研究设计与方法

对109名年龄在18个月至18岁之间、遭受亲密伴侣身体和性侵犯的儿童,根据儿童行为清单对其行为进行描述性分析。采用多变量方差分析和方差分析来确定遭受身体和性侵犯母亲的孩子与仅遭受身体侵犯母亲的孩子在得分上是否存在显著差异。

结果

遭受身体和性侵犯母亲的12至18岁青少年(n = 21)的得分(M = 61.5,标准差 = 2.4;p = 0.025)显著高于仅遭受身体侵犯母亲的青少年(n = 10)的得分(M = 50.8,标准差 = 3.5),且高于治疗样本中临床转诊青少年的得分。儿童行为与母亲所经历的暴力类型相关;年龄较大的儿童出现行为障碍的风险最高,尤其是抑郁和焦虑行为。

临床意义

建议在儿童健康检查期间对母亲进行亲密伴侣暴力评估,并制定安全计划,指导转介至社区咨询、法律、庇护所和卫生机构,同时提供与家庭暴力相关的儿童行为问题信息。

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