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受虐待和被忽视儿童成年后的复原力预测因素:个人及邻里特征的作用。

Predictors of resilience in abused and neglected children grown-up: the role of individual and neighborhood characteristics.

作者信息

DuMont Kimberly A, Widom Cathy Spatz, Czaja Sally J

机构信息

Bureau of Evaluation & Research, New York State Office of Children & Family Services, Rensselaer, NY, USA.

出版信息

Child Abuse Negl. 2007 Mar;31(3):255-74. doi: 10.1016/j.chiabu.2005.11.015. Epub 2007 Mar 26.

Abstract

PURPOSE

This paper examines individual, family, and neighborhood level predictors of resilience in adolescence and young adulthood and describes changes in resilience over time from adolescence to young adulthood in abused and neglected children grown up.

METHOD

We use documented cases of childhood physical and sexual abuse and neglect (n=676) from a Midwestern county area during the years 1967-1971 and information from official records, census data, psychiatric assessments, and self-reports obtained through 1995. Analyses involve logistic regressions, replicated with Mplus to test for possible contextual effects.

RESULTS

Almost half (48%) of the abused and neglected children in adolescence and nearly one-third in young adulthood were resilient. Over half of those who were resilient in adolescence remained resilient in young adulthood, whereas 11% of the non-resilient adolescents were resilient in young adulthood. Females were more likely to be resilient during both time periods. Being white, non-Hispanic decreased and growing up in a stable living situation increased the likelihood of resilience in adolescence, but not in young adulthood. Stressful life events and a supportive partner promoted resilience in young adulthood. Neighborhood advantage did not exert a direct effect on resilience, but moderated the relationship between household stability and resilience in adolescence and between cognitive ability and resilience in young adulthood.

CONCLUSIONS

Ecological factors appear to promote or interfere with the emergence and stability of resilience following childhood maltreatment.

摘要

目的

本文研究了青少年和青年期复原力的个体、家庭及邻里层面的预测因素,并描述了在受虐待和被忽视环境中长大的儿童从青少年到青年期复原力随时间的变化。

方法

我们使用了1967 - 1971年间来自中西部一个县地区的童年期身体虐待、性虐待及忽视的记录案例(n = 676),以及截至1995年从官方记录、人口普查数据、精神病学评估和自我报告中获取的信息。分析采用逻辑回归,并使用Mplus进行重复分析以检验可能的背景效应。

结果

在青少年期,近一半(48%)受虐待和被忽视的儿童具有复原力,在青年期这一比例接近三分之一。在青少年期具有复原力的人中,超过一半在青年期仍保持复原力,而在青少年期无复原力的人中,11%在青年期具有复原力。在两个时期,女性都更有可能具有复原力。身为非西班牙裔白人会降低复原力,而在稳定的生活环境中成长会增加青少年期具有复原力的可能性,但在青年期并非如此。压力性生活事件和支持性伴侣会促进青年期的复原力。邻里优势并未对复原力产生直接影响,但在青少年期调节了家庭稳定性与复原力之间的关系,在青年期调节了认知能力与复原力之间的关系。

结论

生态因素似乎会促进或干扰童年期虐待后复原力的出现和稳定性。

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