Kukla L, Bouchalová M
Výzkumné pracovisté preventivní a sociální pediatrie LF MU, Brno.
Cas Lek Cesk. 2009;148(6):254-63.
Dunovský, Dytrych, Matejcek et al. have published their experience from their consulting and interventional activities, alongside with an analysis of the paediatric, psychological, psychiatric and social components of the child's development in the family and outside it, in a fundamental and still up-to-date paper (1, 2). In this elaborate they emphasized the necessity to map the occurrence, in our country, of pathological phenomena included in the CAN notion--a child that is abused and neglected. The background of the presented study lays in a retrospective investigation in an adult population. The subject of the study are men--the near future fathers of the investigated children, who have among other information specified within an extensive personal history if and how they were maltreated in their childhood.
A group of men maltreated in childhood is compared to a group which was not maltreated and the investigating team searched for indications as to how different were their natal families, their parents and their own selves and if any identifiable differences occurred later in their own families, relationships, conduct and health.
A comparative study was conducted in the group of fathers based on three consecutive questionnaire investigations, between those maltreated in childhood and those who were not maltreated (control). Fathers maltreated in childhood were identified based on the response variants (1-often, 2-sometimes, 3-never) to three questionnaire inquiries filled in before the birth of their children who are included in the ELSPAC (European Longitudinal Study of Pregnancy and Childhood) study. The data was provided by men whose wives with permanent residence in Brno gave birth from March 1st 1991 till June 30th 1992.
According to three types of test it was found out that from the parents of the studied children 57.9% of the 3580 fathers and 48.3% of the 3848 mothers were physically or psychologically maltreated during childhood: boys were maltreated more often. Maltreated fathers as compared to control: a) were more often born prematurely (p < 0.05), in the childhood and adulthood they were ill more often (p < 0.01) and they were less resistant psychologically (p < 0.001); b) more often had parents with impaired health (p < 0.001) and worse partner relationships (p < 0.001); c) came from families which didn't differ according to the father's education or employment status. The mothers had secondary education more often (p < 0.01); d) had more often wives and children with worse health (p < 0.01); e) in their own families manifested more violence towards their own wives and children (p < 0.001), they maltreated them more often physically (p < 0.01) and psychologically (p < 0.01); f) manifested more often extra-family asocial behavior (p < 0.001); g) they felt less satisfied with their financial situation (p < 0.001), with their family life (p < 0.01) and life in general (p < 0.001).
Men maltreated in childhood resembled their parents in the social and health aspect and in the partner relationships. Towards their children they acted similarly like their parents used to--violent behavior aimed at children and between partners transferred from one generation to the next.
杜诺夫斯基、迪特里希、马特伊切克等人在一篇具有基础性且仍具时效性的论文(1, 2)中发表了他们在咨询和干预活动方面的经验,同时分析了儿童在家庭内外发展过程中的儿科、心理、精神和社会因素。在这篇详尽的论文中,他们强调了在我国梳理受虐待和被忽视儿童(CAN概念所涵盖的病理现象)发生情况的必要性。本研究的背景是对成年人群体进行的一项回顾性调查。研究对象是男性——所调查儿童在不久的将来的父亲,他们在广泛的个人经历中提供了诸多信息,包括他们在童年时期是否遭受过虐待以及受虐方式。
将一组童年时期受过虐待的男性与一组未受过虐待的男性进行比较,研究团队探寻他们原生家庭、父母以及他们自身存在哪些差异,以及在他们自己的家庭、人际关系、行为和健康方面之后是否出现了任何可识别的差异。
基于连续三次问卷调查,在父亲群体中开展了一项对比研究,对比童年时期受过虐待的父亲和未受过虐待的父亲(对照组)。童年时期受过虐待的父亲是根据他们对孩子出生前填写的三份问卷询问的回答变体(1 - 经常,2 - 有时,3 - 从不)来确定的,这些孩子被纳入了欧洲孕期与儿童纵向研究(ELSPAC)。数据由妻子长期居住在布尔诺、于1991年3月1日至1992年6月30日期间分娩的男性提供。
根据三种测试发现,在所研究儿童的父母中,3580名父亲中有57.9%以及3848名母亲中有48.3%在童年时期遭受过身体或心理虐待:男孩受虐待的情况更常见。与对照组相比,受过虐待的父亲:a) 早产的情况更常见(p < 0.05),在童年和成年时期生病的频率更高(p < 0.01),心理抵抗力更弱(p < 0.001);b) 父母健康受损的情况更常见(p < 0.001),伴侣关系更差(p < 0.001);c) 来自的家庭在父亲的教育程度或就业状况方面没有差异。母亲接受中等教育的情况更常见(p < 0.01);d) 妻子和孩子健康状况较差的情况更常见(p < 0.01);e) 在自己的家庭中对自己的妻子和孩子表现出更多暴力行为(p < 0.001),对他们身体虐待(p < 0.01)和心理虐待(p < 0.01)的情况更常见;f) 表现出更多家庭外的反社会行为(p < 0.001);g) 他们对自己的经济状况(p < 0.001)、家庭生活(p < 0.01)和总体生活(p < 0.001)的满意度更低。
童年时期受过虐待的男性在社会和健康方面以及伴侣关系上与他们的父母相似。在对待自己的孩子时,他们的行为方式与父母过去的行为方式类似——针对孩子的暴力行为以及伴侣之间的暴力行为代代相传。