School of Social Work, Institute for Health, Health Care Policy, and Aging Research, Rutgers, The State University of New Jersey, 536 George Street, New Brunswick, NJ 08901, USA.
Child Abuse Negl. 2010 Mar;34(3):161-71. doi: 10.1016/j.chiabu.2009.08.012.
This study examined associations between profiles of physical and psychological violence in childhood from parents and two dimensions of mental health in adulthood (negative affect and psychological well-being). Profiles were distinguished by the types of violence retrospectively self-reported (only physical, only psychological, or both psychological and physical violence), as well as by the frequency at which each type of violence reportedly occurred (never, rarely, or frequently).
Multivariate regression models were estimated using data from the National Survey of Midlife in the U.S. (MIDUS). An adapted version of the Conflict Tactics Scales (CTS) was used to collect respondents' reports of physical and psychological violence in childhood from each parent. Respondents also reported on current experiences of negative affect and psychological well-being.
Regarding violence from mothers, reports of frequent psychological violence-even when coupled with never or rarely having experienced physical violence-were associated with more negative affect and less psychological well-being in adulthood. Nearly all profiles of violence in childhood from fathers-with the exception of reports of rare physical violence only-were associated with poorer adult mental health.
Results provide evidence that frequent experiences of psychological violence from parents-even in the absence of physical violence and regardless of whether such violence is from mothers or fathers-can place individuals' long-term mental health at risk. Moreover, frequent physical violence from fathers-even in the absence of psychological violence-also serves as a risk factor for poorer adult mental health.
Findings provide additional empirical support for the importance of prevention and intervention efforts directed toward children who experience physical and psychological violence from parents, as well as among adults who reportedly experienced in childhood only one type of violence and especially psychological violence at high levels of frequency.
本研究考察了儿童期来自父母的身体和心理暴力的模式与成年期心理健康的两个维度(负性情绪和心理幸福感)之间的关联。通过两种方式对模式进行区分:一是回顾性自我报告的暴力类型(仅身体暴力、仅心理暴力或心理和身体暴力均有),二是每种类型暴力报告的发生频率(从未、很少或经常)。
使用美国中年生活纵向研究(MIDUS)的数据,估计了多变量回归模型。采用冲突策略量表(CTS)的一个改编版本收集受访者关于来自父母的儿童期身体和心理暴力的报告。受访者还报告了当前的负性情绪和心理幸福感体验。
关于来自母亲的暴力,即使同时伴有从未或很少经历身体暴力,频繁的心理暴力报告也与成年后更多的负性情绪和较少的心理幸福感相关。来自父亲的几乎所有类型的童年期暴力(仅报告罕见的身体暴力除外)都与较差的成年心理健康有关。
结果提供了证据表明,父母频繁的心理暴力体验——即使没有身体暴力,也不论这种暴力来自母亲还是父亲——可能会使个体的长期心理健康面临风险。此外,父亲的频繁身体暴力——即使没有心理暴力——也会成为较差的成年心理健康的一个风险因素。
研究结果为预防和干预针对来自父母的身体和心理暴力的儿童,以及仅报告一种类型的暴力且尤其为高频率的心理暴力的成年人群提供了额外的实证支持。