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儿童遭受亲密伴侣暴力后的攻击行为:对母亲心理健康、母亲温暖和儿童虐待的考察。

Aggressive behavior of children exposed to intimate partner violence: an examination of maternal mental health, maternal warmth and child maltreatment.

机构信息

Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH 44106-7164, USA.

出版信息

Child Abuse Negl. 2013 Aug;37(8):520-30. doi: 10.1016/j.chiabu.2012.12.006. Epub 2013 Jan 14.

Abstract

OBJECTIVES

Over 4.5 million children each year are exposed to intimate partner violence (IPV). Furthermore, IPV rarely occurs without other forms of violence and aggression in the home. IPV is associated with mental health and parenting problems in mothers, and children experience a wide variety of short-term social adjustment and emotional difficulties, including behavioral problems. The current study investigated the influence of IPV exposure on children's aggressive behavior, and tested if this relation was mediated by poor maternal mental health, and, in turn, by maternal warmth and child maltreatment, and moderated by children's age and gender. Study findings highlight the indirect consequences of IPV in the home on children's aggressive behavior.

METHODS

Secondary data analysis using structural equation modeling (SEM) was conducted with the National Survey of Child and Adolescent Well-Being (NSCAW). Children were between the ages of 3-8 (n = 1,161). Mothers reported past year frequency of phsycial assualt by their partner, frequency of child psychological and physical abuse, maternal mental health, and children's aggressive behavior problems. Maternal warmth was measured by observation.

RESULTS

IPV was significantly related to poor maternal mental health. Poor maternal mental health was associated with more child aggressive behavior, lower maternal warmth, and more frequent child physical and psychological abuse. Psychological abuse and low maternal warmth were directly related to more aggressive behavior while IPV exposure and physical abuse were not directly associated with aggressive behavior. Neither age nor gender moderated the modeled paths.

CONCLUSIONS

Expanding knowledge about child outcomes is especially critical for children who were involved in investigations of child maltreatment by child protective services (CPS) in order to identify relevant risk factors that can lead to interventions. The results identified maternal mental health as an important variable in mediating the relationship between IPV exposure and aggressive behavior. One implication is for multicomponent family interventions that could be tailored toward helping the mother cope with such mental health issues while also addressing deficits in children's social behavior development.

摘要

目的

每年有超过 450 万名儿童遭受亲密伴侣暴力(IPV)的影响。此外,IPV 很少在家庭中没有其他形式的暴力和攻击的情况下发生。IPV 与母亲的心理健康和育儿问题有关,儿童会经历各种短期的社会适应和情绪困难,包括行为问题。本研究调查了 IPV 暴露对儿童攻击行为的影响,并检验了这种关系是否通过母亲心理健康状况不佳而间接产生,进而通过母亲的温暖和儿童虐待而间接产生,以及通过儿童的年龄和性别而调节。研究结果强调了家庭中 IPV 对儿童攻击行为的间接后果。

方法

使用国家儿童和青少年福利调查(NSCAW)的结构方程模型(SEM)进行二次数据分析。儿童年龄在 3-8 岁之间(n=1161)。母亲报告了过去一年中伴侣身体攻击的频率、儿童心理和身体虐待的频率、母亲心理健康状况以及儿童的攻击行为问题。母亲的温暖通过观察来衡量。

结果

IPV 与母亲心理健康状况不佳显著相关。母亲心理健康状况不佳与儿童攻击行为增加、母亲温暖度降低以及儿童身体和心理虐待更频繁有关。心理虐待和母亲温暖度低与攻击行为直接相关,而 IPV 暴露和身体虐待与攻击行为没有直接关系。年龄和性别都没有调节模型路径。

结论

扩展对儿童结果的了解对于那些涉及儿童保护服务(CPS)进行儿童虐待调查的儿童尤其重要,以便识别可能导致干预的相关风险因素。结果表明,母亲心理健康是 IPV 暴露与攻击行为之间关系的一个重要变量。这意味着可以针对多方面的家庭干预措施,帮助母亲应对这些心理健康问题,同时解决儿童社会行为发展方面的缺陷。

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