Yale University School of Medicine, New Haven, CT 06520, USA.
J Interpers Violence. 2013 Jul;28(11):2290-314. doi: 10.1177/0886260512475312. Epub 2013 Feb 19.
No studies to date have compared parenting behaviors of men with co-occurring intimate partner violence (IPV) and substance abuse (SA) with community controls. This study was designed to document mediators of differences in parenting behavior of fathers and the emotional-behavioral problems of their children for men with co-occurring SA and IPV. The self-reported parenting (negative, positive and coparenting behaviors) and the child emotional-behavioral problems of 43 fathers with children aged 2 to 6 years with a recent history of SA + IPV were compared to a sample of 43 community control fathers with the same socioeconomic and cultural backgrounds. Fathers completed measures on their parenting behavior with a target child, coparenting behavior with the child's mother, emotion regulation, romantic attachment, psychiatric symptoms, and the behavior of the target child. Men with co-occurring SA + IPV had significantly less positive coparenting and more negative parenting behaviors than community control fathers. Negative parenting and coparenting were mediated by the fathers' avoidant attachment problems. SA + IPV fathers also reported more emotional and behavioral problems in their children. These poor child outcome differences between groups were mediated by the negative parenting behaviors of the fathers. These results suggest areas of potential focus in interventions with fathers who have co-occurring SA + IPV issues. Focus on attachment difficulties with his coparent, which may include affect regulation, coping with emotions, and communication skills training related to coparenting, may yield significant changes in parenting behaviors and ultimately child functioning.
迄今为止，尚无研究比较同时患有亲密伴侣暴力 (IPV) 和物质滥用 (SA) 的男性与社区对照人群的育儿行为。本研究旨在记录同时患有 SA 和 IPV 的男性在育儿行为以及子女情绪行为问题方面的差异的中介因素。研究比较了 43 名有近期 SA + IPV 病史、年龄在 2 至 6 岁的儿童的父亲的自我报告育儿行为（消极、积极和共同育儿行为）和子女的情绪行为问题，以及具有相同社会经济和文化背景的 43 名社区对照父亲的儿童的情绪行为问题。父亲们用针对孩子的指标评估了他们的育儿行为、与孩子母亲的共同育儿行为、情绪调节、浪漫依恋、精神症状和孩子的行为。同时患有 SA + IPV 的男性与社区对照父亲相比，其积极的共同育儿行为显著减少，消极的育儿行为显著增加。消极的育儿和共同育儿行为由父亲的回避型依恋问题所中介。SA + IPV 父亲还报告说他们的孩子存在更多的情绪和行为问题。这些群体之间在儿童结局方面的差异较差，是由父亲的消极育儿行为所中介的。这些结果表明，对于同时存在 SA + IPV 问题的父亲，干预措施可能需要重点关注。与他的共同养育者的依恋困难，这可能包括情绪调节、应对情绪以及与共同养育相关的沟通技巧培训，可能会导致育儿行为发生重大变化，并最终影响儿童的功能。
