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打破虐待循环:安全、稳定和关爱的关系的作用。

Breaking the cycle of maltreatment: the role of safe, stable, and nurturing relationships.

机构信息

Department of Criminology and Criminal Justice, University of Maryland, College Park, Maryland.

出版信息

J Adolesc Health. 2013 Oct;53(4 Suppl):S25-31. doi: 10.1016/j.jadohealth.2013.04.019.

Abstract

PURPOSE

We examine two research questions. First, does a history of child maltreatment victimization significantly increase the likelihood of maltreatment perpetration during adulthood? Second, do safe, stable, and nurturing relationships (SSNRs) during early adulthood serve as direct protective factors, buffering protective factors, or both to interrupt intergenerational continuity in maltreating behaviors?

METHODS

Data come from the Rochester Youth Development Study that followed a community sample from age 14 to 31 with 14 assessments. Maltreatment victimization records covering birth through age 17 were collected from Child Protective Services records as were maltreatment perpetration records from age 21 to 30. Data on five SSNRs were measured during three interviews from ages 21 to 23.

RESULTS

There is a significant relationship between maltreatment victimization and maltreatment perpetration (odds ratio = 2.57; 95% confidence interval = 1.47-4.50). Three of the five SSNRs investigated-relationship satisfaction, parental satisfaction, and attachment to child-served as direct protective factors, significantly reducing risk for those who had been maltreated. However, none of the interaction terms--between maltreatment victimization and the SSNR--was statistically significant, indicating that the SSNRs did not serve as buffering protective factors

CONCLUSIONS

Although a history of maltreatment significantly increases the risk of subsequent perpetration of maltreatment, enhancing SSNRs with intimate partners and with children during early adulthood can decrease the odds that a victim of maltreatment will become a perpetrator. Mandated reporters and service providers should be aware of the risk posed by earlier maltreatment and be prepared to ameliorate that risk, in part by strengthening supportive social relationships.

摘要

目的

我们研究了两个问题。首先,儿童期受虐经历是否会显著增加成年后虐待行为的可能性?其次,成年早期的安全、稳定和培育关系(SSNRs)是否作为直接保护因素、缓冲保护因素或两者兼而有之,从而中断虐待行为的代际连续性?

方法

数据来自罗切斯特青年发展研究,该研究对一个社区样本进行了跟踪调查,年龄从 14 岁到 31 岁,共进行了 14 次评估。从儿童保护服务记录中收集了涵盖出生到 17 岁的受虐受害记录,以及从 21 岁到 30 岁的受虐行为记录。在 21 岁到 23 岁的三次访谈中,对五种 SSNRs 进行了测量。

结果

受虐受害与受虐行为之间存在显著关系(优势比=2.57;95%置信区间=1.47-4.50)。五种 SSNRs 中的三种——关系满意度、父母满意度和对孩子的依恋——作为直接保护因素,显著降低了那些曾受虐待的人的风险。然而,没有一个 SSNR 与受虐经历的交互项在统计学上是显著的,这表明 SSNRs 并没有起到缓冲保护因素的作用。

结论

尽管受虐史显著增加了随后发生虐待行为的风险,但在成年早期加强与亲密伴侣和孩子的 SSNRs 可以降低受虐者成为施虐者的可能性。强制报告人和服务提供者应该意识到早期受虐带来的风险,并准备减轻这种风险,部分方法是加强支持性的社会关系。

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