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童年期性虐待后母亲支持报告中的趋同与分歧:患病率及其与青少年心理社会调适的关联

Convergence and divergence in reports of maternal support following childhood sexual abuse: prevalence and associations with youth psychosocial adjustment.

作者信息

Bick Johanna, Zajac Kristyn, Ralston M Elizabeth, Smith Daniel

机构信息

Boston Children's Hospital, USA; Harvard Medical School, USA.

Family Services Research Center, Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, USA.

出版信息

Child Abuse Negl. 2014 Mar;38(3):479-87. doi: 10.1016/j.chiabu.2013.11.010. Epub 2014 Jan 20.

Abstract

This study examined the convergence and divergence in mothers' and children's reports of maternal support following disclosures of childhood sexual abuse (CSA). One hundred and twenty mothers and their children (ages 7-17 years) reported on two aspects of support following CSA disclosures: mothers' belief in the child's disclosure and parent-child discussion of the abuse incident. Whereas 62% of mothers' and children's reports on mothers' belief of the disclosure positively converged (i.e., both reported that mothers "completely believed" the child's disclosure), 37% of mothers' and children's reports diverged, and the remaining 1% negatively converged (i.e., both reported that the mother only believed the child "somewhat"). Positively convergent responses were associated with youths' lower risk for tobacco and illicit drug use. Forty-four percent of mothers' and children's reports on whether details of the CSA were discussed positively converged (i.e., both reported that details were discussed), 33% diverged, and 23% negatively converged (i.e., both reported that details were not discussed). Relative to other patterns of reporting, negatively convergent responses were associated with higher levels of trauma symptoms. Findings have implications for identifying high-risk mother-child dyads based on patterns of informant reporting following CSA.

摘要

本研究调查了儿童期性虐待(CSA)披露后母亲和孩子对母亲支持情况报告的趋同与分歧。120位母亲及其7至17岁的孩子报告了CSA披露后的两个支持方面:母亲对孩子披露内容的相信程度以及亲子对虐待事件的讨论。在母亲和孩子关于母亲对披露内容的相信程度的报告中,62%呈正向趋同(即双方都报告母亲“完全相信”孩子的披露),37%存在分歧,其余1%呈负向趋同(即双方都报告母亲只是“有些相信”孩子)。正向趋同的反应与青少年较低的烟草和非法药物使用风险相关。在母亲和孩子关于是否讨论了CSA细节的报告中,44%呈正向趋同(即双方都报告讨论了细节),33%存在分歧,23%呈负向趋同(即双方都报告未讨论细节)。相对于其他报告模式,负向趋同的反应与更高水平的创伤症状相关。研究结果对于基于CSA后信息提供者报告模式识别高危母子二元组具有启示意义。

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