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童年期性创伤及随后的养育观念和行为。

Childhood sexual trauma and subsequent parenting beliefs and behaviors.

作者信息

Zvara B J, Mills-Koonce W R, Appleyard Carmody K, Cox M

机构信息

The University of North Carolina at Chapel Hill, USA.

The University of North Carolina at Greensboro, USA.

出版信息

Child Abuse Negl. 2015 Jun;44:87-97. doi: 10.1016/j.chiabu.2015.01.012. Epub 2015 Feb 11.

Abstract

Using propensity-matched controls, the present study examines the long-term adjustment of women reporting childhood sexual trauma (CST) at or before the age of 14 in terms of parenting efficacy and parenting behavior. Data for these analyses were obtained from mother reports and from observational protocols from a longitudinal study of low-income, rural families. The novel use of propensity-matched controls to create a control group matched on family of origin variables provides evidence that when women with CST are compared with the matched comparison women, females who experienced CST show poorer functioning across multiple domains of parenting (sensitivity, harsh intrusiveness, boundary dissolution), but not in parenting efficacy. Follow-up moderation analyses suggest that the potential effects of trauma on parenting behaviors are not attenuated by protective factors such as higher income, higher education, or stable adult relationships. Implications for interventions with childhood sexual trauma histories and directions for future study are proposed.

摘要

本研究采用倾向得分匹配的对照组,考察了报告在14岁及之前遭受童年性创伤(CST)的女性在育儿效能和育儿行为方面的长期调适情况。这些分析的数据来自母亲报告以及一项针对低收入农村家庭的纵向研究的观察记录。倾向得分匹配的对照组在原生家庭变量上进行匹配以创建对照组,这种新颖的方法提供了证据,即当将遭受CST的女性与匹配的对照女性进行比较时,经历过CST的女性在多个育儿领域(敏感性、严厉侵扰性、边界消解)的功能较差,但在育儿效能方面并非如此。后续的调节分析表明,创伤对育儿行为的潜在影响不会因诸如高收入、高学历或稳定的成人关系等保护因素而减弱。本文提出了对有童年性创伤史的干预措施的启示以及未来研究的方向。

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