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童年期遭受性虐待后的母亲支持:与儿童披露后及9个月随访时的适应情况的关联。

Maternal support following childhood sexual abuse: Associations with children's adjustment post-disclosure and at 9-month follow-up.

作者信息

Zajac Kristyn, Ralston M Elizabeth, Smith Daniel W

机构信息

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

The Dee Norton Lowcountry Children's Center, Charleston, SC, USA.

出版信息

Child Abuse Negl. 2015 Jun;44:66-75. doi: 10.1016/j.chiabu.2015.02.011. Epub 2015 Feb 28.

Abstract

Maternal support has been widely cited as an important predictor of children's adjustment following disclosure of sexual abuse. However, few studies have examined these effects longitudinally. The current study examines the relationships between a multidimensional assessment of maternal support rated by both mothers and children and children's adjustment in various domains (internalizing, externalizing, anger, depression, and posttraumatic stress disorder symptoms) concurrently and longitudinally. Participants were 118 mother-child dyads recruited from a Child Advocacy Center where children were determined through a forensic evaluation to be victims of sexual abuse. Child and mother ratings of maternal support and child adjustment were collected shortly after the forensic evaluation and at 9-month follow-up. Results were consistent with findings from past studies that maternal support is significantly related to children's post-disclosure adjustment and extends these findings longitudinally. Additionally, the study sheds light on differential relations between dimensions of maternal support (Emotional Support, Blame/Doubt, Vengeful Arousal, and Skeptical Preoccupation) and child adjustment and suggests the importance of using both child and mother ratings of maternal support in future research.

摘要

母亲的支持被广泛认为是儿童在遭受性虐待后适应情况的重要预测指标。然而,很少有研究对这些影响进行纵向考察。本研究同时从横向和纵向两个维度,考察了母亲和孩子对母亲支持的多维度评估与孩子在各个领域(内化、外化、愤怒、抑郁和创伤后应激障碍症状)的适应情况之间的关系。研究参与者为118对母子二元组,他们是从一个儿童权益保护中心招募而来的,在该中心,通过法医评估确定儿童为性虐待受害者。在法医评估后不久以及9个月的随访时,收集了孩子和母亲对母亲支持以及孩子适应情况的评分。研究结果与以往研究结果一致,即母亲的支持与孩子在事件披露后的适应情况显著相关,并在纵向研究中扩展了这些发现。此外,该研究揭示了母亲支持的不同维度(情感支持、责备/怀疑、报复性唤醒和怀疑性关注)与孩子适应情况之间的差异关系,并表明在未来研究中同时使用孩子和母亲对母亲支持的评分具有重要意义。

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本文引用的文献

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