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受身体虐待儿童在入学过渡阶段的适应情况:儿童、父母及家庭因素

Physically Abused Children's Adjustment at the Transition to School: Child, Parent, and Family Factors.

作者信息

Carmody Karen Appleyard, Haskett Mary E, Loehman Jessisca, Rose Roderick A

机构信息

Department of Psychiatry and Behavioral Medicine, Duke University School of Medicine; Center for Child & Family Health, 411 West Chapel Hill Street, Suite 908, Durham, NC 27701.

Department of Psychology, North Carolina State University, Raleigh, NC.

出版信息

J Child Fam Stud. 2015 Apr;24(4):957-969. doi: 10.1007/s10826-014-9906-7.

Abstract

Childhood physical abuse predicts emotional/behavioral, self-regulatory, and social problems. Yet factors from multiple ecological levels contribute to children's adjustment. The purpose of this study was to examine the degree to which the social-emotional adjustment of physically abused children in first grade would be predicted by a set of child-, parent-, and family-level predictors in kindergarten. Drawing on a short-term longitudinal study of 92 physically abused children and their primary caregivers, the current study used linear regression to examine early childhood child (i.e., gender, IQ, child perceptions of maternal acceptance), parent (i.e., parental mental health), and family relationship (i.e., sensitive parenting, hostile parenting, family conflict) factors as predictors of first grade internalizing and externalizing symptomatology, emotion dysregulation, and negative peer interactions. We used a multi-method, multi-informant approach to measuring predictors and children's adjustment. Internalizing symptomatology was significantly predicted by child IQ, parental mental health, and family conflict. Externalizing symptomatology and emotion dysregulation were predicted by child IQ. Although a large proportion of variance in measures of adjustment was accounted for by the set of predictors, few individual variables were unique predictors of child adjustment. Variability in the predictors of adjustment for physically abused children underscores the need for individualized treatment approaches.

摘要

童年期身体虐待预示着情绪/行为、自我调节和社会问题。然而,多个生态层面的因素会影响儿童的适应情况。本研究的目的是检验幼儿园阶段的一系列儿童、家长和家庭层面的预测因素对一年级受身体虐待儿童的社会情绪适应情况的预测程度。基于对92名受身体虐待儿童及其主要照顾者的短期纵向研究,本研究采用线性回归分析,检验儿童早期的儿童因素(即性别、智商、儿童对母亲接纳的感知)、家长因素(即家长心理健康状况)和家庭关系因素(即敏感性养育、敌意养育、家庭冲突)作为一年级内化和外化症状、情绪失调及负面同伴互动的预测因素。我们采用多方法、多 informant 的方式来测量预测因素和儿童的适应情况。儿童智商、家长心理健康状况和家庭冲突显著预测内化症状。儿童智商预测外化症状和情绪失调。尽管预测因素集解释了很大一部分适应测量指标的方差,但很少有个体变量是儿童适应情况的独特预测因素。受身体虐待儿童适应情况预测因素的变异性凸显了个性化治疗方法的必要性。

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