Maddoux John A, Liu Fuqin, Symes Lene, McFarlane Judith, Paulson Rene, Binder Brenda K, Fredland Nina, Nava Angeles, Gilroy Heidi
Department of Psychology and Philosophy, Texas Woman's University, Denton, TX.
Assistant Professor College of Nursing, Texas Woman's University, 1216 Oakland St., Denton, TX, 76204-5498.
Res Nurs Health. 2016 Apr;39(2):87-95. doi: 10.1002/nur.21708. Epub 2015 Dec 23.
Partner violence is associated with numerous negative consequences for victims, especially poor mental health. Children who are exposed to partner violence are more likely to have behavior problems. Nevertheless, research on the relationship between severity of abuse, maternal mental health functioning following partner violence, and child behavior problems is limited. We explored the direct and indirect effects on the child's behavioral functioning of severity of maternal abuse and maternal mental health functioning following abuse. A sample of 300 mothers was recruited when they sought assistance for abuse for the first time at shelters for abused women or at the district attorney's office. Severity of abuse, mothers' mental health functioning, and child behavioral functioning were measured by maternal self-report at entry into the study and 4 months later. In SEM analysis, at both entry and 4 months, severity of abuse had a direct effect on maternal mental health functioning, which in turn had a direct effect on child behavioral functioning. The path from severity of abuse to child behavioral functioning also was significant but became non- significant once maternal mental health functioning was added to the equation, indicating that the path from severity of abuse to child behavioral functioning was indirect and occurred as a result of the mother's mental health functioning, which remained directly linked to child behavioral problems. Intergenerational interventions are needed to address both maternal mental health and child behavioral functioning when a mother reports partner violence and is experiencing mental health problems.
亲密伴侣暴力会给受害者带来诸多负面后果,尤其是对心理健康不利。遭受亲密伴侣暴力的儿童更有可能出现行为问题。然而,关于虐待严重程度、亲密伴侣暴力后母亲的心理健康状况以及儿童行为问题之间关系的研究却很有限。我们探讨了母亲遭受虐待的严重程度以及虐待后母亲的心理健康状况对儿童行为功能的直接和间接影响。研究招募了300名母亲,她们首次在受虐妇女庇护所或地方检察官办公室寻求虐待援助时参与了研究。在研究开始时和4个月后,通过母亲的自我报告来衡量虐待的严重程度、母亲的心理健康状况以及儿童的行为功能。在结构方程模型分析中,在研究开始时和4个月时,虐待的严重程度对母亲的心理健康状况都有直接影响,而母亲的心理健康状况又对儿童的行为功能有直接影响。从虐待严重程度到儿童行为功能的路径也是显著的,但一旦将母亲的心理健康状况纳入方程,这条路径就变得不显著了,这表明从虐待严重程度到儿童行为功能的路径是间接的,是通过母亲的心理健康状况产生的,而母亲的心理健康状况与儿童行为问题仍有直接关联。当母亲报告遭受亲密伴侣暴力且存在心理健康问题时,需要采取代际干预措施来解决母亲的心理健康问题和儿童的行为功能问题。