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基于研究空间的分析及创伤知情调解人对约会暴力作用的叙事性综述

A Study Space Analysis and Narrative Review of Trauma-Informed Mediators of Dating Violence.

机构信息

1 Department of Psychology, William Paterson University, Wayne, NJ, USA.

2 Department of Psychology, Southern Methodist University, Dallas, TX, USA.

出版信息

Trauma Violence Abuse. 2018 Jul;19(3):266-285. doi: 10.1177/1524838016659485. Epub 2016 Jul 28.

Abstract

Research linking child maltreatment and dating violence in adolescence and emerging adulthood has proliferated in the past two decades; however, the precise mechanisms by which these experiences are related remain elusive. A trauma-informed perspective suggests four particularly promising mediators: maladaptive attachment, emotion regulation difficulties, emotional distress, and hostility. The current article characterizes the status of the empirical literature examining these four mediators using a study space analysis and a narrative review of existing research. An extensive literature search identified 42 papers (44 studies) that met the following criteria: (1) at least one measure of child maltreatment (emotional, physical, sexual, neglect, or exposure to intimate partner violence); (2) a measure of one of the four mediator variables; (3) a measure of dating violence perpetration or victimization; and (4) a sample of adolescents or young adults. The study space analysis suggested several important observations about the research on this topic, including a dearth of studies examining hostility as a mediator and little research using prospective designs or clinical samples. There are also limitations with the conceptualization and measurement of dating violence, child maltreatment, and some of the mediator variables. In addition, few studies examined more than one mediator variable in the same study. The narrative review suggested that maladaptive attachment (specifically insecure attachment styles), emotion regulation difficulties (specifically regulation of the emotion of anger), and emotional distress construed broadly represent promising mediators of the association between child maltreatment and dating violence, but conclusions about mediation must remain tentative given the state of the literature. The discussion offers recommendations for improved theoretical and empirical rigor to advance future research on mechanisms linking child maltreatment and dating violence.

摘要

在过去的二十年中,将儿童虐待与青少年和成年早期的约会暴力联系起来的研究大量涌现;然而,这些经历相关的确切机制仍难以捉摸。创伤知情的观点表明了四个特别有希望的中介因素:适应不良的依恋、情绪调节困难、情绪困扰和敌意。目前的文章通过研究空间分析和对现有研究的叙述性综述,描述了检查这四个中介因素的实证文献的现状。广泛的文献检索确定了 42 篇论文(44 项研究)符合以下标准:(1)至少有一项儿童虐待(情感、身体、性、忽视或亲密伴侣暴力暴露)的测量;(2) 四项中介变量之一的测量;(3) 约会暴力实施或受害的测量;(4)青少年或年轻人的样本。研究空间分析对该主题的研究提出了一些重要观察,包括缺乏研究检查敌意作为中介因素,以及很少使用前瞻性设计或临床样本的研究。在概念化和测量约会暴力、儿童虐待和一些中介变量方面也存在一些限制。此外,很少有研究在同一研究中检查一个以上的中介变量。叙述性综述表明,适应不良的依恋(特别是不安全的依恋风格)、情绪调节困难(特别是愤怒情绪的调节)和广泛理解的情绪困扰代表了儿童虐待与约会暴力之间关联的有希望的中介因素,但鉴于文献的现状,关于中介的结论必须持保留态度。讨论提供了改进理论和实证严谨性的建议,以推进儿童虐待和约会暴力之间联系机制的未来研究。

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