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童年时期目睹父母暴力到成年后卷入亲密伴侣暴力的途径:抑郁和物质使用的作用。

Pathways from witnessing parental violence during childhood to involvement in intimate partner violence in adult life: The roles of depression and substance use.

作者信息

Madruga Clarice S, Viana Maria Carmen, Abdalla Renata Rigacci, Caetano Raul, Laranjeira Ronaldo

机构信息

National Research Institute on Alcohol and Other Drugs, Sao Paulo, Brazil.

Department of Psychiatry, Federal University of São Paulo, Sao Paulo, Brazil.

出版信息

Drug Alcohol Rev. 2017 Jan;36(1):107-114. doi: 10.1111/dar.12514.

Abstract

INTRODUCTION AND AIMS

The aims of this study were to determine the prevalence of witnessing parental violence (WPV) during childhood and of current intimate partner violence (IPV) victimisation and aggression in a Brazilian sample, in order to verify pathways between WPV and involvement in IPV as an adult.

DESIGN AND METHODS

The mediating roles of substance use and depression were investigated. Data came from the Second Brazilian National Alcohol and Drugs Survey, a multi-cluster probabilistic household survey, which gathered information on the use of psychoactive substances, current depressive disorder, history of childhood direct and indirect exposure to domestic violence and IPV in a nationally representative sample. A subsample of 2120 individuals aged 14 years or older was analysed. Weighted prevalence rates, adjusted odds ratio and conditional path models were performed.

RESULTS

Being a victim of IPV was reported by 6% of the sample. Thus being, 4.1% reported being IPV perpetrators; these rates were 16.6% and 7.3%, respectively, among those who reported WPV (13%). WPV was associated with being a victim of IPV in adult life, but not with becoming a perpetrator, regardless of being a victim of physical violence during childhood. There was a direct effect of WPV on IPV mediated by depressive symptoms. Alcohol and cocaine consumption and age of drinking initiation mediated only when combined with depressive symptoms.

DISCUSSION AND CONCLUSIONS

Intergenerational transmission models of IPV through exposure during childhood can help to explain the high rates of domestic violence in Brazil. Our findings provide evidence to implement targeted prevention strategies where they are needed most: the victims of premature adverse experiences. [Madruga CS, Viana MC, Abdalla RR, Caetano R, Laranjeira R. Pathways from witnessing parental violence during childhood to involvement in intimate partner violence in adult life: The roles of depression and substance use. Drug Alcohol Rev 2017;36:107-114].

摘要

引言与目的

本研究旨在确定巴西样本中童年时期目睹父母暴力(WPV)的患病率以及当前亲密伴侣暴力(IPV)受害情况和攻击行为的发生率,以验证WPV与成年后卷入IPV之间的路径。

设计与方法

研究了物质使用和抑郁的中介作用。数据来自第二次巴西全国酒精和药物调查,这是一项多集群概率性家庭调查,在全国代表性样本中收集了关于精神活性物质使用、当前抑郁症、童年时期直接和间接接触家庭暴力及IPV的信息。对2120名14岁及以上个体的子样本进行了分析。进行了加权患病率、调整后的优势比和条件路径模型分析。

结果

样本中有6%报告称是IPV受害者。因此,4.1%报告称是IPV实施者;在报告WPV的人群(13%)中,这些比率分别为16.6%和7.3%。WPV与成年后成为IPV受害者有关,但与成为实施者无关,无论童年时期是否是身体暴力的受害者。WPV通过抑郁症状对IPV有直接影响。只有当与抑郁症状结合时,酒精和可卡因消费及饮酒起始年龄才起中介作用。

讨论与结论

IPV通过童年时期接触的代际传播模型有助于解释巴西家庭暴力的高发生率。我们的研究结果为在最需要的地方实施有针对性的预防策略提供了证据:即过早经历不良事件的受害者。[马德鲁加CS,维亚纳MC,阿卜杜拉RR,卡埃塔诺R,拉兰热拉R。童年时期目睹父母暴力与成年后卷入亲密伴侣暴力之间的路径:抑郁和物质使用的作用。《药物与酒精评论》2017;36:107 - 114]

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