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儿童期性虐待后的母婴支持:与儿童报告的关系。

Maternal support following childhood sexual abuse: Relationships to child-reported.

机构信息

Department of Psychological Sciences, University of Missouri- St. Louis, 325 Stadler Hall, 1 University Boulevard, St. Louis, MO, 63121, USA.

出版信息

Child Abuse Negl. 2018 Feb;76:372-380. doi: 10.1016/j.chiabu.2017.11.021. Epub 2017 Dec 5.

Abstract

Maternal support has been conceptualized as a key factor in predicting children's functioning following sexual abuse; however, empirical evidence for this assumption is rather limited. Prior studies may have failed to find a relationship between maternal support and children's outcomes due to the methodological weaknesses of the prior literature such as the use of maternal support measures without adequately reported psychometric properties. Moreover, relatively few studies have investigated whether maternal support corresponds with children's own self-reported symptoms. The aim of the present study was to utilize the only published measure of maternal support with sufficient psychometrics, the Maternal Self-Report Support Questionnaire (MSSQ; Smith et al., 2010), to determine if levels of pre-treatment support are associated with children's self-reported trauma-related symptoms among 165 treatment-seeking children (M=10.85, SD=3.09) and their non-offending mothers. Levels of maternal emotional support corresponded with few of children's outcomes, and when relationships were observed, emotional support was related to higher levels of symptoms. Maternal levels of blame and doubt were only associated with dissociative symptoms. Maternal support therefore appears to be an ineffective predictor of children's post-disclosure trajectories and raises the possibility that maternal support is linked with poorer functioning.

摘要

母亲的支持一直被认为是预测儿童在遭受性虐待后功能的关键因素;然而,这一假设的实证证据相当有限。先前的研究可能由于先前文献的方法学弱点,如使用未经充分报告心理测量特性的母亲支持措施,而未能发现母亲支持与儿童结果之间的关系。此外,很少有研究调查母亲的支持是否与儿童自身报告的症状相符。本研究的目的是利用唯一发表的具有足够心理测量特性的母亲支持测量工具,即母亲自我报告支持问卷(MSSQ;Smith 等人,2010 年),来确定在 165 名寻求治疗的儿童(M=10.85,SD=3.09)及其非犯罪母亲中,治疗前的支持水平是否与儿童自我报告的创伤相关症状有关。母亲的情感支持水平与儿童的少数结果相关,当观察到关系时,情感支持与更高水平的症状有关。母亲的责备和怀疑水平仅与分离症状有关。因此,母亲的支持似乎是儿童披露后轨迹的无效预测因素,并提出了母亲支持与较差功能有关的可能性。

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