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不良童年经历与成年早期亲密伴侣暴力之间是否存在累积关联?

Is There a Cumulative Association Between Adverse Childhood Experiences and Intimate Partner Violence in Emerging Adulthood?

机构信息

Graduate Center, New York, NY, USA.

Queens College, Flushing, NY, USA.

出版信息

J Interpers Violence. 2021 Feb;36(3-4):NP1205-1232NP. doi: 10.1177/0886260517741626. Epub 2017 Dec 7.

DOI:10.1177/0886260517741626
PMID:29295018
Abstract

Adverse childhood experiences (ACEs) have been shown to cumulatively predict a range of poor physical and mental health outcomes across adulthood. The cumulative effect of ACEs on intimate partner violence (IPV) in emerging adulthood has not been previously explored. The current study examined the individual and cumulative associations between nine ACEs (emotional abuse, physical abuse, sexual abuse, emotional neglect, physical neglect, witnessing domestic violence, living with a mentally ill, substance abusing, or incarcerated household member) and IPV in a diverse sample of college students ( = 284; = 20.05 years old [ = 2.5], 32% male, 37% Caucasian, 30% Asian, 33% other, and 27% Hispanic) from an urban, public college in the Northeast of the United States. Participants reported ACEs (measured by the Adverse Childhood Experiences Survey) and IPV perpetration and victimization (measured with the Revised Conflict Tactics Scale-2) of physical and psychological aggression in an online study that took place from 2015 to 2016. Bivariate and multivariate associations between ACEs, cumulative ACEs (assessed by the sum of adverse experiences), and IPV outcomes were assessed, while controlling for demographics and socioeconomic status. No cumulative associations were observed between ACEs and any of the IPV subscales in multivariate regressions, while witnessing domestic violence was significantly associated with perpetration and victimization of physical aggression and injury, and household member incarceration and physical abuse were associated with physical aggression perpetration. Adverse childhood events do not seem to associate cumulatively with IPV in emerging adulthood and the contributions of individual childhood experiences appear to be more relevant for IPV outcomes. Clinical and research implications are discussed.

摘要

童年逆境经历(ACEs)已被证明会在成年后累加性地预测一系列不良的身心健康结果。童年逆境经历对成年早期亲密伴侣暴力(IPV)的累积效应尚未被探讨过。本研究在一个多样化的大学生样本(n = 284;年龄均值为 20.05 岁[SD = 2.5],32%为男性,37%为白种人,30%为亚洲人,33%为其他种族,27%为西班牙裔)中,考察了九种 ACEs(情感虐待、身体虐待、性虐待、情感忽视、身体忽视、目睹家庭暴力、与患有精神疾病、物质滥用或监禁的家庭成员生活在一起)与 IPV 之间的个体和累积关联,该研究来自美国东北部一所城市公立大学的一项在线研究,研究时间为 2015 年至 2016 年。参与者报告了 ACEs(通过不良童年经历量表测量)和 IPV 的实施和受害(通过修订后的冲突策略量表-2 测量),包括身体和心理攻击。在控制了人口统计学和社会经济地位的情况下,评估了 ACEs、累积 ACEs(通过不良经历的总和评估)与 IPV 结果之间的双变量和多变量关联。在多变量回归中,没有观察到 ACEs 与任何 IPV 亚量表之间存在累积关联,而目睹家庭暴力与身体攻击和伤害的实施和受害,以及家庭成员监禁和身体虐待与身体攻击的实施显著相关。童年逆境事件似乎不会在成年早期与 IPV 累加性相关,个体童年经历的影响似乎与 IPV 结果更相关。讨论了临床和研究意义。

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