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亲密关系暴力背景下养育子女的女性干预措施的系统评价。

A Systematic Review of Interventions for Women Parenting in the Context of Intimate Partner Violence.

机构信息

1 Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

2 Injury Prevention Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

出版信息

Trauma Violence Abuse. 2019 Oct;20(4):498-519. doi: 10.1177/1524838017719233. Epub 2017 Jul 21.

Abstract

Intimate partner violence (IPV) victimization is widespread among women with children and has negative consequences for both women's and children's well-being. Despite mixed evidence regarding the effect of IPV on women's parenting ability and behaviors, there is an increasing focus on mothering in the context of IPV, particularly among the child welfare and child protection systems. To help respond to this increasing focus, several interventions have been developed that specifically target parenting among IPV-affected women. Given the growing numbers of these interventions, a comprehensive review is needed to help elucidate the approaches that are most effective in meeting the needs of IPV-affected women and children. Therefore, we conducted an in-depth systematic review of the literature to examine the approaches and effects of interventions designed to address aspects of parenting among IPV-affected women. We identified 26 articles concerned with 19 distinct interventions for review. We found substantial heterogeneity in intervention delivery, format, length, and focus. We noted several limitations of the existing studies in terms of study sample, measures, design, and implementation. Given the heterogeneity of the existing interventions and the limitations of the current research base, it is not yet clear which interventions or intervention components are most effective in addressing the unique needs of women parenting in the context of IPV. Further research is needed to address these limitations, and professionals working with IPV-affected families should be aware that current services may not meet women's and children's needs.

摘要

亲密伴侣暴力(IPV)受害在有子女的妇女中普遍存在,对妇女和儿童的福祉都有负面影响。尽管关于 IPV 对妇女育儿能力和行为的影响存在混合证据,但在 IPV 背景下越来越关注母亲身份,特别是在儿童福利和儿童保护系统中。为了帮助应对这种日益增长的关注,已经开发了几种专门针对受 IPV 影响妇女育儿的干预措施。鉴于这些干预措施的数量不断增加,需要进行全面审查,以帮助阐明最有效的方法,以满足受 IPV 影响的妇女和儿童的需求。因此,我们对文献进行了深入的系统审查,以研究旨在解决受 IPV 影响的妇女育儿方面的干预措施的方法和效果。我们确定了 26 篇与 19 项不同干预措施相关的文章进行审查。我们发现干预措施的提供、形式、长度和重点存在很大的异质性。我们注意到现有研究在研究样本、措施、设计和实施方面存在一些局限性。鉴于现有干预措施的异质性和现有研究基础的局限性,目前尚不清楚哪些干预措施或干预措施最能满足在 IPV 背景下育儿的妇女的独特需求。需要进一步研究来解决这些局限性,并且与受 IPV 影响的家庭合作的专业人员应该意识到,当前的服务可能无法满足妇女和儿童的需求。

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