Department of Social Work & Social Administration, The University of Hong Kong, Hong Kong.
Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Trauma Violence Abuse. 2019 Dec;20(5):706-719. doi: 10.1177/1524838017730579. Epub 2017 Sep 7.
Extant evidence has shown that insecure adult attachment is related to dysfunctional parenting styles that heighten parents' risk of child maltreatment. However, there is a lack of studies appraising the evidence for the association between insecure adult attachment and child maltreatment. This meta-analytic study examined the relationship between parents' adult attachment and child maltreatment perpetration/child abuse potential. Studies examining the relationship between parents' adult attachment and child maltreatment/child abuse potential published before February 2017 were identified through a systematic search of online databases. In total, 16 studies ( = 1,830) were selected. Meta-analysis based on random-effects models shows a significant positive association between insecure attachment and child maltreatment (pooled effect size: odds ratio [] = 2.93, = .000). Subgroup analyses show insecure attachment was more strongly associated with failure to thrive ( = 8.04, = .000) and filicide ( = 5.00, .05). Medium effect sizes were found for subgroup analyses on insecure romantic attachment ( = 3.76, = .000), general attachment ( = 3.38, = .000), attachment to own child ( = 3.13, = .001), and to own parents ( = 2.63, = .000) in relation to child maltreatment.
现有证据表明，成人依恋不安全与功能失调的养育方式有关，这种养育方式增加了父母虐待儿童的风险。然而，目前缺乏评估成人依恋与儿童虐待之间关联的证据。本项荟萃分析研究评估了父母成人依恋与虐待儿童/儿童虐待倾向之间的关系。通过系统搜索在线数据库，确定了在 2017 年 2 月之前发表的评估父母成人依恋与儿童虐待/儿童虐待倾向之间关系的研究。共选择了 16 项研究（n = 1830）。基于随机效应模型的荟萃分析表明，依恋不安全与儿童虐待之间存在显著正相关（合并效应量：优势比[OR] = 2.93，p <.000）。亚组分析表明，依恋不安全与发育不良（OR = 8.04，p <.000）和杀亲（OR = 5.00，p <.05）的相关性更强。对不安全的浪漫依恋（OR = 3.76，p <.000）、一般依恋（OR = 3.38，p <.000）、对自己孩子的依恋（OR = 3.13，p =.001）和对自己父母的依恋（OR = 2.63，p <.000）与儿童虐待的亚组分析也发现了中等效应量。
