University of Sussex, Brighton, UK.
J Child Psychol Psychiatry. 2018 Apr;59(4):374-402. doi: 10.1111/jcpp.12893.
The quality of the interparental relationship is recognized as an important influence on child and adolescent psychopathology. Historically, clinically oriented research on this topic has focused on the impacts of parental divorce and domestic violence as primary interparental relationship influences on child outcomes, to the relative neglect of dimensional or qualitative features of the couple/interparental relationship for youth (child and adolescent) psychopathology. Recent research has highlighted that children are affected by attributes of interparental conflict, specifically how parents express and manage conflicts in their relationship, across a continuum of expressed severity and negativity - ranging from silence to violence. Furthermore, new evidence highlights that children's emotional, behavioral, social, academic outcomes, and future interpersonal relationships are adversely affected by conflict between parents/carers whether adults are living together or not (i.e. married or separated), or where children are or are not genetically related to their rearing parents (e.g. adoption). We review evidence and present an integrated theoretical model, highlighting how children are affected by interparental conflict and what this evidence base means for effective intervention and prevention program development, as well as the development of possible cost-benefit models. Additionally, we review policy implications of this research and highlight some very recent examples of UK-based policy focusing on addressing the interparental relationship and its impact on youth psychopathology.
亲子关系的质量被认为是影响儿童和青少年心理病理的一个重要因素。从历史上看,临床导向的研究主要关注父母离婚和家庭暴力等主要亲子关系对儿童结果的影响,相对忽视了夫妻/亲子关系的维度或质量特征对青年(儿童和青少年)心理病理的影响。最近的研究强调,儿童受到亲子冲突属性的影响,特别是父母在关系中表达和管理冲突的方式,在表达严重程度和消极程度的连续体上——从沉默到暴力。此外,新的证据强调,父母/照顾者之间的冲突会对儿童的情绪、行为、社交、学业成绩以及未来的人际关系产生不利影响,无论成年人是否住在一起(即已婚或分居),或者儿童是否与他们的养育父母有遗传关系(例如收养)。我们回顾了证据并提出了一个综合理论模型,强调了儿童如何受到亲子冲突的影响,以及这一证据基础对有效干预和预防计划的发展意味着什么,以及可能的成本效益模型的发展。此外,我们还回顾了这项研究的政策影响,并强调了一些最近英国基于政策的例子,这些政策关注的是解决亲子关系及其对青年心理病理的影响。