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母亲与父亲虐待对年轻抑郁女性遭受性和同伴欺凌再受害的影响。

Maternal- versus paternal-perpetrated maltreatment and risk for sexual and peer bullying revictimization in young women with depression.

机构信息

Department of Psychology, Queen's University, Kingston, Ontario, K7L 3N6, Canada.

Centre for Addiction and Mental Health, University of Toronto, 100 Queen St. W., Toronto, Ontario, M6J 1H4, Canada.

出版信息

Child Abuse Negl. 2019 Mar;89:111-121. doi: 10.1016/j.chiabu.2018.12.017. Epub 2019 Jan 15.

Abstract

BACKGROUND

Childhood maltreatment is one of the strongest predictors of sexual and peer bullying re-victimization. However, it is not clear which types of maltreatment are associated with the greatest risk.

OBJECTIVE

The current study examined the differential relations of maternal- versus paternal-perpetrated emotional maltreatment, neglect, and physical maltreatment, as well as sexual maltreatment, to sexual victimization and peer bullying victimization outside the home. It was hypothesized that paternal-perpetrated emotional maltreatment would be the strongest predictor of later sexual and peer bullying victimization, and that sexual maltreatment would predict sexual re-victimization.

PARTICIPANTS AND SETTING

Participants included data from 263 adolescent and young adult women who had previously taken part in one of three larger studies conducted in an academic research setting investigating the relation between stress and depression. All participants had been recruited from the wider community or clinician referral and met criteria for a unipolar depressive disorder.

METHODS

Psychiatric diagnoses were assessed with a structured diagnostic interview. Childhood maltreatment and victimization were assessed retrospectively with a semi-structured contextual interview that includes standardized ratings.

RESULTS

Paternal-perpetrated emotional abuse was the only maltreatment type that was independently associated with sexual (OR = 3.09, p =  .004) and peer bullying (OR = 1.41, p =  .05) re-victimization over other forms of maltreatment and indicators of depression severity.

CONCLUSIONS

These findings provide an important foundation for future research examining the mechanisms driving the relation between father's hostility, criticism, and rejection and daughters' revictimization that can ultimately provide targets for prevention in girls at highest risk.

摘要

背景

儿童期虐待是性虐待和同伴欺凌再受害的最强预测因素之一。然而,目前尚不清楚哪种类型的虐待与最大风险相关。

目的

本研究考察了母亲和父亲实施的情感虐待、忽视和身体虐待以及性虐待与家庭外性受害和同伴欺凌受害的不同关系。假设父亲实施的情感虐待将是以后性和同伴欺凌受害的最强预测因素,而性虐待将预测性再受害。

参与者和设置

参与者包括来自 263 名青少年和年轻成年女性的数据,这些女性之前曾参加过在学术研究环境中进行的三项更大的研究之一,该研究调查了压力和抑郁之间的关系。所有参与者都是从更广泛的社区或临床医生转介中招募的,符合单相抑郁障碍的标准。

方法

使用结构化诊断访谈评估精神科诊断。使用包括标准化评定的半结构化情境访谈回顾性评估儿童期虐待和受害情况。

结果

父亲实施的情感虐待是唯一与性(OR=3.09,p=0.004)和同伴欺凌(OR=1.41,p=0.05)再受害独立相关的虐待类型,而其他形式的虐待和抑郁严重程度指标无关。

结论

这些发现为未来研究提供了重要基础,研究了父亲的敌意、批评和拒绝与女儿再受害之间的关系机制,最终可以为高风险女孩提供预防目标。

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