School of Social Work, San Diego State University, United States.
School of Social Work, San Diego State University, United States.
Child Abuse Negl. 2019 Apr;90:76-87. doi: 10.1016/j.chiabu.2019.02.002. Epub 2019 Feb 12.
Evidence suggests intimate partner violence (IPV), substance use, and depression adversely affect the disciplinary practices of caregivers involved with child welfare; however, it remains uncertain whether the combined effects of these conditions are syndemic.
The purpose of this study was to examine the (1) associations between IPV, problematic drug use, problematic alcohol use, and depressive symptoms and self-reported disciplinary practices among a sample of mothers with child welfare contact; and (2) effect of co-occurrence of these conditions on child disciplinary practices.
We used data from the second cohort of the National Survey of Child and Adolescent Well-Being (NSCAW II). The analysis focused on 965 biological mothers with children who were subjects of child abuse/neglect investigations between February 2008 and April 2009 in the United States.
We conducted multiple linear regression analyses.
Our findings showed that IPV (B = .28; 95% CI = [.04, .53]) and depressive symptoms (B = .27; 95% CI = [.03, .52]) were independently associated with psychologically aggressive disciplinary practices. Also, IPV was independently associated with physically aggressive disciplinary practices (B = .64; 95% CI = [.18, 1.11]); and IPV (B = .21; 95% CI = [.06, .35]) and depressive symptoms (B = .22; 95% CI = [.07, .37]) were independently associated with neglectful parenting strategies. A significant effect was found for the interaction between problematic drug use and depressive symptoms with physically aggressive practices as the outcome. As the number of conditions caregivers had increased, so did their propensity for self-reporting each of the disciplinary practices (p < .05).
The findings highlight the need for using a more holistic/multidisciplinary approach to child maltreatment prevention research, policy, and intervention.
有证据表明，亲密伴侣暴力（IPV）、物质使用和抑郁会对涉及儿童福利的护理人员的纪律处分做法产生不利影响；然而，这些情况的综合影响是否属于综合征仍不确定。
本研究旨在检验：（1）在有儿童福利接触的母亲样本中，IPV、药物使用问题、酒精使用问题和抑郁症状与自我报告的纪律处分做法之间的关联；（2）这些情况同时发生对儿童纪律处分做法的影响。
我们使用了国家儿童和青少年福利调查（NSCAW II）第二队列的数据。该分析集中于 965 名有子女的亲生母亲，这些子女在 2008 年 2 月至 2009 年 4 月期间成为虐待/忽视调查的对象，来自美国。
我们进行了多项线性回归分析。
我们的研究结果表明，IPV（B = .28；95% CI = [.04，.53]）和抑郁症状（B = .27；95% CI = [.03，.52]）与心理上的攻击性纪律处分做法独立相关。此外，IPV 与身体上的攻击性纪律处分做法独立相关（B = .64；95% CI = [.18，1.11]）；IPV（B = .21；95% CI = [.06，.35]）和抑郁症状（B = .22；95% CI = [.07，.37]）与忽视性育儿策略独立相关。在药物使用问题和抑郁症状与身体上的攻击性行为之间的相互作用与身体上的攻击性行为作为结果时，发现了显著的效果。随着护理人员所患疾病数量的增加，他们自我报告每种纪律处分做法的倾向也随之增加（p < .05）。
这些发现强调需要采用更全面/多学科的方法来进行儿童虐待预防研究、政策和干预。
