Department of Psychology, Marquette University, 604 North 16th Street, Milwaukee, WI, 53233, USA.
Clin Child Fam Psychol Rev. 2019 Sep;22(3):406-431. doi: 10.1007/s10567-019-00293-1.
Children who experience violence in their families and communities are at increased risk for a wide range of psychological and behavioral difficulties, but some exhibit resilience, or adaptive functioning following adversity. Understanding what promotes resilience is critical for developing more effective prevention and intervention strategies. Over 100 studies have examined potential protective factors for children exposed to violence in the past 30 years, but there has been no quantitative review of this literature. In order to identify which protective factors have received the strongest empirical support, we conducted a meta-analysis of 118 studies involving 101,592 participants. We separately evaluated cross-sectional (n = 71) and longitudinal (n = 47) studies testing bivariate, additive, and buffering effects for eleven proposed protective factors. Effect sizes generally were stronger in cross-sectional than longitudinal studies, but four protective factors-self-regulation, family support, school support, and peer support-demonstrated significant additive and/or buffering effects in longitudinal studies. Results were consistent across type of violence experienced (i.e., maltreatment, intimate partner violence, community violence). The review highlights the most robust predictors of resilience, identifies limitations of this work, and offers directions for improving our understanding of the processes and programs that foster resilience in children exposed to violence.
儿童在家庭和社区中经历暴力会增加其出现广泛心理和行为问题的风险,但也有一些儿童在逆境中表现出适应能力或韧性。了解促进适应能力的因素对于制定更有效的预防和干预策略至关重要。过去 30 年来,已有超过 100 项研究探讨了儿童在遭受暴力后可能存在的保护因素,但尚未对该文献进行定量综述。为了确定哪些保护因素得到了最强有力的实证支持,我们对涉及 101592 名参与者的 118 项研究进行了荟萃分析。我们分别评估了横断面(n=71)和纵向(n=47)研究,以测试 11 个拟议保护因素的双变量、加性和缓冲效应。在横断面研究中,效应大小通常强于纵向研究,但在纵向研究中,有四个保护因素——自我调节、家庭支持、学校支持和同伴支持——表现出显著的加性和/或缓冲效应。结果在经历的暴力类型(即虐待、亲密伴侣暴力、社区暴力)方面具有一致性。该综述突出了适应能力的最有力预测因素,确定了这项工作的局限性,并为提高我们对促进遭受暴力的儿童适应能力的过程和方案的理解提供了方向。