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虐待的代际循环:心理社会风险与保护因素的范围综述

Intergenerational Cycles of Maltreatment: A Scoping Review of Psychosocial Risk and Protective Factors.

作者信息

Langevin Rachel, Marshall Carley, Kingsland Emily

机构信息

Department of Educational and Counselling Psychology, 5620McGill University, Montreal, Quebec, Canada.

McGill Library and Archives, 5620McGill University, Montreal, Quebec, Canada.

出版信息

Trauma Violence Abuse. 2021 Oct;22(4):672-688. doi: 10.1177/1524838019870917. Epub 2019 Aug 27.

Abstract

Child maltreatment tends to show intergenerational continuity. However, a significant proportion of maltreated parents break these cycles. Since several studies have investigated risk and protective factors associated with the intergenerational continuity of child maltreatment over the past decades, and no systematic review of the literature is available, this scoping review aimed to summarize studies documenting associated psychosocial risk and protective factors. A secondary objective was to document the prevalence of this phenomenon. A search in six major databases (PsycINFO, Scopus, Medline, Social Work Abstracts, ProQuest Dissertations/Theses, and Web of Science) was conducted. Studies involving human participants, presenting original findings, written in French or English, and of any type of design were included. There was no limit regarding the date of publication, except for theses/dissertations (5 years). A final sample of 51 papers was retained, 33 providing data on risk and protective factors and 18 providing only prevalence data. Results indicate that parents' individual characteristics (e.g., mental health, age), childhood adversity (e.g., multiple forms of adversity), relational (e.g., couples' adjustment, attachment, social support), and contextual factors (e.g., disadvantage, community violence) are relevant to the intergenerational continuity of child maltreatment. Prevalence rates of continuity ranged from 7% to 88%. Major limitations of reviewed studies are discussed. Continued efforts to uncover the mechanisms associated with the intergenerational continuity of child maltreatment using strong methodological designs are necessary. Knowledge in this area could lead to the development of effective prevention strategies (e.g., mental health services for parents, family/dyadic interventions) to break harmful intergenerational cycles of violence.

摘要

儿童虐待往往呈现出代际连续性。然而,相当一部分曾遭受虐待的父母打破了这些循环。在过去几十年里,已有多项研究调查了与儿童虐待代际连续性相关的风险和保护因素,但尚无对相关文献的系统综述。因此,本范围综述旨在总结记录相关心理社会风险和保护因素的研究。第二个目标是记录这一现象的发生率。我们在六个主要数据库(PsycINFO、Scopus、Medline、社会工作摘要、ProQuest学位论文/学术论文和科学网)中进行了检索。纳入的研究需涉及人类参与者、呈现原创性研究结果、用法语或英语撰写且为任何类型的设计。除学位论文/学术论文(5年)外,对发表日期没有限制。最终保留了51篇论文样本,其中33篇提供了风险和保护因素的数据,18篇仅提供了发生率数据。结果表明,父母的个人特征(如心理健康、年龄)、童年逆境(如多种形式的逆境)、人际关系(如夫妻关系调适、依恋、社会支持)和背景因素(如劣势、社区暴力)与儿童虐待的代际连续性相关。连续性发生率在7%至88%之间。本文讨论了所综述研究的主要局限性。有必要继续努力,采用强有力的方法设计来揭示与儿童虐待代际连续性相关的机制。这一领域的知识可能会促成有效的预防策略(如为父母提供心理健康服务、家庭/二元干预)的发展,以打破有害的代际暴力循环。

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