University of Oxford, Department of Social Policy and Intervention, Barnett House, 32 Wellington Square, Oxford, UK.
Yale School of Nursing, 400 West Campus Drive, Orange, CT, United States.
Child Abuse Negl. 2020 May;103:104389. doi: 10.1016/j.chiabu.2020.104389. Epub 2020 Feb 28.
Child sexual abuse (CSA) is associated with a number of pernicious outcomes, including adverse parenting outcomes among mothers who experienced CSA (M). Despite the large literature on these outcomes, gaps and uncertainties in the literature exist. Specifically, while previous literature has shown that some M have their parenting negatively affected by CSA, others do not, and potential mechanisms explaining these variations, such as mental health and characteristics of the CSA experience, have not been fully explored.
To investigate (1) how M believe their CSA experiences have affected their parenting, if at all; (2) what factors may be contributing to these perceived effects; and (3) what resources or intervention components M believe they need to cope with their experiences.
Participants were M primarily from the UK and the Republic of Ireland.
M were recruited through partner organizations specializing in parenting, child abuse, and mental health to complete an online survey with both qualitative and quantitative components. Qualitative data were thematically synthesized and subgroup analyses were conducted.
M reported that their CSA experiences most affected their desire to protect their child from experiencing abuse. Additionally, breastfeeding, child-rearing practices, the mother-child relationship, and perceptions of motherhood and the child were reported to be affected.
Given that M have reported their CSA experiences to negatively affect several aspects of parenting, evidence-based interventions are needed. Participant concerns regarding parenting and suggestions made by participants in this study for interventions may aid in intervention development.
儿童性虐待（CSA）与许多有害后果有关，包括经历过 CSA 的母亲（M）的不良养育结果。尽管有大量关于这些结果的文献，但文献中存在差距和不确定性。具体来说，虽然以前的文献表明，一些 M 的育儿受到 CSA 的负面影响，但其他人没有，并且尚未充分探讨解释这些变化的潜在机制，例如心理健康和 CSA 经历的特征。
调查（1）M 如何认为他们的 CSA 经历影响了他们的育儿方式，如果有的话；（2）哪些因素可能促成这些感知到的影响；以及（3）M 认为他们需要哪些资源或干预成分来应对他们的经历。
参与者主要来自英国和爱尔兰共和国，来自专门从事育儿、儿童虐待和心理健康的合作伙伴组织。
M 通过专门从事育儿、儿童虐待和心理健康的合作伙伴组织招募，以完成一份具有定性和定量成分的在线调查。对定性数据进行了主题综合分析，并进行了亚组分析。
M 报告说，他们的 CSA 经历最影响他们保护孩子免受虐待的愿望。此外，母乳喂养、育儿实践、母子关系以及对母性和孩子的看法也受到影响。
鉴于 M 报告说他们的 CSA 经历对育儿的几个方面产生了负面影响，因此需要采取基于证据的干预措施。参与者对育儿的关注以及参与者在这项研究中对干预措施的建议可能有助于干预措施的发展。
