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儿童福利系统中儿童遭受亲密伴侣暴力及情感行为障碍:母亲抑郁和社会支持的作用

Exposure to IPV among Children in the Child Welfare System and an Emotional-Behavioral Disability: the Role of Maternal Depression and Social Support.

作者信息

Ravi Kristen E

机构信息

College of Social Work, The University of Tennessee, Knoxville, TN 37996 USA.

出版信息

J Child Adolesc Trauma. 2021 Jun 18;14(4):587-597. doi: 10.1007/s40653-021-00367-9. eCollection 2021 Dec.

Abstract

This study examines the relationship between children's exposure to IPV and EBD among children involved in the child welfare system for suspected maltreatment (both substantiated and unsubstantiated). It specifically examines how children's trauma symptoms, maternal depression, and maternal social support may impact the relationship between exposure to IPV and EBD. This study uses structural equation modeling with data from the second National Survey of Child and Adolescent Wellbeing to examine the relationship between exposure to IPV and EBD among 989 children (ages 8-17) involved in the child welfare system. Moderated mediation was employed to examine whether children's trauma symptoms mediate the relationship between IPV exposure and EBD and whether differences in maternal depression and social support impact such mediation effect. Child trauma symptoms and maternal social support were significantly related to EBD. The current study highlights the relationship between children's trauma symptoms and EBD among children in the child welfare system. The study also provides preliminary evidence for maternal social support as a protective factor for children developing EBD. Implications of this research include providing interventions as well as increasing maternal social support to potentially reduce the likelihood of children developing EBD.

摘要

本研究考察了涉嫌遭受虐待(包括已证实和未证实的)而进入儿童福利系统的儿童中,接触亲密伴侣暴力(IPV)与情绪行为障碍(EBD)之间的关系。具体而言,本研究考察了儿童的创伤症状、母亲的抑郁以及母亲的社会支持如何影响接触IPV与EBD之间的关系。本研究使用结构方程模型,基于第二次全国儿童和青少年幸福调查的数据,考察了989名(8至17岁)进入儿童福利系统的儿童中接触IPV与EBD之间的关系。采用调节中介效应分析,以考察儿童的创伤症状是否介导了IPV暴露与EBD之间的关系,以及母亲抑郁和社会支持的差异是否会影响这种中介效应。儿童创伤症状和母亲社会支持与EBD显著相关。本研究凸显了儿童福利系统中儿童的创伤症状与EBD之间的关系。该研究还为母亲的社会支持作为预防儿童出现EBD的保护因素提供了初步证据。本研究的意义包括提供干预措施以及增加母亲的社会支持,以潜在降低儿童出现EBD的可能性。

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Adverse childhood experiences and behavioral problems in middle childhood.儿童期不良经历与儿童中期的行为问题。
Child Abuse Negl. 2017 May;67:391-402. doi: 10.1016/j.chiabu.2016.11.005. Epub 2016 Nov 21.

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