Galano Maria M, Stein Sara F, Clark Hannah M, Grogan-Kaylor Andrew, Graham-Bermann Sandra A
Department of Psychological and Brain Sciences, University of Massachusetts - Amherst, Amherst, MA, USA.
School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Dev Psychopathol. 2023 May;35(2):850-862. doi: 10.1017/S0954579422000104. Epub 2022 Mar 14.
Childhood exposure to intimate partner violence (IPV) can have lasting effects on well-being. Children also display resilience following IPV exposure. Yet, little research has prospectively followed changes in both maladaptive and adaptive outcomes in children who experience IPV in early life. The goal of the current study was to investigate how child factors (irritability), trauma history (severity of IPV exposure), maternal factors (mental health, parenting), and early intervention relate to trajectories of behavior problems (internalizing and externalizing problems) and resilience (prosocial behavior, emotion regulation), over 8 years. One hundred twenty mother-child dyads participated in a community-based randomized controlled trial of an intervention for IPV-exposed children and their mothers. Families completed follow-up assessments 6-8 months ( = 71) and 6-8 years ( = 68) later. Although intention-to-treat analyses did not reveal significant intervention effects, per-protocol analyses suggested that participants receiving an effective dose (eight sessions) of the treatment had fewer internalizing problems over time. Child irritability and maternal parenting were associated with both behavior problems and resilience. Maternal mental health was uniquely associated with child behavior problems, whereas maternal positive parenting was uniquely associated with child resilience. Results support the need for a dyadic perspective on child adjustment following IPV exposure.
童年时期接触亲密伴侣暴力(IPV)会对幸福感产生持久影响。儿童在接触IPV后也会表现出恢复力。然而,很少有研究前瞻性地追踪早期经历IPV的儿童在适应不良和适应良好方面的变化。本研究的目的是调查儿童因素(易怒性)、创伤史(IPV暴露的严重程度)、母亲因素(心理健康、育儿方式)以及早期干预如何与8年期间的行为问题轨迹(内化和外化问题)和恢复力(亲社会行为、情绪调节)相关。120对母婴参与了一项针对接触IPV的儿童及其母亲的社区随机对照干预试验。家庭在6-8个月后(n = 71)和6-8年后(n = 68)完成了随访评估。尽管意向性分析未显示出显著的干预效果,但符合方案分析表明,接受有效剂量(八次疗程)治疗的参与者随着时间的推移内化问题较少。儿童易怒性和母亲的育儿方式与行为问题和恢复力均相关。母亲的心理健康与儿童行为问题存在独特关联,而母亲积极的育儿方式与儿童恢复力存在独特关联。结果支持在IPV暴露后对儿童适应情况采用二元视角的必要性。