2345Medical University of South Carolina, Charleston, SC, USA.
20101Ralph H. Johnson VAMC, Charleston, SC, USA.
J Interpers Violence. 2023 Jan;38(1-2):NP646-NP669. doi: 10.1177/08862605221081928. Epub 2022 May 7.
Childhood trauma exposure, including witnessing or experiencing family violence, is associated with a variety of poor outcomes such as increased likelihood of psychopathology and high-risk behaviors across the lifespan. Early treatment may help to buffer these effects, but parents and youth display only moderate levels of agreement in reporting family violence, making it more difficult to identify children who have been exposed. Additionally, most studies on family violence reporting have focused primarily on small samples in specific high-risk populations, and little is known about the generalizability of these findings. Thus, the present study assessed concordance in family violence reporting and its correlates using the population-based, demographically diverse sample from the U.S. Adolescent Brain Cognitive Development (ABCD) study. Participants were 10,532 children between 9 and 10 years old, and their parent or guardian, from 21 sites across the United States. Overall, 30% ( = 3119) of the sample reported family violence and most of those reports ( = 2629) had discordant violence reporting, meaning child- and parent-report did not correspond with each other. Multinomial logistic regression was used to assess the likelihood of participants belonging in one of the following groups: no violence reported, concordant violence reported, and discordant violence reported. Results indicated that Black or Non-Hispanic children, male children, and children with greater externalizing problems were more likely to report family violence, and parents with lower levels of education and income were more likely to report family violence. These findings likely reflect differences in distribution of risk factors among racial and ethnic minoritized individuals including increased parenting stress and decreased access to mental health treatment. Among those reporting violence, Hispanic children and children with less externalizing problems were more likely to be in the discordant group. Findings suggest that both parent and child reports are needed to assess violence and screen for appropriate services.
儿童期创伤经历，包括目睹或经历家庭暴力，与各种不良后果相关，如增加终生出现精神病理学和高风险行为的可能性。早期治疗可能有助于缓冲这些影响，但父母和青少年在报告家庭暴力方面只有中等程度的一致性，这使得更难识别遭受过创伤的儿童。此外，大多数关于家庭暴力报告的研究主要集中在特定高危人群的小样本上，对这些发现的普遍性知之甚少。因此，本研究使用来自美国青少年大脑认知发展 (ABCD) 研究的基于人群、人口统计学多样化的样本评估了家庭暴力报告的一致性及其相关性。参与者是来自美国 21 个地点的 9 至 10 岁的 10532 名儿童及其父母或监护人。总体而言，30%（=3119）的样本报告了家庭暴力，其中大多数报告（=2629）存在不一致的暴力报告，这意味着儿童和父母的报告不相互对应。多项逻辑回归用于评估参与者属于以下组之一的可能性：无暴力报告、一致暴力报告和不一致暴力报告。结果表明，黑人或非西班牙裔儿童、男性儿童和有更多外化问题的儿童更有可能报告家庭暴力，而教育程度和收入较低的父母更有可能报告家庭暴力。这些发现可能反映了种族和民族少数群体中风险因素分布的差异，包括增加的父母压力和获得心理健康治疗的机会减少。在报告暴力的儿童中，西班牙裔儿童和外化问题较少的儿童更有可能属于不一致组。研究结果表明，需要父母和儿童的报告来评估暴力并筛查适当的服务。
