Lee Amy Hyoeun, Mirhashem Rebecca, Bernard Kristin, Dozier Mary
12301Stony Brook University, Stony Brook, NY, USA.
5972University of Delaware, Newark, NE, USA.
Child Maltreat. 2023 May;28(2):232-242. doi: 10.1177/10775595221100722. Epub 2022 May 7.
Co-occurring adversities are common for young children with child protective services (CPS) involvement, with high rates of intimate partner violence (IPV) exposure in this population. Despite extensive research linking childhood IPV exposure to later psychopathology, fewer studies have examined the prospective associations between IPV exposure and psychopathology using a dimensional approach. Here, we conducted secondary analyses of data from a randomized controlled trial of a parenting intervention for CPS-involved children, examining the associations between early childhood IPV exposure (i.e., ), co-occurring , and middle childhood internalizing and externalizing symptoms. Adversity variables were coded from data collected when children were infants ( = 249, = 7.97 months) through 48-month assessments; internalizing and externalizing psychopathology were modeled as latent variables reflecting the mean of data from yearly assessments between ages 8 to 10. Results of our structural equation model demonstrated that, accounting for the effects of co-occurring deprivation, IPV exposure was significantly associated with both internalizing, β = .38, = .001, and externalizing, β = .26, = .019, symptoms. Results suggest links between early childhood IPV exposure (i.e., threat) and later psychopathology. Findings support screening and intervention efforts to mitigate the developmental sequelae of IPV exposure among CPS-involved children.
对于涉及儿童保护服务(CPS)的幼儿来说,同时发生的逆境很常见,该人群中亲密伴侣暴力(IPV)暴露率很高。尽管有大量研究将儿童期IPV暴露与后期精神病理学联系起来,但使用维度方法研究IPV暴露与精神病理学之间前瞻性关联的研究较少。在此,我们对一项针对涉及CPS的儿童的育儿干预随机对照试验的数据进行了二次分析,研究儿童早期IPV暴露(即 )、同时发生的 与童年中期内化和外化症状之间的关联。逆境变量根据儿童从婴儿期( = 249, = 7.97个月)到48个月评估期间收集的数据进行编码;内化和外化精神病理学被建模为反映8至10岁年度评估数据均值的潜在变量。我们的结构方程模型结果表明,在考虑同时发生的剥夺效应后,IPV暴露与内化症状(β = 0.38, = 0.001)和外化症状(β = 0.26, = 0.019)均显著相关。结果表明儿童早期IPV暴露(即威胁)与后期精神病理学之间存在联系。研究结果支持进行筛查和干预,以减轻涉及CPS的儿童中IPV暴露的发育后遗症。