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遭受家庭暴力背景下的妇女和儿童的创伤后应激症状及其相关因素

Posttraumatic Stress Symptoms and Correlates in Women and Children From Backgrounds of Domestic Violence.

作者信息

Mertin Peter, Wijendra Shankari, Loetscher Tobias

机构信息

Private Practice, Adelaide, South Australia Australia.

School of Psychology, Social Work and Social Policy, University of South Australia, Adelaide, Australia.

出版信息

J Child Adolesc Trauma. 2021 Aug 12;15(2):391-400. doi: 10.1007/s40653-021-00396-4. eCollection 2022 Jun.

Abstract

Ongoing research has continued to inform our understanding of the effects of living with domestic violence on both women and children. The majority of this research, however, has tended to focus on each population separately, with only a relatively few studies to date assessing the relationship between maternal and child emotional functioning, particularly for symptoms of posttraumatic stress (PTSS). This study was designed to investigate trauma symptomatology in mother-child dyads from backgrounds of domestic violence, where the children are able to self-report on their own symptoms. In addition, the study examined anxiety and depression as important correlates of PTSD in children. Participants were recruited by staff at two metropolitan Domestic Violence Services and interviewed by the first author using standardised PTSD scales and trauma inventories. Results found no significant relationship between trauma symptoms in the mother and those in her child. With respect to children who met the criteria for a diagnosis of posttraumatic stress disorder (PTSD), they were more likely to have higher levels of anxiety and depression when compared to children who did not meet PTSD criteria. Results suggest that the emotional responses of older children may tend to reflect their own experiences rather than being a reflection of maternal distress as seems more likely with younger children. Implications of these findings include the importance of independent assessments of older children, and that older children may profit from early therapeutic interventions in their own right.

摘要

正在进行的研究不断增进我们对家庭暴力对妇女和儿童影响的理解。然而,大多数此类研究往往分别关注这两类人群,迄今为止只有相对较少的研究评估母婴情绪功能之间的关系,特别是创伤后应激症状(PTSS)。本研究旨在调查来自家庭暴力背景的母婴二元组中的创伤症状学,其中儿童能够自行报告自己的症状。此外,该研究还考察了焦虑和抑郁作为儿童创伤后应激障碍(PTSD)的重要相关因素。参与者由两个大都市家庭暴力服务机构的工作人员招募,第一作者使用标准化的PTSD量表和创伤量表进行访谈。结果发现母亲的创伤症状与孩子的创伤症状之间没有显著关系。对于符合创伤后应激障碍(PTSD)诊断标准的儿童,与不符合PTSD标准的儿童相比,他们更有可能有更高水平的焦虑和抑郁。结果表明,年龄较大儿童的情绪反应可能倾向于反映他们自己的经历,而不是像年龄较小儿童那样更可能反映母亲的痛苦。这些发现的意义包括对年龄较大儿童进行独立评估的重要性,以及年龄较大儿童可能本身就能从早期治疗干预中受益。

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本文引用的文献

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How children with experiences of intimate partner violence towards the mother understand and relate to their father.
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