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同型和异型代际儿童虐待的连续性:来自涉及儿童保护服务的家庭队列的证据。

Homotypical and Heterotypical Intergenerational Continuity of Child Maltreatment: Evidence from a Cohort of Families Involved with Child Protection Services.

机构信息

Department of Educational and Counselling Psychology, McGill University, 3700 Rue McTavish, Montréal, QC H3A 1Y2, Canada.

School of Social Work, Université de Montréal, 3150 Rue Jean-Brillant, Montréal, QC H3T 1N8, Canada.

出版信息

Int J Environ Res Public Health. 2023 Feb 25;20(5):4151. doi: 10.3390/ijerph20054151.

Abstract

Child maltreatment (CM) in one generation can predict CM in the next generation, a concept known as intergenerational continuity. Yet, the form taken by the intergenerational continuity of CM remains unclear and fathers are mostly absent from this literature. This longitudinal study aimed to document patterns of intergenerational continuity of substantiated CM, on the maternal and paternal sides, by examining the presence of: homotypical CM, which is the same type of CM in both generations; and heterotypical CM, which is different CM types in both generations. The study included all children substantiated for CM with the Centre Jeunesse de Montréal between 1 January 2003, and 31 December 2020, with at least one parent who was also reported to that agency during their childhood ( = 5861 children). The cohort was extracted using clinical administrative data, and logistic regression models were tested with the children's CM types as the dependent variables. Homotypical continuity was found for: (1) physical abuse on the paternal side; (2) sexual abuse on the maternal side; and (3) exposure to domestic violence on the maternal side. Heterotypical continuity was also prevalent, but to a lesser extent. Interventions helping maltreated parents overcome their traumatic past are essential to foster intergenerational resilience.

摘要

儿童虐待(CM)在代际间具有延续性,即上一代的儿童虐待可能会预测下一代的儿童虐待,这一概念被称为代际连续性。然而,CM 的代际连续性的具体形式尚不清楚,并且文献中主要关注的是母亲一方,而忽视了父亲的作用。本纵向研究旨在通过检查以下两种模式,记录经蒙特利尔青年中心(Centre Jeunesse de Montréal)证实的 CM 在母系和父系双方的代际连续性模式:同型 CM,即两代人具有相同类型的 CM;和异型 CM,即两代人具有不同类型的 CM。该研究纳入了所有在 2003 年 1 月 1 日至 2020 年 12 月 31 日期间因 CM 而被该机构证实的儿童,且其父母双方中至少有一方在其童年时期也向该机构报告过 CM(=5861 名儿童)。该队列是使用临床行政数据提取的,并且使用逻辑回归模型,以儿童的 CM 类型作为因变量进行了检验。发现同型连续性存在于:(1)父亲一方的身体虐待;(2)母亲一方的性虐待;和(3)母亲一方的家庭暴力暴露。异型连续性也很普遍,但程度较轻。帮助受虐父母克服创伤性过去的干预措施对于培养代际弹性至关重要。

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