Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Trauma Violence Abuse. 2024 Jan;25(1):542-559. doi: 10.1177/15248380231156197. Epub 2023 Mar 17.
Domestic violence (DV) can persist and escalate post-separation. However, little focus has been given to children exposed to DV during this period. This review aims to consolidate the available evidence on children's post-separation experiences with DV caused by their fathers. A qualitative systematic review was carried out. Six electronic databases were searched from the inception of each database until July 2022. Qualitative studies of children aged below 24 years, with biological fathers that committed DV, of which each had experienced parental separation were selected. Twenty studies were included in this review after screening according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline. Using Sandelowski and Barroso's analysis method, a meta-summary and a meta-synthesis were conducted. Three major themes with eight subthemes were identified: (1) continued abuse post-separation, (2) child's wavering mind of their fathers, and (3) wrangling between past and present. Overall, the findings highlighted that the experience of DV persisted post-separation through various forms of abuse. Children also struggled with mixed feelings and thoughts toward their fathers. They found it hard to trust their fathers and were cautious about their fathers' intentions regarding love and interest. Some children had difficulty interacting with their fathers and were exploited by them. Different stakeholders such as healthcare professionals and court officials can play a significant role in supporting and protecting children exposed to DV and schools can play a significant role in empowering children against DV.
家庭暴力（DV）在分居后可能会持续升级。然而，对于在此期间暴露于 DV 下的儿童，关注甚少。本综述旨在综合现有关于儿童在父亲 DV 下分居后经历的证据。进行了定性系统综述。从每个数据库的创建开始，直到 2022 年 7 月，在六个电子数据库中进行了搜索。选择了年龄在 24 岁以下、父亲有 DV 行为且经历过父母分居的儿童的定性研究。根据系统评价和荟萃分析的首选报告项目指南筛选后，共有 20 项研究纳入本综述。使用桑德洛斯基和巴罗索的分析方法，进行了元总结和元综合。确定了三个主要主题和八个子主题：（1）分居后的持续虐待，（2）孩子对父亲的摇摆不定的想法，以及（3）过去与现在的纠缠。总体而言，研究结果强调，通过各种形式的虐待，DV 在分居后持续存在。孩子们也对他们的父亲产生了复杂的感觉和想法。他们发现很难信任他们的父亲，并对他们父亲的爱和兴趣的意图保持警惕。一些孩子难以与他们的父亲互动，并受到他们的剥削。医疗保健专业人员和法院官员等不同利益相关者可以在支持和保护遭受 DV 的儿童方面发挥重要作用，学校可以在赋予儿童反对 DV 的权力方面发挥重要作用。
