Fongaro Erica, Picot Marie-Christine, Aouinti Safa, Pupier Florence, Purper-Ouakil Diane, Franc Nathalie
Centre Hospitalier Universitaire de Montpellier, Saint Eloi Hospital, Montpellier, France.
CESP INSERM U 1018 UVSQ Psychiatry Development and Trajectories, Villejuif, France.
Child Psychiatry Hum Dev. 2025 Jun;56(3):661-668. doi: 10.1007/s10578-023-01592-z. Epub 2023 Aug 28.
This study focused on a subtype of child-to-parent violence, severe tyrannical behaviour (STB). The aim was to examine the clinical characteristics of children and adolescents who physically and/or verbally abuse their parents and the sociodemographic characteristics and generalities of those families. Clinical and sociodemographic data from 73 children and adolescents with STB and their parents have been collected from a randomized control trial. Results showed a specific profile of youth with tyrannical behaviour (aggressive behaviour only in-home settings, only-child, previously mental health care), as well as differential characteristics of these families (late parenthood, high socio-economic status and conjugal family). Children with tyrannical behaviour frequently had psychiatric conditions, such as attention deficit hyperactivity disorder, separation anxiety, sleeping disorders and severe irritability was frequently described. These clinical patterns of combined neurodevelopmental, externalized and internalized symptoms suggest that the combination of individual characteristics, parenting style and parent-child relationship play essential roles in children's STB development.
本研究聚焦于一种特定类型的子女对父母的暴力行为，即严重专制行为（STB）。其目的是探究对父母进行身体和/或言语虐待的儿童及青少年的临床特征，以及这些家庭的社会人口学特征和共性。我们从一项随机对照试验中收集了73名患有严重专制行为的儿童及青少年及其父母的临床和社会人口学数据。结果显示，具有专制行为的青少年呈现出特定的特征（仅在家庭环境中有攻击行为、独生子女、曾接受过心理保健），这些家庭也具有不同的特征（生育年龄较晚、社会经济地位较高且为核心家庭）。有专制行为的儿童经常患有精神疾病，如注意力缺陷多动障碍、分离焦虑症、睡眠障碍，且经常表现出严重的易怒情绪。这些神经发育、外化和内化症状相结合的临床模式表明，个体特征、养育方式和亲子关系的综合作用在儿童严重专制行为的发展中起着至关重要的作用。
