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早期暴力经历对青少年成长的影响:隧道尽头是否有光?

The Impact of Early Violence Exposure on Adolescent Flourishing : Is There Light at the End of the Tunnel?

机构信息

Moore Center for the Prevention of Child Sexual Abuse, Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.

Bloomberg School of Public Health, Hopkins University, 625 N Broadway Suite 897, Baltimore, MD, 21205, USA.

出版信息

J Prev (2022). 2024 Apr;45(2):269-285. doi: 10.1007/s10935-024-00765-3. Epub 2024 Jan 30.

Abstract

Child maltreatment (CM) and intimate partner violence (IPV) are prevalent in the United States and associated with negative mental and physical health outcomes. Thus far, research and clinical care have focused on reducing symptoms of illness, but little is known about whether or how CM and IPV exposure can lead to flourishing in adolescence. To examine the impact of CM and IPV exposure on adolescent mental and physical flourishing as well as moderators and mediators affecting this pathway. A secondary data analysis of 2,232 children in the Future of Families Child Wellbeing Study (FFCWS) was conducted to examine waves 1-6 including variables on CM/IPV, general flourishing, mental flourishing, BMI, and healthy eating. Race, socioeconomic status (SES), and gender were included as moderators; depression and anxiety were included as mediating variables. Adolescent boys experienced significantly more general flourishing (β = 4.00, p < .001). There were significant direct effects of CM (p = .025) and anxiety (p = .019) on well-being, and anxiety mediated the pathway from CM to mental flourishing (CI [0.001, 0.017]). Depression (CI [0.001, 0.026]) and anxiety (CI [-0.023, - 0.005]) mediated the pathway from CM to BMI. Our findings indicated that exposure to CM and IPV impacted the likelihood of adolescent flourishing. Future research should evaluate whether and how these flourishing outcomes could be modified.

摘要

儿童虐待 (CM) 和亲密伴侣暴力 (IPV) 在 美国普遍存在,与负面的心理和身体健康结果有关。迄今为止,研究和临床护理一直侧重于减轻疾病症状,但对于 CM 和 IPV 暴露如何导致青少年蓬勃发展知之甚少。本研究旨在探讨 CM 和 IPV 暴露对青少年心理和身体蓬勃发展的影响,以及影响这一途径的调节因素和中介因素。对未来家庭儿童福利研究 (FFCWS) 中的 2232 名儿童的二次数据分析,以检查包括 CM/IPV、一般幸福感、心理幸福感、BMI 和健康饮食在内的变量的第 1-6 波。种族、社会经济地位 (SES) 和性别被纳入调节因素;抑郁和焦虑被纳入中介变量。青少年男孩的总体幸福感明显更高 (β=4.00,p<.001)。CM(p=.025)和焦虑(p=.019)对幸福感有显著的直接影响,焦虑中介了 CM 到心理幸福感的途径 (CI [0.001, 0.017])。抑郁 (CI [0.001, 0.026])和焦虑 (CI [-0.023, -0.005]) 中介了 CM 到 BMI 的途径。我们的研究结果表明,CM 和 IPV 的暴露会影响青少年蓬勃发展的可能性。未来的研究应该评估这些蓬勃发展的结果是否可以被改变。

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