The University of Sydney, Camperdown, Sydney, AU, NSW, 2008, Australia.
Eur Child Adolesc Psychiatry. 2024 Oct;33(10):3471-3479. doi: 10.1007/s00787-024-02408-8. Epub 2024 Mar 5.
Time-out (TO) is a widely utilised parental discipline technique with a strong evidence-base that nonetheless has attracted controversy regarding potential adverse effects on mental health in developing children. Associations between TO implementation and mental health outcomes have rarely been investigated, especially through the eyes of children who grew up experiencing TO. This study recruited 407 university students (Study 1) and a community sample of 535 young adults (Study 2); both samples aged 18-30 years. Young adults were surveyed on their retrospective reports of childhood TO experience, childhood experiences of adversity, perceived parenting style and parental attachment, and their current mental health outcomes (attachment style, emotion regulation and mental health). In Study 1, 334 (82.1%) young adults reported experiencing TO in childhood, but with widely varied implementation that differed considerably from its evidence-based ideal. Reports of more TO appropriate implementation were associated with less avoidant attachment, better mental health, and emotion regulation, over and above the effects associated with authoritative parenting and secure attachment in childhood. While exposure to childhood adversity was associated with poorer adulthood outcomes, TO implementation did not moderate the association. Study 2 replicated most findings from Study 1, except that appropriate TO implementation displayed a positive association with mental health and no associations with anxious and avoidant attachment and emotion regulation. These findings suggest the safety of TO use with young children, including those who experienced childhood adversity, and highlight the importance of disseminating sufficient parenting information on TO in the community.
时间暂停(TO)是一种广泛应用的父母纪律教育技巧,具有坚实的证据基础,但它在发展中国家儿童心理健康方面的潜在负面影响仍存在争议。关于 TO 实施与心理健康结果之间的关联,很少有研究调查过,特别是通过经历过 TO 的儿童的视角进行调查。本研究招募了 407 名大学生(研究 1)和 535 名社区青年(研究 2);两个样本的年龄均为 18-30 岁。青年们接受了关于他们童年 TO 经历、童年逆境经历、感知的养育方式和父母依恋以及当前心理健康结果(依恋风格、情绪调节和心理健康)的回溯性报告调查。在研究 1 中,334 名(82.1%)青年报告说他们在童年时期经历过 TO,但实施情况差异很大,与基于证据的理想情况有很大不同。更合适的 TO 实施报告与更少的回避型依恋、更好的心理健康和情绪调节有关,这超过了童年时期权威养育和安全依恋相关的影响。尽管童年逆境暴露与成年后较差的结果相关,但 TO 实施并没有调节这种关联。研究 2 复制了研究 1 的大多数发现,但适当的 TO 实施与心理健康呈正相关,与焦虑和回避型依恋以及情绪调节没有关联。这些发现表明,包括那些经历过童年逆境的幼儿在内,TO 的使用是安全的,并强调了在社区中传播有关 TO 的充足养育信息的重要性。