Roach Alex, McLean Rebecca, Mendoza Diaz Antonio, Hawes David, Dadds Mark
School of Psychology, University of Sydney, Sydney, Australia.
Discipline of Psychiatry & Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia.
Br J Psychiatry. 2025 Aug;227(2):538-544. doi: 10.1192/bjp.2024.228.
Discipline is a crucial aspect of parenting, shaping child development and behaviour. Time-out, a widely used disciplinary strategy with a strong evidence-base, has recently come under scrutiny with concerns about potential adverse effects on children's emotional development and attachment, particularly for those with a history of adversity.
To contribute critical empirical insights to the current controversy surrounding time-out by exploring the associations among time-out implementation, parent-child attachment and child mental health, and whether adversity exposure moderated these associations.
This cross-sectional study utilised a nationally representative sample of 474 primary caregivers in Australia, with children aged 6-8 years, who completed an online survey. Measures included the Implementation of Time-out Scale, Adverse Life Experiences Scale, Primary Attachment Style Questionnaire, Strengths and Difficulties Questionnaire and Spence Child Anxiety Scale.
Appropriately implemented time-out was associated with enhanced mental health and attachment, while inappropriate time-out correlated with adverse child outcomes. Exposure to adversity moderated the relationship between time-out implementation and child well-being, such that children exposed to adversity were most likely to experience attachment enhancement from appropriately implemented time-out.
Despite recent concerns of harm caused by time-out, particularly for children with a history of adversity, findings support the beneficial impact of time-out on child well-being and attachment when implemented in accordance with evidence-based parameters. Combatting misinformation and disseminating evidence-based time-out guidelines is crucial for promoting child well-being and attachment, especially for children who have experienced adversity.
管教是育儿的一个关键方面,塑造着孩子的发展和行为。暂停是一种广泛使用且有充分证据支持的管教策略,最近受到了审视,人们担心它可能对孩子的情感发展和依恋产生不利影响,尤其是对那些有过逆境经历的孩子。
通过探讨暂停实施、亲子依恋和儿童心理健康之间的关联,以及逆境暴露是否调节了这些关联,为当前围绕暂停的争议提供关键的实证见解。
这项横断面研究使用了澳大利亚474名主要照顾者的全国代表性样本,他们的孩子年龄在6至8岁之间,这些照顾者完成了一项在线调查。测量工具包括暂停实施量表、不良生活经历量表、主要依恋风格问卷、长处和困难问卷以及斯宾斯儿童焦虑量表。
适当实施的暂停与心理健康和依恋的增强相关,而不适当的暂停则与不良的儿童结果相关。逆境暴露调节了暂停实施与儿童幸福感之间的关系,因此经历过逆境的儿童最有可能从适当实施的暂停中体验到依恋增强。
尽管最近有人担心暂停会造成伤害,尤其是对有过逆境经历的孩子,但研究结果支持了按照循证参数实施暂停对儿童幸福感和依恋的有益影响。对抗错误信息并传播循证的暂停指导方针对于促进儿童幸福感和依恋至关重要,特别是对于那些经历过逆境的儿童。