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年轻成年男性中的儿童期虐待经历、内化与外化创伤后遗症及伴侣暴力行为

Child Abuse Exposure, Internalizing and Externalizing Trauma Sequelae, and Partner Violence Perpetration among Young Adult Men.

作者信息

Hammett Julia F, Davis Kelly Cue

机构信息

Arizona State University.

出版信息

J Aggress Maltreat Trauma. 2025 Apr-Jun;34(6):790-806. doi: 10.1080/10926771.2024.2326100. Epub 2024 Mar 7.

Abstract

Partner violence is a major public health concern. Theory and research connect exposure to abuse in childhood to partner violence in adulthood. The present study examined internalizing and externalizing trauma sequelae as mediators in the association between child abuse exposure and adult partner violence perpetration. Young U.S. adult men ( = 423) completed background measures assessing exposure to psychological, physical, and sexual child abuse, internalizing (symptoms of anxiety and depression) and externalizing (problems with anger and alcohol use) sequelae, psychological and physical partner violence perpetration, and follow-up assessments regarding sexual violence perpetration over the course of 3 months. Negative binomial regression showed that problems with anger mediated the associations between child psychological abuse exposure and adult psychological violence perpetration and between child physical abuse exposure and adult psychological violence perpetration. Problems from alcohol use mediated the associations between child psychological abuse exposure and adult psychological, physical, and sexual violence perpetration. Although child abuse exposure was associated with internalizing sequelae, none of the indirect effects from child abuse exposure to adult violence perpetration via internalizing sequelae were statistically significant. These findings add to the extant literature supporting an intergenerational transmission of violence and underscore that men who experience trauma early in life may attempt to cope with such experiences via maladaptive acting out behaviors. Partner violence interventions may benefit from incorporating strategies that address trauma and provide healthy alternatives for coping with distress.

摘要

伴侣暴力是一个重大的公共卫生问题。理论和研究将童年时期遭受虐待与成年后的伴侣暴力联系起来。本研究考察了内化和外化创伤后遗症作为儿童期虐待经历与成年后伴侣暴力行为之间关联的中介因素。美国年轻成年男性((n = 423))完成了背景测量,评估心理、身体和性方面的儿童期虐待经历、内化(焦虑和抑郁症状)和外化(愤怒和饮酒问题)后遗症、心理和身体方面的伴侣暴力行为,以及在3个月期间关于性暴力行为的随访评估。负二项回归显示,愤怒问题介导了儿童期心理虐待经历与成年后心理暴力行为之间以及儿童期身体虐待经历与成年后心理暴力行为之间的关联。饮酒问题介导了儿童期心理虐待经历与成年后心理、身体和性暴力行为之间的关联。虽然儿童期虐待经历与内化后遗症有关,但通过内化后遗症从儿童期虐待经历到成年后暴力行为的间接影响均无统计学意义。这些发现为支持暴力的代际传播的现有文献增添了内容,并强调早年经历创伤的男性可能试图通过适应不良的行为表现来应对此类经历。伴侣暴力干预措施可能会受益于纳入解决创伤问题并提供应对痛苦的健康替代方法的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96b1/12355914/de4299a59473/nihms-1972477-f0001.jpg

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