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父母关于儿童遭受婚姻攻击情况报告的可靠性及诊断效力

Reliability and diagnostic efficacy of parents' reports regarding children's exposure to marital aggression.

作者信息

O'Brien M, John R S, Margolin G, Erel O

机构信息

New York University.

出版信息

Violence Vict. 1994 Spring;9(1):45-62.

PMID:7826935
Abstract

Mothers, fathers, and 8- to 11-year-old children from 181 two-parent families independently reported on the occurrence of husband-to-wife physical aggression and wife-to-husband physical aggression; parents additionally indicated whether the child had been witness to the aggression. First this study examined interspousal agreement regarding whether parents have been physically aggressive toward one another and whether the child has witnessed interparental physical aggression. There was moderate agreement between parents as to the occurrence of physical aggression and only fair agreement as to whether the child saw or heard the aggression. Second, this study explored the diagnosticity of a joint parent report as an indicator of child exposure to marital aggression. Receiver operating characteristic (ROC) curves are presented separately for husbands' and wives' aggression, indicating the explicit trade-off between true positives (sensitivity) and false positives (one minus specificity) in using the joint parent report as a diagnostic indicator. Standard ROC analysis suggests that the joint parent report is equally diagnostic in predicting children's reports of exposure to husbands' and wives' aggression. Finally, decisions regarding how to use parent reports as an indicator of children's exposure to marital aggression are discussed as depending on the base rate of child reports of exposure and the objective sought in classifying children and/or families.

摘要

来自181个双亲家庭的母亲、父亲以及8至11岁的孩子分别报告了丈夫对妻子的身体攻击和妻子对丈夫的身体攻击的发生情况;父母还指出孩子是否目睹了这种攻击行为。首先,本研究考察了夫妻之间在父母是否对彼此实施身体攻击以及孩子是否目睹父母间身体攻击方面的一致性。父母在身体攻击的发生情况上有中等程度的一致性,而在孩子是否看到或听到攻击行为方面只有一般程度的一致性。其次,本研究探讨了联合父母报告作为孩子接触婚姻攻击行为指标的诊断价值。分别给出了丈夫攻击行为和妻子攻击行为的接受者操作特征(ROC)曲线,表明在将联合父母报告用作诊断指标时,真阳性(敏感性)和假阳性(1减去特异性)之间的明确权衡。标准ROC分析表明,联合父母报告在预测孩子关于接触丈夫和妻子攻击行为的报告方面具有同等的诊断价值。最后,讨论了关于如何将父母报告用作孩子接触婚姻攻击行为指标的决策,这取决于孩子报告接触情况的基础比率以及在对孩子和/或家庭进行分类时所追求的目标。

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