Manion I G, McIntyre J, Firestone P, Ligezinska M, Ensom R, Wells G
Department of Psychiatry, Children's Hospital of Eastern Ontario, Ottawa, Canada.
Child Abuse Negl. 1996 Nov;20(11):1095-109. doi: 10.1016/0145-2134(96)00098-1.
Disclosure or discovery of extrafamilial sexual abuse (ESA) has the potential to traumatize the entire family system. Little controlled research has examined the initial reactions of parents to this type of trauma. The present study evaluated the adjustment of 93 parents (63 mothers and 30 fathers) within 3 months of the disclosure of ESA. Parents' functioning was compared to that of a nonclinical comparison group of 136 parents (74 mothers, 62 fathers). Parent adjustment was assessed using self-report measures of psychological distress, parent competence, family functioning, marital functioning, life stressors, and environmental support. Results revealed that mothers of sexually abused children, in comparison to mothers of nonabused children, experienced greater overall emotional distress, poorer family functioning, and lower satisfaction in their parenting role. Fathers of sexually abused children also experienced greater overall emotional distress relative to comparison fathers but their level of distress remained below that of mothers. Standard and hierarchical multiple regressions on maternal self-reports revealed that mothers' satisfaction with their parenting role and their perceived level of environmental support predicted their emotional functioning. Abuse-related variables did not contribute to the prediction of emotional functioning. These results emphasize the need to expand our focus beyond the child victims to the traumatized families and to normalize the potential for all close family members to be vulnerable to experience adjustment difficulties following ESA.
披露或发现家庭外性虐待(ESA)有可能使整个家庭系统受到创伤。很少有对照研究考察父母对这类创伤的最初反应。本研究评估了93名父母(63名母亲和30名父亲)在ESA披露后3个月内的适应情况。将这些父母的功能与136名父母(74名母亲,62名父亲)组成的非临床对照组进行比较。使用心理困扰、父母能力、家庭功能、婚姻功能、生活压力源和环境支持的自我报告量表来评估父母的适应情况。结果显示,与未受虐待儿童的母亲相比,受性虐待儿童的母亲总体情绪困扰更大,家庭功能更差,对育儿角色的满意度更低。与对照组的父亲相比,受性虐待儿童的父亲总体情绪困扰也更大,但他们的困扰程度仍低于母亲。对母亲自我报告的标准和分层多元回归分析显示,母亲对育儿角色的满意度以及她们感知到的环境支持水平预测了她们的情绪功能。与虐待相关的变量对情绪功能的预测没有贡献。这些结果强调,我们需要将关注重点从儿童受害者扩大到受创伤的家庭,并使所有亲密家庭成员在ESA后都有可能经历适应困难这一情况正常化。