Safe, Stable, Nurturing Relationships Break the Intergenerational Cycle of Abuse: A Prospective Nationally Representative Cohort of Children in the United Kingdom

Safe, Stable, Nurturing Relationships Break the Intergenerational Cycle of Abuse: A Prospective Nationally Representative Cohort of Children in the United Kingdom
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DOI:
10.1016/j.jadohealth.2013.04.007
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发表时间:
2013-10-01
影响因子:
7.6
通讯作者:
Arseneault, Louise
Arseneault, Louise
中科院分区:
医学2区
文献类型:
--
作者:
Jaffee, Sara R.;Bowes, Lucy;Arseneault, Louise

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目的:为了确定上下文和人际因素,区分家庭中的代际传递的虐待是保持从家庭中的周期breaked.Methods:样本是由1,116个家庭在英国谁参加了环境风险(E-风险)纵向双胞胎研究。我们评估了母亲的童年虐待历史回顾性的有效和可靠的采访。反复收集了长达12年的儿童身体虐待的前瞻性报告。我们比较了母亲而不是孩子经历过虐待的家庭与母亲和孩子都经历过虐待的家庭以及没有虐待的家庭,在一系列已知影响儿童发展的背景和人际因素上。在多变量分析中,与亲密伴侣的支持和信任关系,母亲对孩子的温暖程度高,成年人之间伴侣暴力行为的发生率低,将母亲而非儿童遭受虐待的家庭与母亲和儿童遭受虐待的家庭区分开来。只有母亲经历虐待的家庭在很大程度上类似的家庭中,没有一代人经历虐待,除了属于前一组的母亲更有可能有一生的抑郁症和低水平的社会supports.Conclusions的历史:安全,稳定,亲密的合作伙伴之间的关系,母亲和孩子之间的培育与打破家庭中的虐待循环。需要进一步研究,以确定这些因素是否在防止虐待代代相传方面发挥因果作用。(C)2013年青少年健康和医学协会。All rights reserved.
Purpose: To identify contextual and interpersonal factors that distinguish families in which the inter-generational transmission of maltreatment is maintained from families in which the cycle is broken.Methods: The sample was composed of 1,116 families in the United Kingdom who participated in the Environmental Risk (E-Risk) Longitudinal Twin Study. We assessed mother's childhood history of maltreatment retrospectively with a validated and reliable interview. Prospective reports of children's physical maltreatment were collected repeatedly up to 12 years. We compared families in which mothers but not children had experienced maltreatment with families in which both mothers and children had experienced maltreatment, and with families without maltreatment, on a range of contextual and interpersonal factors known to affect child development.Results: In multivariate analyses, supportive and trusting relationships with intimate partners, high levels of maternal warmth toward children, and low levels of partner violence between adults distinguished families in which mothers but not children experienced maltreatment from families in which mothers and children experienced maltreatment. Families in which only mothers experienced maltreatment were largely similar to families in which neither generation experienced maltreatment, except that mothers belonging to the former group were more likely to have a lifetime history of depression and low levels of social support.Conclusions: Safe, stable, nurturing relationships between intimate partners and between mothers and children are associated with breaking the cycle of abuse in families. Additional research is needed to determine whether these factors have a causal role in preventing the transmission of maltreatment from one generation to the next. (C) 2013 Society for Adolescent Health and Medicine. All rights reserved.