Mediators and Effect Modifiers of the Causal Pathway Between Child Exposure to Domestic Violence and Internalizing Behaviors Among Children and Adolescents: A Systematic Literature Review.

Mediators and Effect Modifiers of the Causal Pathway Between Child Exposure to Domestic Violence and Internalizing Behaviors Among Children and Adolescents: A Systematic Literature Review.
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DOI:
10.1177/1524838020965964
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发表时间:
2022-04
期刊:
Trauma, violence & abuse
影响因子:
--
通讯作者:
Kemp A
Kemp A
中科院分区:
其他
文献类型:
--
作者:
Carter B;Paranjothy S;Davies A;Kemp A

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儿童时期接触家庭暴力(DV)会导致心理健康问题,包括内化症状。这项系统的文献综述旨在确定在儿童和青少年中调节或改变DV暴露对内化症状的影响的个人、家庭和社区水平的因素。这篇系统的文献综述已在Propero注册,注册号:CRD42019127012。在1990至2018年间,对Medline、EMBASE和CogcINFO进行了搜索,以获取同行评议的、定量的、纵向的英文研究。进行回溯参考和手写检索。共纳入12项纵向研究。这些研究调查了易于改变的因素如何调节或改变接触DV对普通人群中18岁以下儿童和青少年内化症状的影响(使用有效的衡量标准)。研究质量使用纽卡斯尔-渥太华偏差风险工具进行评估,作者对研究样本进行了第二次审查。确定了一个个体水平的中介变量,即情绪智力,并确定了两个效应修饰者:关系受害和参与课外活动。家庭调节因素包括不适应父母教养方式和父母养育压力,而效果修正因素包括积极的父母养育方式(母亲的温暖和可获得性)和家庭社会支持。没有确定社区层面的因素。所有的研究都是在美国进行的,最关注的是风险,大多数是在童年中期衡量结果的。然而,这些调查结果表明,为遭受亲密伴侣暴力的家庭提供的干预措施需要针对儿童和家庭因素,以便成功地减少儿童的内化症状。
Childhood exposure to domestic violence (DV) can lead to mental health problems including internalizing symptoms. This systematic literature review aimed to identify individual-, familial-, and community-level factors that mediate or modify the effect of DV exposure on internalizing symptoms among children and adolescents. This systematic literature review was registered with PROSPERO, registration number: CRD42019127012. MEDLINE, EMBASE, and PsycINFO were searched between 1990 and 2018 for peer-reviewed, quantitative, longitudinal studies published in English. Backreferencing and key journal hand searches were conducted. Twelve longitudinal studies were included. These investigated how factors amenable to change either mediate or modify the effect of exposure to DV on internalizing symptoms (using validated measures) in children and adolescents up to 18 years within a general population. Study quality was assessed using the Newcastle–Ottawa risk of bias tool, and a sample of studies were second reviewed by authors. One individual-level mediator was identified, namely emotional intelligence, and two effect modifiers were identified: relational victimization and participation in extracurricular activities. Familial mediators included maladaptive parenting and parenting stress, while effect modifiers included positive parenting (maternal warmth and availability) and family social support. No community-level factors were identified. All research was conducted in the United States, most focused on risk, and the majority measured outcomes in middle childhood. Nevertheless, these findings suggest that interventions provided to families exposed to intimate partner violence need to target both child and familial factors in order to successfully reduce children’s internalizing symptoms.
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