Attributions and behaviours of parents abused as children: a mediational analysis of the intergenerational continuity of child maltreatment (Part II)

Attributions and behaviours of parents abused as children: a mediational analysis of the intergenerational continuity of child maltreatment (Part II)
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DOI:
10.1111/j.1469-7610.2004.00340.x
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发表时间:
2005-01-01
影响因子:
7.6
通讯作者:
Browne, K
Browne, K
中科院分区:
医学1区
文献类型:
--
作者:
Dixon, L;Hamilton-Giachritsis, C;Browne, K

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背景资料:本研究扩展了以前的研究(狄克逊,布朗和汉密尔顿Giachritsis,2004年),通过探索中介属性的父母教养方式和他们的关系,在代际循环的儿童虐待的风险因素。在父母的归因和行为方面,将父母中至少有一人在儿童时期受到身体和/或性虐待的新生儿家庭(AP家庭)与父母没有童年虐待史的家庭(NAP家庭)进行比较。方法:收集资料,从4351个家庭(135 AP家庭)的社区护士的一部分,“健康访视”服务。同一名保健访问员在儿童4至6周和3至5个月大时对每个家庭进行两次家访,以评估积极育儿的行为指标。结果:在出生后13个月内,9个(6.7%)AP家庭被转介虐待自己的孩子相比,18个(.4%)NAP家庭。评估发现,AP家庭的风险因素和措施显着增加,表明父母养育不良。中介分析发现,儿童虐待的代际连续性在很大程度上(占总效应的62%)是由不良的父母教养方式以及三个重要的风险因素(21岁以下的父母教养,精神疾病或抑郁症史,与暴力成年人居住)共同解释的。单独的三个风险因素的解释力较低(占总效应的53%)。结论:这项研究提供了一个解释,为什么少数的父母在童年虐待自己的婴儿继续虐待,证明不良的养育方式和中介风险因素。因此,除了为年轻父母提供额外支援、行程精神病/撇号症及家庭暴力问题外,亦可透过披索“积极的家长教育”,加强预防非典型肺炎家庭。
Background: This study extends previous research (Dixon, Browne, & Hamilton-Giachritsis, 2004) by exploring the mediational properties of parenting styles and their relation to risk factors in the inter-generational cycle of child maltreatment. Families with newborns where at least one of the parents was physically and/or sexually abused as a child (AP families) were compared, in terms of parents' attributions and behaviour, to families where the parents had no childhood history of victimisation (NAP families). Methods: Information was collected from 4351 families (135 AP families) by community nurses as part of the 'health visiting' service. The same health visitor visited each family twice at home when the child was 4 to 6 weeks and 3 to 5 months of age, to assess behavioural indicators of positive parenting. Results: Within 13 months after birth, 9 (6.7%) AP families were referred for maltreating their own child in comparison to 18 (.4%) NAP families. Assessments found a significantly higher number of risk factors and measures indicating poor parenting for AP families. Mediational analysis found that intergenerational continuity of child maltreatment was explained to a larger extent (62% of the total effect) by the presence of poor parenting styles together with the three significant risk factors (parenting under 21 years, history of mental illness or depression, residing with a violent adult). The three risk factors alone were less explanatory (53% of the total effect). Conclusion: This study provides an explanation for why a minority of parents abused in childhood go on to maltreat their own infant, evidencing poor parenting styles and mediating risk factors. Hence, prevention may be enhanced in AP families by the promotion of 'positive parenting' in addition to providing additional support to young parents, tackling mental illness/ depression and domestic violence problems.