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The intersection of child protection and healthcare: Paediatric social admissions 儿童保护与医疗保健的交叉点:儿科社会接纳
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-11-18 DOI: 10.1002/car.70006
Leanne Stapleton

Objectives

In the context of a national shortage of specialist placements for children with complex needs in Ireland, this study examines the impact of healthcare professionals' management of paediatric social admissions (PSAs) in paediatric hospital settings, with particular attention to the child protection and welfare challenges encountered.

Design and Participants

A qualitative research design was utilised, employing semistructured interviews with healthcare professionals as the primary data collection method.

Findings

Thematic analysis of the interviews identified three principal themes: the spectrum of social admissions, influences and barriers, and the moral imperative of managing PSAs. The study found that social factors significantly influence the management and decision-making processes in paediatric cases, often resulting in prolonged hospital stays. The findings highlight complex child protection issues, including severe shortages in specialist placements and the frequent discharge of children to environments other than their homes.

Conclusions

The children involved in this study often remained in acute care settings for protracted periods, ranging from 6 months to several years. These extended stays deprived them of normal routines, education, and family life, underscoring substantial child protection concerns. This study calls for urgent systemic improvements to address these issues and ensure that the rights and well-being of children involved with PSAs are upheld.

研究目的 在爱尔兰全国缺乏为有复杂需求的儿童提供专业安置的背景下,本研究探讨了医护人员在儿科医院环境中管理儿科社会收容(PSA)的影响,尤其关注了在儿童保护和福利方面遇到的挑战。 设计与参与者 采用定性研究设计,以对医护专业人员进行半结构化访谈作为主要数据收集方法。 研究结果 对访谈进行的主题分析确定了三个主要的主题:社会接纳的范围、影响和障碍,以及管理公共服务协议的道德要求。研究发现,社会因素对儿科病例的管理和决策过程有重大影响,往往导致住院时间延长。研究结果凸显了复杂的儿童保护问题,包括专家安置点严重短缺,以及儿童经常被送往家庭以外的环境。 结论 本研究中涉及的儿童经常在急症护理环境中长期住院,时间从 6 个月到数年不等。这些长时间的住院剥夺了他们正常的生活规律、教育和家庭生活,凸显了儿童保护问题的严重性。本研究呼吁对系统进行紧急改进,以解决这些问题,并确保参与公共服务机构的儿童的权利和福祉得到维护。
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引用次数: 0
An analysis of child safeguarding cases managed by National Governing Bodies of sport across England and Wales 对英格兰和威尔士国家体育管理机构管理的儿童保护案件的分析
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-11-18 DOI: 10.1002/car.70004
Daniel Rhind, Robert Booth, Rachel Ade, Nick Slinn, Jude Towesland, Olivia Garrod

This study responded to a recommendation in the independent Duty of Care Report that called for standardised data to be collected and analysed regarding safeguarding cases in sport. A standardised case data tool was developed and piloted before being adopted by National Governing Bodies across England and Wales. An analysis of the first 4 years of data shows that a total of 3129 cases were managed. Overall, 54% of cases concerned behaviour outside of the context of sport. This demonstrates that sport plays an important role in the broader child protection system. In the remaining 46% of cases, the safeguarding concern was related to behaviour in the context of sport. The most commonly reported forms of concern in sport were physical abuse (20%), contact sexual abuse (20%), non-contact sexual abuse (17%) and emotional abuse (17%). The threshold for cases to be included in the analysis was that the case was judged to be sufficiently serious to involve referral to, or consultation with, the Local Authority Designated Officer (LADO), Children's Services or the Police. There are clearly many cases that did not meet this threshold or were never reported, and hence, these data provide an indication of the safeguarding issues related to sport. The need to expand the tool to collect lower level concerns as well as to include safeguarding concerns regarding adults is advocated.

独立的 "关爱责任报告 "要求收集和分析有关体育运动中保障案件的标准化数据,这项研究正是对该建议的回应。在英格兰和威尔士的国家管理机构采用之前,开发并试用了一种标准化的案件数据工具。对前 4 年数据的分析表明,共处理了 3129 起案件。总体而言,54%的案件涉及体育以外的行为。这表明,体育在更广泛的儿童保护体系中发挥着重要作用。在其余 46%的案例中,保护问题与体育运动中的行为有关。体育运动中最常报告的关注形式是身体虐待(20%)、接触性性虐待(20%)、非接触性性虐待(17%)和情感虐待(17%)。将案件纳入分析的门槛是,案件被判定为足够严重,需要转介或咨询地方当局指定官员(LADO)、儿童服务部门或警方。显然,有许多案件未达到这一门槛或从未报告,因此,这些数据提供了与体育有关的保障问题的说明。我们主张有必要扩展该工具,以收集较低层次的问题,并将有关成人的保障问题包括在内。
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引用次数: 0
Proactive and reactive sibling aggression and their mediating effects on the relationship between exposure to parental violence and adulthood intimate partner violence perpetration 主动和被动的兄弟姐妹攻击行为及其对父母暴力暴露与成年后亲密伴侣暴力犯罪之间关系的中介效应
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-11-14 DOI: 10.1002/car.70001
Ayleen Flores, Ruby Charak

It is generally understood that individuals who experience exposure to parental violence (EPV) during childhood may come to perpetrate violence, but not all will. Research has shown that individuals who experience EPV can model maladaptive modes of problem-solving that can later be seen in sibling relationships as aggression. This can lead to a heightened risk of adulthood intimate partner violence perpetration (IPV). This study aimed to examine the mediating role of proactive and reactive sibling aggression in the associations of three forms of childhood EPV—violence directed from mother-to-father, father-to-mother, bidirectional—and perpetration of sexual and physical IPV types during adulthood. Participants were 322 emerging adults in the age range 18–29 years (M = 24.69, SD = 2.91; 182 female) recruited online via Amazon's Mechanical Turk. Findings indicated that our sample endorsed bidirectional EPV (41.3%), proactive sibling aggression (87.2%) and reactive sibling aggression (94.7%) in childhood. In adulthood, they endorsed physical IPV (20.8%) and sexual IPV (22.7%). The mediation model indicated that those who had bidirectional EPV were more likely to engage in proactive aggression, which was associated with engagement in physical perpetration of IPV, and sexual perpetration of IPV. Findings suggest the need for intervention programs during childhood in those with exposure to parental violence and sibling proactive aggression.

人们普遍认为,童年时期遭受过父母暴力(EPV)的人可能会走上暴力犯罪的道路,但并非所有人都会这样。研究表明,经历过 EPV 的人可能会以不适应的方式来解决问题,这种方式日后可能会在兄弟姐妹关系中被视为攻击行为。这可能会导致成年后实施亲密伴侣暴力(IPV)的风险增加。本研究旨在探讨主动和被动的兄弟姐妹攻击行为在三种形式的童年亲密伴侣暴力(母亲对父亲的暴力、父亲对母亲的暴力、双向暴力)与成年后性暴力和肢体暴力类型的关联中的中介作用。我们通过亚马逊的 Mechanical Turk 在线招募了 322 名年龄介于 18-29 岁之间的新成人(中位数 = 24.69,标准差 = 2.91;182 名女性)。研究结果表明,我们的样本在童年时期赞同双向 EPV(41.3%)、主动性兄弟姐妹攻击(87.2%)和反应性兄弟姐妹攻击(94.7%)。成年后,他们认可肢体 IPV(20.8%)和性 IPV(22.7%)。中介模型表明,双向 EPV 的受试者更有可能进行主动攻击,而主动攻击与实施身体 IPV 和性 IPV 相关。研究结果表明,有必要在儿童期对遭受父母暴力和兄弟姐妹主动攻击的儿童进行干预。
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引用次数: 0
A thematic analysis of the involvement of children and families in Child Safeguarding Practice Reviews in England 英格兰儿童和家庭参与儿童保护实践审查的专题分析
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-11-11 DOI: 10.1002/car.70005
Cassy Harrison, Claire Barker

The need to involve children and families in Child Safeguarding Practice Reviews (CSPRs) is set out within the current statutory guidance. However, there remains limited guidance that sets out how this should be done and the available research indicates that children and families are often excluded or choose not to be involved. The aim of this study was to explore how children and families are currently being involved in CSPRs in order to support the development of best practice approaches. The study was conducted by undertaking a thematic analysis of the involvement of children and families in the CSPRs published on the National Society for the Prevention of Cruelty to Children (NSPCC) repository since the implementation of the guidance in 2018. The analyses identified four themes: ‘reports do not mention family involvement’, ‘children and families were excluded’, ‘children and families were invited but were not involved’ and ‘children and families were invited and at least one member was involved’. The study concludes that there is a necessity for clearer guidance regarding how, when and who will engage with the children and families, taking an individualised approach that offers flexibility, provides support and addresses trauma.

现行法定指南规定,儿童和家庭必须参与儿童保护实践审查(CSPR)。但是,规定如何参与的指南仍然有限,而且现有研究表明,儿童和家庭往往被排除在外或选择不参与。本研究的目的是探讨儿童和家庭目前是如何参与儿童保护政策审查的,以支持最佳实践方法的发展。本研究通过对自 2018 年实施指南以来在国家防止虐待儿童协会(NSPCC)存储库中发布的儿童和家庭参与 CSPR 的情况进行专题分析。分析确定了四个主题:"报告未提及家庭参与"、"儿童和家庭被排除在外"、"儿童和家庭被邀请但未参与 "以及 "儿童和家庭被邀请且至少有一名成员参与"。研究得出结论,有必要就如何、何时以及由谁来与儿童和家庭接触提供更明确的指导,采取灵活的个性化方法,提供支持并解决创伤问题。
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引用次数: 0
Does money motivate prospective foster parents? Are responses from high vs. low-income towns different? Evidence from Google advertising 金钱是否会激励未来的寄养父母?高收入城镇与低收入城镇的反应是否不同?来自谷歌广告的证据
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-11-11 DOI: 10.1002/car.70003
Subroto Roy, Jayanti Roy

Recruiting foster parents is a worldwide challenge. In the US, foster parents are supposed to volunteer but receive stipends to cover the cost of foster children. Thus, Foster Care agencies hesitate to highlight the Stipend in their recruitment messaging to prospective foster parents. This hesitation is to weed out extrinsically (stipend) motivated prospective parents early in the application, training and licensing process.

The first step in foster parent recruitment is to start the conversation between prospective foster care parents and foster parent recruiters.

Extant research has relied on current or former foster parents to find their motivations for fostering and continuing to foster. We believe ours is the first study to empirically examine whether mentioning money (stipend) early in the recruitment process makes a difference in the response of prospective foster parents.

The research reports Google ads data from two foster parent recruitment campaigns. These Google search ads showed when “foster parenting” related words were Googled. One ad had the word “stipend,” and the other did not. We then examine differences in response between high and low-income towns. Next, we analysed differences in click behaviour over 207 days between the two versions of the ads. We then examined differences in click behaviour between residents of high and low-income towns. We used the t-test to test for differences in our data analysis approach.

We find no statistical difference in response between the ads that mention ‘stipend’ and those that do not (t = 0.64, p = 0.26). However, residents of low-income towns are five times more likely to click on a foster parent ad than residents from high-income towns, irrespective of whether the stipend is mentioned in the ad (without mentioning stipend: t = 3.21, p = 0.0008; mentioning Stipend: t = 3.77, p = 0.0001).

招募寄养父母是一项世界性挑战。在美国,寄养父母应该是自愿的,但他们可以领取津贴,以支付寄养儿童的费用。因此,寄养机构在向潜在寄养父母发出招募信息时,并不愿意强调津贴。这种犹豫不决的态度是为了在申请、培训和许可过程的早期,就将那些出于外在动机(津贴)的准养父母淘汰出局。我们相信,我们的研究是第一项以实证研究的方式探讨在招募过程中尽早提及金钱(津贴)是否会对潜在寄养父母的反应产生影响的研究。这项研究报告了两次寄养父母招募活动中的谷歌广告数据。这些谷歌搜索广告显示了 "寄养父母 "相关词汇在谷歌上的搜索情况。其中一个广告有 "津贴 "一词,另一个则没有。然后,我们研究了高收入城镇和低收入城镇之间的响应差异。接着,我们分析了两个版本的广告在 207 天内的点击行为差异。然后,我们研究了高收入城镇居民和低收入城镇居民点击行为的差异。我们使用 t 检验来检验数据分析方法的差异。我们发现,提及 "津贴 "的广告与未提及 "津贴 "的广告在响应度上没有统计学差异(t = 0.64,p = 0.26)。然而,无论广告中是否提及津贴,低收入城镇居民点击寄养父母广告的可能性是高收入城镇居民的五倍(未提及津贴:t = 3.21,p = 0.0008;提及津贴:t = 3.77,p = 0.0001)。
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引用次数: 0
The silver lining of parental migration on left-behind adolescents' academic well-being in China: A systematic review 父母移民对中国留守青少年学业幸福感的影响:系统综述
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-11-08 DOI: 10.1002/car.2903
Endale Tadesse, Chunhai Gao, Sabika Khalid

The well-being, particularly academic performance, of left-behind children (LBC) by their migrant parents has been studied. Although extensive literature pronounces the adverse impact of parental migration on LBC's academic outcomes, a growing body of evidence has found that these children might perform equally or even better academically than non-left-behind children (NLBC), which inspires the present review. This innovative study has systematically reviewed previous studies to provide evidence of a silver lining for parental migration and its implications. We searched for relevant studies from reliable sources and screened them between January and April 2023, following the PRISMA guidelines. After two authors independently screened the title, abstract and full text, 11 potential studies that met the inclusion/exclusion criteria were reviewed. The results indicate that eight eligible studies found no significant difference in academic performance between LBC and NLBC, while the remaining studies showed that LBC outperformed NLBC. Additionally, the age of left-behind children, the duration and reasons for parental migration and household remittance practices were key factors in determining the resilience of LBCs towards academic engagement and performance. The present review findings suggest that future studies need to examine the positive consequence of parental migration on LBCs' academic and nonacademic outcomes by performing rigorous and robust methodology that unfolds and provides casual relationships, which insist on feasible practical and policy effective implications.

人们一直在研究父母移民的留守儿童(LBC)的福祉,特别是学习成绩。尽管有大量文献指出父母移民对留守儿童的学业成绩有不利影响,但越来越多的证据表明,这些儿童的学业成绩可能与非留守儿童(NLBC)相当,甚至更好,这也是本综述的灵感来源。这项创新性研究系统地回顾了以往的研究,以提供父母移民的一线希望及其影响的证据。我们在 2023 年 1 月至 4 月期间按照 PRISMA 指南从可靠来源搜索并筛选了相关研究。经过两位作者对标题、摘要和全文的独立筛选,我们对符合纳入/排除标准的 11 项潜在研究进行了审查。结果表明,8 项符合条件的研究发现,左侧卧位和非左侧卧位在学习成绩上没有显著差异,而其余研究则显示左侧卧位的学习成绩优于非左侧卧位。此外,留守儿童的年龄、父母移民的持续时间和原因以及家庭汇款方式是决定留守儿童学业参与度和学习成绩的关键因素。本综述的研究结果表明,今后的研究需要通过严谨、稳健的方法来探讨父母移民对留守儿童学业和非学业成绩的积极影响,从而揭示和提供偶然关系,并坚持可行的实际意义和有效的政策影响。
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引用次数: 0
Consequences of parental neglect of academic performance Brazilian child 父母忽视巴西儿童学习成绩的后果
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-11-06 DOI: 10.1002/car.2905
Mara Silvia Pasian, Marina Rezende Bazon, Priscila Benitez, Carl Lacharité

The negative effects of child neglect on the development of children are serious and have far-reaching negative consequences for children, especially in Brazil, with great social inequality. The research investigated the consequences of neglect for children in their early years of schooling. The academic performance was evaluated in three groups: children with formal notification of neglect, children with suspected unreported neglect and children who did not suffer any form of abuse. Information was collected from different sources: parents/caregivers, teachers and the children themselves. The groups comprised children in their early school years, aged between six and eight. The results showed that neglected children had borderline or clinical levels of school skills and below-average school performance. The reference group had, for the most part, normal scores and average or above-average school performance. Considering that school is a protective factor, children with learning difficulties and neglected children need support that favours child development.

忽视儿童对儿童成长的负面影响十分严重,对儿童产生了深远的消极后果,尤其是在社会极不平等的巴西。这项研究调查了忽视对处于学龄初期的儿童造成的后果。对三组儿童的学业成绩进行了评估:正式通知被忽视的儿童、疑似未报告被忽视的儿童和未遭受任何形式虐待的儿童。信息收集来自不同渠道:家长/监护人、教师和儿童本人。这些群体包括 6 至 8 岁的学龄前儿童。结果显示,被忽视儿童的学习技能处于边缘或临床水平,学习成绩低于平均水平。而参照组的大部分儿童得分正常,学习成绩平均或高于平均水平。考虑到学校是一个保护因素,有学习困难的儿童和被忽视的儿童需要得到有利于儿童发展的支持。
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引用次数: 0
A short report of a Scottish audit of disability and child protection medical examinations 苏格兰残疾和儿童保护体检审计简短报告
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-11-06 DOI: 10.1002/car.2906
Stephanie Govenden, Julie Taylor, John Devaney, Alex McTier

A Scottish national child protection audit has shown that practitioners can have differing understanding of the term ‘disability’ and are variable in their own recording of disabilities. It was apparent from the audit that disability was more likely to be recorded for older children than those under five. The audit found that an abuse allegation is less likely to be substantiated for disabled children by a Child Protection Medical Examination. For disabled children in our sample, there was a ‘substantiation of abuse rate’ of 33%, which was less than the 56% rate for non-disabled children. The differences in rates encourage us to consider what is an appropriate response when disabled children may have experienced harm and abuse. The audit highlights the vulnerability of disabled children to abuse and indicates the need to equip practitioners with the skills, competencies and confidence to engage with and support this vulnerable group.

苏格兰全国儿童保护审计表明,从业人员对 "残疾 "一词的理解可能不同,他们对残疾的记录也各不相同。审计结果表明,年龄较大的儿童比五岁以下的儿童更有可能被记录为残疾。审计发现,对残疾儿童的虐待指控不太可能通过儿童保护体检得到证实。在我们的样本中,残疾儿童的 "虐待证实率 "为 33%,低于非残疾儿童的 56%。比率上的差异促使我们思考,当残疾儿童可能遭受伤害和虐待时,什么才是适当的应对措施。审计结果凸显了残疾儿童易受虐待的特点,并表明有必要使从业人员具备与这一弱势群体打交道并为其提供支持的技能、能力和信心。
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引用次数: 0
Love and Assault: Parents’ Views on Corporal Punishment in School 爱与攻击:家长对学校体罚的看法
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-11-06 DOI: 10.1002/car.70002
Deevia Bhana

Corporal punishment remains prevalent in schools globally, and even after its prohibition in South Africa, the focus of this study, it continues. In some historically disadvantaged school environments, it persists with the approval of parents. Mothers and grandmothers, who are pivotal in supporting children's education and well-being, are central to this dynamic as parents. However, in impoverished rural settings, parents are often unfairly blamed for endorsing corporal punishment without considering the sociocultural context they inhabit. Drawing from a qualitative study conducted in an impoverished rural community where women bear the burden of caring for children, this paper challenges the prevailing one-sided narrative of parental support for corporal punishment. Instead, it argues for a nuanced understanding of corporal punishment that is contextual. Parents' endorsement of corporal punishment is contingent; it is accepted when framed as ‘disciplinary action infused with love’ but rejected when labelled as ‘assault’. An understanding of corporal punishment as an assemblage is critical if accounts of disciplinary practices within local school settings are to move beyond simplified accounts of parents' universal support for corporal punishment.

体罚在全球学校中仍然普遍存在,即使在本研究的重点--南非--禁止体罚之后,体罚仍在继续。在一些历来处于不利地位的学校环境中,体罚在家长的认可下依然存在。母亲和祖母在支持儿童的教育和福祉方面起着关键作用,她们作为父母在这种动态中起着核心作用。然而,在贫困的农村环境中,父母往往被不公平地指责为赞同体罚,而没有考虑到他们所处的社会文化背景。在一个贫困的农村社区,妇女承担着照顾孩子的重任,本文通过对该社区进行的一项定性研究,对父母支持体罚的普遍片面说法提出质疑。相反,本文主张根据具体情况对体罚进行细致入微的理解。家长对体罚的认可是有条件的;当体罚被说成是 "充满爱的惩戒行动 "时,家长就会接受体罚,而当体罚被说成是 "攻击 "时,家长就会拒绝体罚。如果要对当地学校环境中的惩戒做法进行描述,而不是简单地描述家长对体罚的普遍支持,那么将体罚理解为一种组合是至关重要的。
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引用次数: 0
Emotional awareness, child maltreatment and child exposed to intimate partner violence: A systematic review of their relationship with symptoms and protective factors 情感意识、儿童虐待和遭受亲密伴侣暴力的儿童:对其与症状和保护因素之间关系的系统回顾
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-10-31 DOI: 10.1002/car.2907
Eva Mª. Ortiz-Jiménez, Anna Butjosa, Juana Gómez-Benito, Susana Ochoa

This systematic review studies the emotional awareness (EA) in children exposed to intimate partner violence (IPV) and other child maltreatment (CM), and their relationship with externalizing and internalizing symptoms and protective factors. The search was performed using the PubMed, PsycINFO and Google Scholar databases. The search was based on scientific studies using the follow terms: (“emotional awareness” OR “emotional intelligence”) AND (child OR adolescent OR children OR teenager) AND (abuse OR neglect OR maltreatment OR “presence of domestic violence” OR “domestic violence” OR “intimate partner violence”). Seventeen empirical studies were included, presenting a low risk of bias (82%). Four studies have explored the relationship between EA and exposition to IPV, four with sexual abuse, five with neglect, five with psychological abuse and three with physical abuse. A total of 13 articles have assessed the relationship between EA and externalizing and internalizing symptoms: three with suicidal ideation (SI), three with post-traumatic stress symptoms (PTSD), two focused on addictions, three on affective symptoms, one with total externalizing symptoms, one with borderline personality disorder (BDP), one with non-suicidal self-injury (NSSI) and one with disordered eating behaviours and attitudes (DEBA). Studies show that abused children have lower EA and that the lower EA, the greater the presence of symptoms. A total of 10 articles have assessed the relationship between EA and protective factors such as mental health in parents, six with coping skills, one with self-stem and one with quality of life. The main results suggest that EA could be a mediator between children exposed to IPV and other CM and internalizing and externalizing symptoms as well as protective factors.

本系统性综述研究了遭受亲密伴侣暴力(IPV)和其他儿童虐待(CM)的儿童的情感意识(EA)及其与外化和内化症状和保护因素之间的关系。搜索使用了 PubMed、PsycINFO 和 Google Scholar 数据库。搜索基于使用以下术语的科学研究:("情绪意识 "或 "情绪智力")和(儿童或青少年或儿童或青少年)和(虐待或忽视或虐待或 "存在家庭暴力 "或 "家庭暴力 "或 "亲密伴侣暴力")。共纳入 17 项实证研究,偏倚风险较低(82%)。四项研究探讨了 EA 与遭受 IPV 的关系,四项研究探讨了性虐待,五项研究探讨了忽视,五项研究探讨了心理虐待,三项研究探讨了身体虐待。共有 13 篇文章评估了 EA 与外化和内化症状之间的关系:其中三篇涉及自杀意念(SI),三篇涉及创伤后应激症状(PTSD),两篇侧重于成瘾,三篇侧重于情感症状,一篇涉及总体外化症状,一篇涉及边缘型人格障碍(BDP),一篇涉及非自杀性自伤(NSSI),一篇涉及饮食行为和态度紊乱(DEBA)。研究表明,受虐儿童的 EA 值较低,EA 值越低,症状越严重。共有 10 篇文章评估了 EA 与父母心理健康等保护因素之间的关系,6 篇文章评估了应对技能,1 篇文章评估了自我系统,1 篇文章评估了生活质量。主要结果表明,EA 可能是暴露于 IPV 和其他 CM 的儿童与内化和外化症状以及保护因素之间的中介因素。
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引用次数: 0
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Child Abuse Review
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