早期遭受暴力对青少年成长的影响:隧道尽头是否有光明?

Journal of prevention (2022) Pub Date : 2024-04-01 Epub Date: 2024-01-30 DOI:10.1007/s10935-024-00765-3
Tenzin C Lhaksampa, Bradley Grant, Rebecca L Fix
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摘要

儿童虐待(CM)和亲密伴侣暴力(IPV)在美国十分普遍,并与不良的身心健康后果相关联。迄今为止,研究和临床护理的重点都放在减少疾病症状上,但对于儿童虐待和亲密伴侣暴力是否或如何导致青少年的健康成长却知之甚少。本研究的目的是探究接触女性生殖器疱疹和女性外阴残割对青少年身心健康发展的影响,以及影响这一途径的调节因素和中介因素。我们对 "未来家庭儿童福祉研究"(FFCWS)中的 2,232 名儿童进行了二次数据分析,研究了第 1-6 波,包括 CM/IPV、一般兴旺程度、精神兴旺程度、体重指数和健康饮食等变量。种族、社会经济地位(SES)和性别被列为调节变量;抑郁和焦虑被列为中介变量。青春期男孩经历的一般繁荣程度明显更高(β = 4.00,p
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The Impact of Early Violence Exposure on Adolescent Flourishing : Is There Light at the End of the Tunnel?

Child maltreatment (CM) and intimate partner violence (IPV) are prevalent in the United States and associated with negative mental and physical health outcomes. Thus far, research and clinical care have focused on reducing symptoms of illness, but little is known about whether or how CM and IPV exposure can lead to flourishing in adolescence. To examine the impact of CM and IPV exposure on adolescent mental and physical flourishing as well as moderators and mediators affecting this pathway. A secondary data analysis of 2,232 children in the Future of Families Child Wellbeing Study (FFCWS) was conducted to examine waves 1-6 including variables on CM/IPV, general flourishing, mental flourishing, BMI, and healthy eating. Race, socioeconomic status (SES), and gender were included as moderators; depression and anxiety were included as mediating variables. Adolescent boys experienced significantly more general flourishing (β = 4.00, p < .001). There were significant direct effects of CM (p = .025) and anxiety (p = .019) on well-being, and anxiety mediated the pathway from CM to mental flourishing (CI [0.001, 0.017]). Depression (CI [0.001, 0.026]) and anxiety (CI [-0.023, - 0.005]) mediated the pathway from CM to BMI. Our findings indicated that exposure to CM and IPV impacted the likelihood of adolescent flourishing. Future research should evaluate whether and how these flourishing outcomes could be modified.

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