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Children Exposed to Intimate Partner Violence: Identifying Differential Effects of Family Environment on Children’s Trauma and Psychopathology Symptoms through Regression Mixture Models

机译:儿童遭受亲密伴侣暴力:通过回归混合模型确定家庭环境对儿童创伤和心理病理症状的不同影响

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摘要

The majority of analytic approaches aimed at understanding the influence of environmental context on children’s socioemotional adjustment assume comparable effects of contextual risk and protective factors for all children. Using self-reported data from 289 maternal caregiver-child dyads, we examined the degree to which there are differential effects of severity of intimate partner violence (IPV) exposure, yearly household income, and number of children in the family on posttraumatic stress symptoms (PTS) and psychopathology symptoms (i.e., internalizing and externalizing problems) among school-age children between the ages of 7 to 12 years. A regression mixture model identified three latent classes that were primarily distinguished by differential effects of IPV exposure severity on PTS and psychopathology symptoms: (1) asymptomatic with low sensitivity to environmental factors (66% of children), (2) maladjusted with moderate sensitivity (24%), and (3) highly maladjusted with high sensitivity (10%). Children with mothers who had higher levels of education were more likely to be in the maladjusted with moderate sensitivity group than the asymptomatic with low sensitivity group. Latino children were less likely to be in both maladjusted groups compared to the asymptomatic group. Overall, the findings suggest differential effects of family environmental factors on PTS and psychopathology symptoms among children exposed to IPV. Implications for research and practice are discussed.
机译:大多数旨在了解环境背景对儿童的社会情绪调节的影响的分析方法,都假设所有儿童的背景风险和保护因素具有可比的效果。我们使用289位孕产妇/儿童照料者的自我报告数据,研究了亲密伴侣暴力(IPV)暴露的严重程度,家庭年收入以及家庭中儿童数量对创伤后应激症状的不同影响程度( PTS)和7至12岁学龄儿童的心理病理症状(即内在和外在问题)。回归混合模型确定了三个潜在类别,主要通过IPV暴露严重程度对PTS和心理病理学症状的不同影响来区分:(1)对环境因素不敏感的无症状者(66%的儿童),(2)对中等敏感性不当的适应症( (24%),以及(3)灵敏度不高,灵敏度高(10%)。母亲受教育程度较高的孩子,在敏感性较弱的人群中,较无症状,敏感性较低的人群更容易出现适应不良的情况。与无症状组相比,拉丁裔儿童在两个适应不良的组中的可能性均较小。总体而言,研究结果表明,家庭环境因素对接触IPV的儿童中PTS和心理病理症状的影响不同。讨论了对研究和实践的意义。

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