中国临床心理学杂志

孕期家庭暴力对学龄前子代气质、行为的影响

作者：钟洁琼曹玉琼孙瑞泽曹玉萍张亚林

单位：1. 珠海市妇幼保健院珠海 519000 2. 中南大学湘雅二医院长沙 410011 3. 郴州市北湖区妇幼保健计划生育服务中心郴州 423000

分类号：R395.2

出版年,卷(期):页码：2018,26(2):318-321

摘要：

目的：探讨孕期家庭暴力对学龄前子代气质、行为的影响。方法：采用前瞻性追踪加横断面调查方法，选取196位学龄前儿童以自行设计的一般人口学资料问卷、家长评定的3-7岁儿童气质问卷和长处与困难问卷（父母版）进行调查。结果：孕期家庭暴力发生率为20.4%；孕期家庭暴力组学龄前子代情绪本质得分低于孕期非家庭暴力组，情绪症状因子分高于孕期非家庭暴力组，困难总分高于孕期非家庭暴力组；情绪本质与孕期家庭暴力呈负相关（r=-0.146,P<0.05）,情绪症状因子、过度活跃因子、困难总分与孕期家庭暴力呈正相关（r=0.180、0.130、0.141，P<0.05或P<0.01）。结论：母孕期遭受家庭暴力，其子代在学龄前期存在较多的负面情绪和行为问题。

Objective:To investigate the effects of domestic violence during pregnancy on the temperament and behav-ior in preschool offspring. Methods:196 preschool children attended the follow-up survey and cross-sectional study by prospective of self-designed general demographic information questionnaire,parent temperament questionnaire and the strengths and difficulties questionnaire(the edition for parents). Results:The prevalence of domestic violence during preg-nancy was 20.4%. The preschool children, whose mothers experienced domestic violence during pregnancy, had lower score of the nature in emotion(P<0.05), higher score of the affective symptoms(P<0.05) and higher score of the overall difficulty(P<0.05) than those with no domestic violence during pregnancy. The nature in emotion had a negative correlation with the do-mestic violence during pregnancy(r=-0.146, P<0.05). The factors of the affective symptoms, the overall difficulty and the overly active were positively correlated with the domestic violence during pregnancy(r=0.180、0.130、0.141, P<0.05 or P<0.01). Conclusion:The offspring, whose mother were exposed to domestic violence during pregnancy, have more negative emotions and more behavior problems at preschool.

基金项目：

国家自然科学基金“家庭暴力行为的遗传-环境交互作用的前瞻性研究”（30670753）

作者简介：

参考文献：

1 张勇, 邹韶红, 曹玉萍, 等. 孕期家庭暴力等因素与产后抑郁的关系. 中国临床心理学杂志, 2012, 20(4):506-509
2 刘保华, 曾红燕, 萧旗坚, 等. 孕期妇女家庭暴力现况调查及影响因素分析. 中国妇幼卫生杂志, 2016, 7(1):49-51
3 Stockl H, Hertlein L, Himsl I, et al. Intimate partner violence and its association with pregnancy loss and pregnancy planning. Acta obstetricia et gynecologica Scandinavica, 2012, 91(1):128-133
4 Zhang Y, Zou S, Cao Y, et al. Relationship between domestic violence and postnatal depression among pregnant Chinese women. International Journal of Gynecology & Obstetrics, 2012, 116(1):26-30
5 赵梦媛. 孕期家庭暴力研究进展. 卫生职业教育, 2016, 34 (19):144-146
6 钟洁琼, 曹玉萍, 张亚林. 孕产期家庭暴力对婴幼儿生长发育的影响. 中国临床心理学杂志, 2013, 21(1):91-94
7 张勇. 孕期家庭暴力与孕妇心理、产后抑郁、新生儿神经生化及遗传-环境交互作用对婴儿认知行为的影响. 中南大学, 2008
8 刘静, 王丽珍, 卫雅蓉. 3~5岁不同气质特点的学龄前儿童患龋情况调查分析. 中国妇幼健康研究, 2017, 28(4):377-380
9 邢晓沛, 邵淑慧, 孙晓丽, 等. 学前儿童执行功能与行为问题的关系. 中国临床心理学杂志, 2016, 24(5):844-848, 851
10 赵冰, 黄峥, 郭菲, 等. 长处与困难问卷父母评和自评的一致性. 中国临床心理学杂志, 2013, 21(1):28-31, 34
11 张勇, 张亚林, 邹韶红. 孕期家庭暴力社会心理危险因素及不良影响(综述). 中国心理卫生杂志, 2007, 21(12):853-856
12 刘功姝, 史桂丽, 王立明, 等. 3025例婴幼儿母亲受暴情况及对母婴身心健康影响分析. 中国全科医学, 2003, 6(3):226-228
13 Alici-Evcimen Y, Sudak D. Postpartum depression. Primary Care Update for Ob/Gyn, 2003, 10(5):210-216
14 Schore A. Affect dysregulation & disorders of the self. New York:WW Norton, 2003
15 周婷, 易春丽. 行为抑制性、父母特质焦虑与学龄前儿童行为问题的关系. 中国临床心理学杂志, 2016, 24(5):828-832

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