虐待与流动儿童对立违抗症状的关系:亲密度和冲突性的作用

The Association of Child Maltreatment and Migrant Children's Oppositional Defiant Symptoms: The Role of Parent-Child Relationship

以来自北京10所小学的369名有对立违抗障碍症状的流动儿童,349名无ODD症状的对照组流动儿童和94名有ODD症状的北京儿童为被试,探究了有ODD症状流动儿童的症状严重程度及影响因素,并进一步探讨了ODD症状流动儿童在家庭中所受情感虐待、躯体虐待对其情绪方面的ODD症状和行为方面的ODD症状的影响,以及亲子关系(包括亲密度和冲突性)在其中起的作用。研究结果发现:(1)对比ODD症状北京儿童和对照组流动儿童,ODD症状流动儿童受到更严重的虐待,亲子关系亲密度更差,冲突性更高;(2)对ODD症状流动儿童,虐待和亲密度显著负相关,虐待和冲突性显著正相关,躯体虐待、冲突性均和行为方面ODD症状显著正相关;(3)躯体虐待能直接预测ODD症状流动儿童的行为方面ODD症状,但无法直接预测其情绪方面ODD症状;(4)在躯体虐待对ODD症状的影响中,冲突性起着显著的中介作用,躯体虐待通过影响亲子关系冲突性,对流动儿童的行为方面ODD症状产生影响,而亲密度则显著调节了躯体虐待对流动儿童情绪方面ODD症状的影响。

The purpose of the present study was to explore the association between emotional and physical abuse and migrant children’s ODD（ oppositional defiant disorder） symptoms. A sample of 369 migrant children with ODD symptoms,349 migrant children with none ODD symptoms and 94 local children with ODD symptoms was recruited from 10 elementary schools in Beijing. Furthermore,mediating role and moderating role of parent-child relationship in that association were explored. According to the characteristics of ODD symptoms,ODD symptoms were classified into two categories- emotional ODD symptoms（ irritable） and behavioral ODD symptoms（ headstrong / hurtful）. Results revealed that compared to local children with ODD symptoms,migrant children with ODD symptoms suffered more severe physical abuse,poorer parent-child closeness and higher parent-child conflict but had less emotional ODD symptoms; while compared to migrant children with none ODD symptoms,migrant children with ODD symptoms suffered more severe emotional and physical abuse,poorer parent-child closeness and higher parentchild conflict. Higher physical abuse was associated with more behavioral ODD symptoms,whereas emotional abuse was not associated with more behavioral ODD symptoms,and neither of physical abuse or emotional abuse was associated with emotional ODD symptoms. Furthermore,conflict played a significant mediating role between physical abuse and behavioral ODD symptoms,while closeness played a significant moderating role between physical abuse and emotional ODD symptoms,among migrant children with ODD symptoms.