Abstract

Research suggests that a parental trauma history may increase the risk of family violence and have a negative impact on parent/child dyadic functioning and on children’s psychosocial adjustment. This study aimed at exploring mother/child dyadic functioning, and symptom levels in mothers and children’s psychosocial adjustment in a sample of refugee families referred for treatment of family violence (N = 21). The study entailed a mixed methods design consisting of a video recorded mother/child interaction using the structured observation method “the Marschak Interaction Method” and questionnaires. Children’s psychosocial adjustment was measured using the Strengths and Difficulties Questionnaire. Mothers’ symptom levels were measured by the Harvard Trauma Questionnaire and The Hopkins Symptom CheckList-25. Mother/child dyadic functioning was measured by the Marschak Interaction Method Rating System (MIMRS), and potential associations between scores on the MIMRS and mother/child symptom and psychosocial adjustment levels were explored using partial correlations. Results reveal that the majority of dyads showed signs of problematic/clearly dysfunctional behavior in one or more of the four domains: Structure, Engagement, Challenging and Nurture. Qualitative analyses of the material revealed a number of distinct ways in which the dyads’ behavior was problematic/clearly dysfunctional. An association between maternal symptom levels and scores on the MIMRS could not be confirmed. An association was confirmed between maternal symptoms of anxiety, depression and post-traumatic stress disorder and children’s psychosocial maladjustment. Furthermore, an association was found between scores on the MIMRS and children’s health-related quality of life. Findings from the study have clinical implications and emphasize the need for future research.

摘要

研究表明，父母的外伤史可能会增加家庭暴力的风险，并对父母/儿童的二元功能和儿童的心理社会适应产生负面影响。这项研究旨在探索/母子二元运作，并在母亲的症状水平和儿童难民家庭样本中的心理调节转诊治疗家庭暴力（ñ = 21）。该研究涉及一种混合方法设计，包括使用结构化观察方法“ Marschak交互作用方法”和问卷进行的母子互动视频记录。使用强项和困难问卷对儿童的心理适应进行了测量。母亲的症状水平通过《哈佛创伤问卷》和《霍普金斯症状检查表-25》进行测量。通过Marschak互动方法评分系统（MIMRS）测量母子二元功能，并使用偏相关性探索MIMRS评分与母子症状和社会心理适应水平之间的潜在关联。结果显示，大多数二元组在以下四个域中的一个或多个中表现出有问题/明显的功能障碍行为的迹象：结构，参与，挑战和养育。对材料的定性分析揭示了二分体行为有问题/明显功能失调的许多不同方式。孕产妇症状水平与MIMRS评分之间没有关联。确认母亲焦虑，抑郁和创伤后应激障碍的症状与儿童的心理社会失调之间存在关联。此外，在MIMRS评分与儿童健康相关的生活质量之间发现关联。该研究的发现具有临床意义，并强调了未来研究的必要性。确认母亲焦虑，抑郁和创伤后应激障碍的症状与儿童的心理社会失调之间存在关联。此外，在MIMRS评分与儿童健康相关的生活质量之间发现关联。该研究的发现具有临床意义，并强调了未来研究的必要性。确认母亲的焦虑，抑郁和创伤后应激障碍症状与儿童的心理社会失调之间存在关联。此外，在MIMRS评分与儿童健康相关的生活质量之间发现关联。该研究的发现具有临床意义，并强调了未来研究的必要性。