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Depressive mood, bonding failure, and abusive parenting among mothers with three-month-old babies in a Japanese community

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Open Journal of Psychiatry 2013年第3期3卷 1-7页

作者： Toshinori kitamura Yukiko Ohashi sachiko kita Megumi Haruna Reiko Kubo Department of Midwifery and Women’s Health University of Tokyo Tokyo Japan kitamura Institute of Mental Health Tokyo Japan Kumamoto Prefecture Kumamoto Japan

Objective: To investigate the relationships between depressive mood, bonding failure, and abusive parenting. Method: We distributed questionnaires to 1198 mothers attending a three-month postnatal health check-up in rural areas in Japan. The questionnaires assessed these three variables along with demographics. We evaluated the causal relationships by comparing different structural equation models to the data. Results: Although all the models fit the data well, the best Akaike Information Criterion was obtained from a model where both depressive mood and bonding failure predict abusive parenting, but depressive mood and bonding failure do not predict each other directly. The determinant coefficient of child abuse in the final model was 0.13. Discussion: We found depressive mood and bonding failure during postpartum period impacted negatively on mother’s parenting behaviour. Because only 13% of the variance of abusive parenting was explainable by this model, further study should be needed to identify other risk factors of child abuse. Similarly, midwives and public health nurse in community should pay attention to not only depression but also bonding failure to prevent child abuse.

关键词： Postnatal Depression Bonding Failure Child Abuse Mothers of Neonates Structural Equation Analysis

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Associations of Mental and Behavioral Problems among Children Exposed to Intimate Partner Violence Previously and Visits with Their Fathers Who Perpetrated the Violence

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Open Journal of Nursing 2017年第3期7卷 361-377页

作者： sachiko kita Megumi Haruna Miku Yamaji Masayo Matsuzaki Kiyoko Kamibeppu Department of Midwifery and Women’s Health Division of Health Sciences and Nursing Graduate School of Medicine The University of Tokyo Tokyo Japan Department of Family Nursing Division of Health Sciences and Nursing Graduate School of Medicine The University of Tokyo Tokyo Japan

Background: Intimate partner violence has long-term and negative effects on the health of mothers and children worldwide. This study aimed to identify the mental and behavioral effects of past exposure to intimate partner violence among children and examine their associations with the children’s visits with their fathers who perpetrated the intimate partner violence. Methods: A cross-sectional study of women who had been abused by their intimate partners and had one or more children aged 4 - 18 years old was conducted from March 2015 to December 2016. Questionnaires were used to collect (1) demographic data about the mothers and children, (2) information about the children’s visits with the mother’s former partner (i.e., father), and (3) psychological data using the Hospital Anxiety and Depression Scale and the Child Behavior Checklist/4 - 18. Results: The average scores and rates of internalizing, externalizing, and total problems among the children who had been exposed to intimate partner violence were: 10.8 (SD = 10.4), 26 (51.0%);9.0 (SD = 9.0), 14 (27.5%);and 26.3 (SD = 21.5), 15 (29.4%), respectively. Children’s visits with fathers who were IPV perpetrators were significantly associated with the internalizing (AOR = 12.6, β = 0.56;p β = 0.48;p Conclusion: Attention should focus on traumatized children exposed to intimate partner violence, and thorough and cautious assessments and decisions regarding visits with their fathers who are IPV perpetrators are essential to safeguard and improve their mental and behavioral health.

关键词： Child Abuse Exposure to Violence Intimate Partner Violence Mental and Behavioral Health Visitation

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