父母离异对中学生心理虐待与忽视的影响

任晓虹; 林岑; 岑雨; 何萍; 罗家明

doi:10.16835/j.cnki.1000-9817.2024117

父母离异对中学生心理虐待与忽视的影响

doi: 10.16835/j.cnki.1000-9817.2024117

任晓虹¹,
林岑²,
岑雨²,
何萍²,
罗家明^2, ,

1.
川北医学院附属医院血液内科，四川南充 637000
2.
川北医学院精神卫生学院

基金项目:

2020年南充市市校合作专项项目 20SXQT0175

川北医学院2020年度四川省基层卫生事业发展研究中心资助项目 SWFZ20-Q-040

详细信息

作者简介:
任晓虹(1988-)，女，四川南充人，硕士，主管护师，主要研究方向为青少年心理健康

通讯作者:
罗家明，E-mail: jiamingluo@nsmc.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G78 G444 R179
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- 文章访问数: 25
- HTML全文浏览量: 9
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- 被引次数: 0
出版历程
- 收稿日期: 2023-12-25
- 修回日期: 2024-02-27
- 网络出版日期: 2024-04-25
- 刊出日期: 2024-04-25

Impact of parental divorce on psychological abuse and neglect among middle and high school students

1.
Hematology Department, Affiliated Hospital of North Sichuan Medical College, Nanchong (637000), Sichuan Province, China

摘要

摘要: 目的探讨父母离异对中学生心理虐待与忽视的影响，为制定家庭干预策略促进中学生心理健康提供依据。方法于2021年7月—2022年7月，采用分层随机整群抽样法纳入四川省南充市、内江市、泸州市23所初、高中学校的12 773名学生，使用一般资料调查表、儿童心理虐待与忽视量表(CPANS)进行在线问卷调查，采用倾向评分匹配法(PSM)对父母离异组和对照组进行1∶1匹配，将匹配后个体特征进行比较，使用χ²检验分析各变量在心理虐待与忽视间的差异，分别以心理虐待、忽视为因变量进行Logistic回归分析。结果匹配后父母离异组及对照组均为1 898例。两组在性别构成上差异无统计学意义(χ²=0.03，P>0.05)。调整性别、学段、父母学历、住校、长期照顾者等混杂因素后，相较于对照组，父母离异组中学生遭受心理虐待的风险(OR=1.43，95%CI=1.26~1.63)、忽视的风险(OR=1.53，95%CI=1.33~1.75)均增加(P值均 < 0.05)。结论父母离异对中学生心理虐待与忽视有重要影响，应加强对离异或不稳定婚姻家庭中学生的支持与干预。
- 家庭 /
- 婚姻状况 /
- 虐待 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To investigate how parental divorce impacts psychological abuse and neglect among middle and high school students, so as to provide evidence for the development of family intervention strategies for mental health promotion. Methods A stratified random cluster sampling method was employed to select students from 23 middle and high schools in Nanchong, Neijiang, and Luzhou. Online questionnaires utilizing the General Data Questionnaire and the Child Psychological Abuse and Neglect Scale (CPANS) were administered. Propensity-score matching (PSM) was used to compare individual characteristics between parent-divorce and the control groups. The χ² test was then employed to analyze differences in psychological abuse and neglect across variables, with Logistic regression used to treat psychological abuse and neglect as dependent variables. Results After PSM, there were 1 898 cases in both parent-divorce and control groups. There was no significant difference in gender composition between the two groups (χ²=0.03, P>0.05). Compared to the control group, after controlling for various factors including gender, phase of studying, parental education, whether to live in school, and long-term caregivers of the student, the risk of experiencing psychological abuse (OR=1.43, 95%CI=1.26-1.63) and neglect (OR=1.53, 95%CI=1.33-1.75) was significantly higher in parent-divorce group (P < 0.05). Conclusions Parental divorce significantly impacts psychological abuse and neglect experienced by middle and high school students. Therefore, support and intervention efforts should be intensified for students from divorced or unstable marriage families.
- Family /
- Marital status /
- Torture /
- Mental health /
- Regression analysis /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 匹配后中学生人口学特征分布父母是否离异组间比较

Table 1. Distribution of demographic characteristics of middle school students after matching compared whether parents were divorced between groups

变量	选项	父母离异组(n=1 898)	未离异组(n=1 898)	χ²值	P值
性别	男	979(51.58)	974(51.32)	0.03	0.87
	女	919(48.42)	924(48.68)
学段	初中	1 129(59.48)	1 108(58.38)	0.48	0.49
	高中	769(40.52)	790(41.62)
长期照顾者	父母	259(13.65)	357(18.81)	105.86	< 0.01
	祖父母	1 158(61.01)	1 056(55.64)
	其他	169(8.90)	136(7.17)
	母亲	154(8.11)	287(15.12)
	父亲	158(8.32)	62(3.27)
父亲学历	小学	599(31.56)	603(31.77)	0.11	0.95
	中学	1 190(62.70)	1 182(62.28)
	大专及以上	109(5.74)	113(5.95)
母亲学历	小学	677(35.67)	646(34.04)	2.26	0.28
	中学	1 087(57.27)	1 133(59.69)
	大专及以上	134(7.06)	119(6.27)
住校	否	1 180(62.17)	1 190(62.70)	0.11	0.74
	是	718(37.83)	708(37.30)
注：()内数字为构成比/%。

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表 2 匹配后中学生心理虐待与忽视检出率及相关因素分析

Table 2. Analysis the prevalence and factors influencing psychological abuse and neglect among middle and high school students after propensity-score matching

变量	选项	人数	心理虐待		忽视
变量	选项	人数	检出人数	χ²值	检出人数	χ²值
性别	女	1 843	821(44.55)	6.85^*	706(38.31)	5.75^*
	男	1 953	788(40.35)		675(34.56)
学段	初中	2 237	930(41.57)	1.48	809(36.16)	0.11
	高中	1 559	679(43.55)		572(36.69)
父母离异	是	1 898	888(46.79)	30.09^**	783(41.25)	38.96^**
	否	1 898	721(37.99)		598(31.51)
长期照顾者	父母	616	230(37.34)	8.94	193(31.33)	20.66^**
	祖父母	2 214	953(43.04)		793(35.82)
	其他	305	130(42.62)		125(40.98)
	母亲	441	193(43.76)		167(37.87)
	父亲	220	103(46.82)		103(46.82)
父亲学历	小学	1 202	550(45.76)	14.45^**	475(39.52)	27.33^**
	中学	2 372	986(41.57)		859(36.21)
	大专及以上	222	73(32.88)		47(21.17)
母亲学历	小学	1 323	605(45.73)	12.21^**	527(39.83)	16.20^**
	中学	2 220	914(41.17)		784(35.32)
	大专及以上	253	90(35.57)		70(27.67)
住校	否	2 370	959(40.46)	9.55^**	826(34.85)	6.37^*
	是	1 426	650(45.58)		555(38.92)
注：()内数字为检出率/%；P < 0.05，*P < 0.01。

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表 3 匹配后中学生心理虐待影响因素的Logistic回归分析(n=3 796)

Table 3. Logistic regression analysis of the factors related to psychological abuse among middle and high school students after propensity-score matching(n=3 796)

常量与自变量	β值	标准误	Wald χ²值	P值	OR值(95%CI)
常量	-0.25	0.12	4.09	0.04	0.78
父母离异	0.36	0.07	28.93	< 0.01	1.43(1.26~1.63)
性别	0.18	0.07	7.07	0.01	1.19(1.05~1.36)
学段	0.18	0.07	6.73	0.01	1.20(1.05~1.38)
父亲学历			10.86	< 0.01
中学	-0.17	0.07	5.33	0.02	0.85(0.73~0.98)
大专及以上	-0.49	0.17	8.74	< 0.01	0.61(0.44~0.85)
住校	0.26	0.07	13.45	< 0.01	1.30(1.13~1.49)

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表 4 匹配后中学生忽视影响因素的Logistic回归分析(n=3 796)

Table 4. Logistic regression analysis of the factors related to neglect among middle and high school students after propensity-score matching(n=3 796)

常量与自变量	β值	标准误	Wald χ²值	P值	OR值(95%CI)
常量	-0.54	0.13	16.27	< 0.01	0.58
父母离异	0.42	0.07	36.63	< 0.01	1.53(1.33~1.75)
性别	0.15	0.07	5.01	0.03	1.17(1.02~1.34)
长期照顾者			21.23	< 0.01
长期照顾者
祖父母	-0.19	0.11	2.89	0.09	0.82(0.66~1.03)
其他人	0.02	0.16	0.02	0.90	1.02(0.75~1.39)
母亲	0.14	0.14	1.04	0.31	1.15(0.88~1.50)
父亲	0.40	0.17	5.93	0.02	1.50(1.08~2.07)
父亲学历			21.79	< 0.01
中学	-0.14	0.07	3.52	0.06	0.87(0.75~1.01)
大专及以上	-0.82	0.18	21.38	< 0.01	0.44(0.31~0.62)
住校	0.16	0.07	5.06	0.03	1.17(1.02~1.35)

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