亲子界限解体与儿童的心理障碍:荟萃分析综述。

IF 17.3 1区 心理学 Q1 PSYCHOLOGY
Psychological bulletin Pub Date : 2024-07-01 Epub Date: 2024-06-17 DOI:10.1037/bul0000440
Morgan J Thompson, Cory R Platts, Patrick T Davies
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引用次数: 0

摘要

界限解体被广泛定义为亲子子系统中界限的破裂和心理独特性的丧失。定性评论强调了将边界解体作为多维结构进行研究的发展和临床价值。尽管之前的研究表明,各种模式之间的差异极小,但研究还没有对不同模式的加权效应进行定量综合。本荟萃分析的主要目的是汇总有关边界解体模式与儿童内化和外化症状之间关联的实证研究。在发展、临床和家庭系统文献中,确定了四种边界解体模式:(a) 缠结--通过心理上的控制和侵扰行为,缠结和模糊亲子间的界限;(b) 杂乱--混乱的亲子界限(如无法解释、自相矛盾的行为和反应),反映出没有连贯的关系模式;(c) 照顾--子女作为照顾者,为父母提供工具性和情感上的支持和指导;(d) 强制--子女作为管教者或独裁者,恐吓和控制父母。荟萃分析审查了 478 项研究。虽然每种边界解体模式都与内化和外化症状有关,但不同模式的加权效应在程度上存在显著差异。就外化症状而言,与照顾的加权效应相比,介入的加权效应更强。至于内化症状,"融入 "的加权效应强于 "照顾 "和 "胁迫 "的加权效应。此外,混乱的加权效应强于照顾的加权效应。加权效应的稳健性取决于儿童、环境和方法特征以及时滞。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Parent-child boundary dissolution and children's psychological difficulties: A meta-analytic review.

Boundary dissolution has broadly been defined as the breakdown of boundaries and loss of psychological distinctiveness in the parent-child subsystem. Qualitative reviews have highlighted the developmental and clinical value of examining boundary dissolution as a multidimensional construct. Though prior work suggests patterns share minimal variance, research has yet to quantitatively synthesize the weighted effect of distinct patterns. The primary aim of this meta-analysis was to aggregate empirical research on associations between boundary dissolution patterns and children's internalizing and externalizing symptoms. Four patterns of boundary dissolution were identified across developmental, clinical, and family systems literatures: (a) enmeshment-entanglement and blurring of the intergenerational parent-child boundary through psychologically controlling and intrusive behaviors, (b) disorganization-chaotic parent-child boundary (e.g., inexplicable, contradictory behaviors, and responses) reflecting no coherent pattern of relating, (c) caregiving-child functions as a caregiver providing parents with instrumental and emotional support and guidance, and (d) coerciveness-child operates as a disciplinarian or authoritarian to intimidate and control parents. The meta-analysis reviewed 478 studies. Although each boundary dissolution pattern was associated with internalizing and externalizing symptoms, weighted effects across patterns significantly varied in magnitude. Regarding externalizing symptoms, the weighted effect of enmeshment was stronger relative to the weighted effect of caregiving. Turning to internalizing symptoms, the weighted effect of enmeshment was stronger than the weighted effect of caregiving and coerciveness. Additionally, the weighted effect of disorganization was stronger than the weighted effect of caregiving. The robustness of weighted effects depended on child, contextual, and methodological characteristics as well as time lag. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
Psychological bulletin
Psychological bulletin 医学-心理学
CiteScore
33.60
自引率
0.90%
发文量
21
期刊介绍: Psychological Bulletin publishes syntheses of research in scientific psychology. Research syntheses seek to summarize past research by drawing overall conclusions from many separate investigations that address related or identical hypotheses. A research synthesis typically presents the authors' assessments: -of the state of knowledge concerning the relations of interest; -of critical assessments of the strengths and weaknesses in past research; -of important issues that research has left unresolved, thereby directing future research so it can yield a maximum amount of new information.
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