自尊在北非成年男性童年逆境与犯罪之间的中介作用：一项病例对照研究

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-10-10 DOI:10.1016/j.chiabu.2025.107718

Imen Mlouki , Arij Soussi , Emna Hariz , Aya Ajmi Blout , Marwa Boussaid , Ahmed Moustafa , Abir Aissaoui , Sana El Mhamdi

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引用次数: 0

摘要

不良童年经历对成年人的身心健康有显著影响，并导致不良的行为结果，如犯罪活动。然而，ace与刑事司法介入之间的关系尚未得到充分了解，特别是在中东和北非区域。目的探讨突尼斯背景下的这种关系，同时考察自尊的潜在中介作用。方法对突尼斯成年男性进行病例对照研究：病例组403名囚犯（2023年4月）和对照组408名普通人群（2024年8月）。我们使用经过验证的阿拉伯语版世界卫生组织ACE问卷和Rosenberg自尊量表来评估ACE和自尊。结果5个ACE类别显著增加了儿童参与刑事司法的可能性：性虐待（ORa = 1.9, 95% CI[1.31-4.98]）、身体虐待（ORa = 2.1, 95% CI[1.44-2.65]）、身体忽视（ORa = 2.2, 95% CI[1.79-3.35]）、集体暴力（ORa = 2.8, 95% CI[2.33-4.15]）和社区暴力（ORa = 3.3, 95% CI[2.17-6.04]）。病例组表现出明显更高的心理健康问题发生率，特别是低自尊（9.3%对3%，p < 0.001）。中介分析发现，自尊显著中介了刑事司法介入与四个ACE类别之间的关系，其中性虐待的中介作用最强（44.1%）。结论本研究强调需要采取预防措施来解决儿童逆境和增强自尊，从而有助于减少犯罪行为。

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The mediating role of self-esteem in the link between childhood adversities and criminality among North African adult males: A case-control study

Background

Adverse childhood experiences (ACEs) significantly influence the physical and mental health of adults, and lead to poor behavioral outcomes such as criminal activities. However, the relationship between ACEs and criminal justice involvement is not fully understood, particularly in the Middle East and North Africa region.

Objective

To explore this relationship in the Tunisian context while also examining the potential mediating role of self-esteem.

Method

We conducted a case-control study comparing two groups of adult males in Tunisia: A case group of 403 inmates (April 2023) and a control group of 408 matched males from the general population (August 2024). We evaluated ACEs and self-esteem using the validated Arabic versions of the World Health Organization ACE questionnaire and the Rosenberg self-esteem scale.

Results

Five ACE categories significantly increased the likelihood of criminal justice involvement: sexual abuse (ORa = 1.9, 95 %CI [1.31–4.98]), physical abuse (ORa = 2.1, 95 %CI [1.44–2.65]), physical neglect (ORa = 2.2, 95 %CI [1.79–3.35]), collective violence (ORa = 2.8, 95 %CI [2.33–4.15]) and community violence (ORa = 3.3, 95 %CI [2.17–6.04]). The case group exhibited notably higher rates of mental health issues, particularly low self-esteem (9.3 % vs. 3 %, p < 0.001). Mediation analysis revealed that self-esteem significantly mediated the relationship between criminal justice involvement and four ACE categories, with sexual abuse showing the strongest mediation effect (44.1 %).

Conclusion

This study emphasizes the need for preventive approaches to address childhood adversities and enhance self-esteem, which will then help reduce criminal behavior.

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.