涉及儿童福利的青年中的受害和逆境：对儿童和照顾者的行为影响症状的累积影响,Journal of Interpersonal Violence

当前位置： X-MOL 学术 › Journal of Interpersonal Violence › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

涉及儿童福利的青年中的受害和逆境：对儿童和照顾者的行为影响症状的累积影响
Journal of Interpersonal Violence ( IF 2.6 ) Pub Date : 2019-11-27 , DOI: 10.1177/0886260519888521
Brianna M. Lombardi ₁ , Sarah E. Bledsoe ₂ , Candace Killian-Farrell ₂ , Paul Lanier ₂ , Asheley Skinner ₃

Affiliation

涉及儿童的受害和逆境（CVA）普遍存在于涉及儿童的儿童福利（CW）中。但是，大多数有关CW样品的研究都集中在虐待类型上，并且没有认识到暴露于CVA以外的其他影响。一项8至17岁（n = 1,887）的子样本是从《 II期美国儿童和青少年幸福感国家调查》中抽取的。CVA包含六个域。使用儿童抑郁量表，创伤症状检查表以及儿童行为检查表的内在和外在子量表评估行为健康。Logistic回归用于探讨报告的CVA数量与临床范围行为健康症状风险之间的关联。针对基于聚类的抽样设计对分析进行了调整，并应用了抽样权重以提供全国代表性的估算。超过60％的样本经历了三个或更多CVA域。报告的CVA数量与所有四个行为健康结果相关（p <.001）。暴露于五个或五个以上领域的儿童更有可能报告高抑郁症状（优势比[OR] = 5.0），高创伤症状（OR = 7.0），以及照护者报告的内在或外在症状（OR = 18.0），与报告一个或更少CVA的儿童相比。参与CW的年轻人除了受到虐待外，还面临着惊人高的CVA感染率。对于已经极有可能面临行为健康挑战的孩子，

"点击查看英文标题和摘要"

Victimization and Adversity in Child Welfare Involved Youth: The Cumulative Influence on Child and Caregiver Reported Behavioral Health Symptoms

Exposure to childhood victimization and adversity (CVA) is pervasive for child welfare (CW) involved youth. However, most research with CW samples has focused on types of maltreatment and fails to recognize the additive influence of exposure to CVA beyond maltreatment. A subsample aged 8 to 17 (n = 1,887) was drawn from the National Survey of Child and Adolescent Well-Being (NSCAW) II. CVA included six domains. Behavioral health was assessed using the Child Depression Inventory, Trauma Symptom Checklist, and the internalizing and externalizing subscales of the Child Behavior Checklist. Logistic regression was used to explore the association between the number of CVA reported and the risk of clinical-range behavioral health symptoms. Analyses were adjusted for the cluster-based sampling design and sampling weights were applied to provide nationally representative estimates. More than 60% of the sample experienced three or more CVA domains. The number of CVAs reported was associated with all four behavioral health outcomes (p < .001). Children exposed to five or more domains were more likely to report high depressive symptoms (odds ratio [OR] = 5.0), high trauma symptoms (OR = 7.0), and to have internalizing or externalizing symptoms reported by caregivers (OR = 18.0), as compared with children reporting one or less CVAs. Youth involved with CW are exposed to staggeringly high rates of CVA beyond maltreatment. For children who are already at great risk for behavioral health challenges, research to understand screening and interventions for CVA is needed to inform policy and practice initiatives to prevent and mitigate harm.

更新日期：2019-11-27

点击分享查看原文

点击收藏

阅读更多本刊新发论文