Stevens-Simon C, Barrett J
Department of Pediatrics, Division of Adolescent Medicine, University of Colorado Health Sciences Center, The Children's Hospital, 1056 East 19th Street, Denver, CO 80208.
J Pediatr Health Care. 2001 Nov-Dec;15(6):299-303. doi: 10.1067/mph.2001.114385.
Our objective was to compare the psychological resources of pregnant teenagers who are at low and high risk for mistreating their children.
We studied 71 participants in a comprehensive, adolescent-oriented maternity program. During the prenatal period, the Family Stress Checklist was used to quantify child abuse potential, with scores > or =25 defining high risk. Information about the social context of the pregnancy and maternal psychological resources was obtained with self-administered questionnaires. A composite psychological resource variable was computed by summing the z scores for intelligence, mental health, and mastery, with scores < or =0 defining the low-resource group.
Of the 71 teenagers, 26 (36.6%) were classified as high risk for child abuse and neglect. Compared with low-risk teens, high-risk teens had more behavioral problems, lower psychological resource scores (mean +/- SD of z score: -0.98 +/- 2.02 compared with 0.39 +/- 1.79; P =.004), and were more likely to have low psychological resources (69.2% compared with 44.4%; P =.04).
Pregnant teenagers who are at risk for child abuse and neglect exhibit fewer psychological resources than their low-risk peers do, and may therefore benefit preferentially from intensive, in-home intervention.
我们的目的是比较虐待孩子风险低和高的怀孕青少年的心理资源。
我们在一个全面的、以青少年为导向的孕产项目中研究了71名参与者。在孕期，使用家庭压力清单来量化虐待儿童的可能性，得分大于或等于25分为高风险。通过自我管理问卷获取有关怀孕的社会背景和母亲心理资源的信息。通过将智力、心理健康和掌控感的z分数相加来计算综合心理资源变量，得分小于或等于0分为低资源组。
在71名青少年中，26名（36.6%）被归类为虐待和忽视儿童的高风险人群。与低风险青少年相比，高风险青少年有更多行为问题，心理资源得分更低（z分数的均值±标准差：-0.98±2.02，而低风险青少年为0.39±1.79；P = 0.004），并且更有可能心理资源较低（69.2%对44.4%；P = 0.04）。
有虐待和忽视儿童风险的怀孕青少年比低风险同龄人表现出更少的心理资源，因此可能优先从强化的家庭干预中受益。
