DePanfilis Diane, Zuravin Susan J
University of Maryland School of Social Work, Baltimore 21201, USA.
Child Abuse Negl. 2002 Feb;26(2):187-205. doi: 10.1016/s0145-2134(01)00316-7.
Building on a previous model of recurrence, this study examined the relationship of services on the hazard of child maltreatment recurrence during CPS intervention for families who were provided continuing intervention following a confirmed index report of physical abuse or neglect.
This nonconcurrent prospective study selected 434 subject families who met study eligibility requirements from 1181 families randomly selected from the 2902 families who had experienced a substantiated report of child abuse or neglect during the sampling year. Data were collected and coded from archival sources for 5 years following the index report. Each record was coded by two research analysts to increase inter-rater reliability. Data were analyzed with the Cox Proportional Regression Model.
Case characteristics that predicted recurrence were: child vulnerability, family stress, partner abuse, and social support deficits. After examining the potential effect of nine service-related variables only attendance at services predicted recurrence while controlling for other variables in the model. Families who were noted to attend the services identified in their service plans were 33% less likely to experience a recurrence of child maltreatment while their case was active with CPS.
Implications of this and other research suggests that actively engaging families in a helping alliance and helping them accept and receive services may reduce the likelihood of future maltreatment.
基于先前的复发模型，本研究探讨了在儿童保护服务（CPS）对因身体虐待或忽视的首次报告得到确认后接受持续干预的家庭进行干预期间，各项服务与儿童虐待复发风险之间的关系。
这项非同期前瞻性研究从抽样年度内有儿童虐待或忽视确凿报告的2902个家庭中随机抽取的1181个家庭中，挑选出434个符合研究资格要求的受试家庭。在首次报告后的5年里，从档案资料中收集数据并进行编码。每条记录由两名研究分析师进行编码，以提高评分者间的信度。采用Cox比例回归模型对数据进行分析。
预测复发的案例特征包括：儿童易受伤害性、家庭压力、伴侣虐待和社会支持不足。在考察了九个与服务相关的变量的潜在影响后，在控制模型中的其他变量时，只有接受服务这一变量能预测复发情况。在其案件处于CPS干预期间，被记录为参加了其服务计划中所确定服务的家庭，再次发生儿童虐待的可能性降低了33%。
本研究及其他研究的启示表明，让家庭积极参与帮助联盟并帮助他们接受和获得服务，可能会降低未来虐待行为发生的可能性。
