Lau Anna S, Weisz John R
Department of Psychology, University of California at Los Angeles, 1285 Franz Hall, Box 951563, Los Angeles, CA 90095-1563, USA.
J Am Acad Child Adolesc Psychiatry. 2003 Nov;42(11):1327-34. doi: 10.1097/01.CHI.0000085754.71002.14.
To examine the treatment implications of a reported history of maltreatment in a sample of 343 children referred to Los Angeles area mental health clinics for emotional and behavioral problems.
Child Protective Service records identified 161 of the 343 families as having a documented history of maltreatment. Parent reports of child behavior problems were obtained following clinic intake and at 2-year follow-up, and attrition was assessed via medical records. The authors examined the associations between a history of maltreatment and severity of child presenting problems, treatment attrition, and long-term mental health outcomes.
Compared to other clinic-referred children, youngsters with a history of maltreatment entered treatment with more externalizing behavior problems, were more likely to exit treatment early and without therapist consent, and continued to show greater externalizing problems 2 years later.
Maltreated children have significant mental health needs that may not be well addressed currently in community mental health clinics.
在343名因情绪和行为问题被转介至洛杉矶地区心理健康诊所的儿童样本中，研究报告的虐待史对治疗的影响。
儿童保护服务记录显示，343个家庭中有161个家庭有记录在案的虐待史。在诊所接诊时及2年随访时获取家长对儿童行为问题的报告，并通过病历评估失访情况。作者研究了虐待史与儿童就诊问题的严重程度、治疗失访以及长期心理健康结果之间的关联。
与其他被转介至诊所的儿童相比，有虐待史的青少年在开始治疗时存在更多外化行为问题，更有可能在未经治疗师同意的情况下提前退出治疗，并且在2年后仍表现出更严重的外化问题。
受虐待儿童有显著的心理健康需求，而社区心理健康诊所目前可能无法很好地满足这些需求。
