Lau Anna S, Leeb Rebecca T, English Diana, Graham J Christopher, Briggs Ernestine C, Brody Kate E, Marshall Jane Marie
Department of Psychology, University of California at Los Angeles, 1285 Franz Hall, Box 951563, Los Angeles, CA 90095, USA.
Child Abuse Negl. 2005 May;29(5):533-51. doi: 10.1016/j.chiabu.2003.05.005.
The primary aim of the study was to identify a classification scheme, for determining the predominant type of maltreatment in a child's history that best predicts differences in developmental outcomes.
Three different predominant type classification schemes were examined in a sample of 519 children with a history of alleged maltreatment. Cases were classified into predominant maltreatment types according to three different schemes: Hierarchical regression analyses examined whether the HT, SFT, and EHT type classifications contributed to prediction of child behavior problems, trauma symptoms and adaptive functioning.
After controlling for demographic factors, the HT definitions predicted four outcomes, while the SFT definitions predicted three, and the EHT classifications contributed to the prediction of five child outcomes. The co-occurrence of multiple types of maltreatment was robustly related to outcomes. However, the HT and SFT classifications predicted outcomes even after accounting for the co-occurrence of multiple maltreatment subtypes.
A classification scheme that differentiates between type combinations and single maltreatment types may have the greatest predictive validity. Over and above knowing about co-occurrence of maltreatment sub-types, it is important to understand what type, or constellation of types, of maltreatment have been alleged in a child's history.
本研究的主要目的是确定一种分类方案，用于确定儿童既往经历中最能预测发育结果差异的主要虐待类型。
在519名有虐待指控史的儿童样本中，研究了三种不同的主要类型分类方案。根据三种不同的方案将案例分为主要虐待类型：分层回归分析检验了HT、SFT和EHT类型分类是否有助于预测儿童行为问题、创伤症状和适应功能。
在控制人口统计学因素后，HT定义预测了四个结果，SFT定义预测了三个结果，EHT分类有助于预测五个儿童结果。多种虐待类型的共现与结果密切相关。然而，即使在考虑了多种虐待亚型的共现之后，HT和SFT分类仍能预测结果。
区分类型组合和单一虐待类型的分类方案可能具有最大的预测效度。除了了解虐待亚型的共现情况外，了解儿童既往经历中被指控的虐待类型或类型组合也很重要。
