Everson Mark D, Smith Jamie B, Hussey Jon M, English Diana, Litrownik Alan J, Dubowitz Howard, Thompson Richard, Dawes Knight Elizabeth, Runyan Desmond K
University of North Carolina at Chapel Hill, USA.
Child Maltreat. 2008 Feb;13(1):14-26. doi: 10.1177/1077559507307837.
This study examines the concordance between adolescent reports of abuse and abuse determinations from Child Protective Service (CPS) agencies. It also compares the utility of adolescent reports of abuse, relative to CPS determinations in predicting adolescent psychological adjustment. The sample included 350 early adolescents, ages 12 to 13 years, who were initially identified prior to age 2 years as being at elevated risk of maltreatment. An Audio-Computer Assisted Self Interview (A-CASI) was used to assess lifetime experiences of physical, sexual, and psychological abuse. The A-CASI interview elicited prevalence rates of abuse 4 to 6 times higher than those found in CPS records. However, 20 of 45 adolescents with CPS determinations of abuse failed to report abuse during the study interview. Adolescent psychological adjustment was more strongly associated with self-reports than with CPS determinations. The implications of these findings are discussed for validity of adolescent self-reports of childhood abuse and for the ongoing debate about disclosure patterns among victims of child sexual abuse.
本研究考察了青少年报告的虐待情况与儿童保护服务（CPS）机构对虐待的判定之间的一致性。它还比较了青少年报告的虐待情况相对于CPS判定在预测青少年心理调适方面的效用。样本包括350名12至13岁的青少年早期个体，他们在2岁之前就被确定为遭受虐待的风险较高。采用音频计算机辅助自我访谈（A-CASI）来评估身体虐待、性虐待和心理虐待的终生经历。A-CASI访谈得出的虐待发生率比CPS记录中的高出4至6倍。然而，在CPS判定为遭受虐待的45名青少年中，有20名在研究访谈期间未报告遭受虐待。青少年的心理调适与自我报告的关联比与CPS判定的关联更强。讨论了这些发现对青少年童年虐待自我报告的有效性以及关于儿童性虐待受害者披露模式的持续辩论的意义。
