Thompson Richard, Wiley Tisha R
Juvenile Protective Association, Chicago, IL 60622, USA.
Child Maltreat. 2009 Feb;14(1):89-99. doi: 10.1177/1077559508325317. Epub 2008 Oct 15.
Decades of research has identified several psychosocial risk factors for child maltreatment, only some of which are modifiable. The relative importance of the most modifiable psychosocial variables, as compared to more static variables such as demographic characteristics, is not well understood, particularly among children maltreated at a very young age. This study examined predictors of re-referral among 149 urban children originally referred for maltreatment as infants. Of these children, 42.3% were re-referred over a period of 11 to 15 years. Cox regression analyses with time-varying covariates revealed that modifiable psychosocial risk factors failed to predict risk for re-referral in a multivariate model. Demographic characteristics and characteristics of the index incident of maltreatment were the strongest predictors of re-referral. Existing services may not be addressing the underlying reasons for maltreatment, particularly in families with young children. A clearer understanding of the underlying causes of maltreatment is needed.
数十年的研究已确定了儿童虐待的若干社会心理风险因素，其中只有一些是可改变的。与人口特征等更具稳定性的变量相比，最可改变的社会心理变量的相对重要性尚未得到充分理解，尤其是在年龄非常小就遭受虐待的儿童中。本研究调查了149名最初在婴儿期因遭受虐待而被转介的城市儿童再次被转介的预测因素。在这些儿童中，42.3%在11至15年的时间里再次被转介。采用随时间变化的协变量进行的Cox回归分析表明，在多变量模型中，可改变的社会心理风险因素无法预测再次被转介的风险。人口特征和虐待首次事件的特征是再次被转介的最强预测因素。现有服务可能未解决虐待的根本原因，尤其是在有幼儿的家庭中。需要更清楚地了解虐待的根本原因。
