Duncan Andrea Freeman, Caughy Margaret O'Brien
Division of Neonatal-Perinatal Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA.
J Child Adolesc Psychiatr Nurs. 2009 Nov;22(4):228-34. doi: 10.1111/j.1744-6171.2009.00203.x.
Vulnerable child syndrome (VCS) refers to the combination of the parental view that their child is at increased risk for death despite the child's objective health and the resulting behavior problems in the child. Although risk factors for the development of the syndrome have been outlined, the variability in the development of VCS has not been explained.
A theoretical explanation for the variability in the development of VCS utilizing Susan Calkins' model is explored. By considering the development of VCS in light of Calkins' model, variability may be explained and preventative interventions may be instituted.
Relevant literature pertaining to child development and VCS was reviewed.
By recognizing the risk of the role that parenting sensitivity plays in the development of VCS, team-based interventions involving a developmental approach may be employed, and the long-term behavioral sequelae of the disorder may be prevented or alleviated.
易受伤害儿童综合征（VCS）指的是父母认为自己的孩子尽管客观健康状况良好但仍有更高死亡风险，以及由此导致孩子出现行为问题的一种综合情况。虽然已经概述了该综合征发展的风险因素，但VCS发展的变异性尚未得到解释。
利用苏珊·卡尔金斯的模型探讨VCS发展变异性的理论解释。根据卡尔金斯的模型来考虑VCS的发展，变异性或许可以得到解释，并且可以制定预防性干预措施。
查阅了与儿童发展和VCS相关的文献。
通过认识到养育敏感性在VCS发展中所起作用的风险，可以采用基于团队的、涉及发展方法的干预措施，从而预防或减轻该障碍的长期行为后遗症。
