Crimes Against Children Research Center, University of New Hampshire, Durham, NH 03824, USA.
Trauma Violence Abuse. 2010 Jan;11(1):27-41. doi: 10.1177/1524838009358892.
The authors review the literature on resilience following childhood maltreatment and describe how variation in the measurement of outcomes at various developmental stages affects research findings, practice implications, and policy recommendations. Although the 21 studies reviewed considered competent functioning in similar domains as evidence of resilience following maltreatment, few provided prevalence estimates for specific indicators or across domains of functioning. Using the National Survey of Child and Adolescent Well-Being (NSCAW), the authors explored different ways of operationalizing resilience. The number of children demonstrating competence following maltreatment varied greatly by the indicators used; furthermore, competence in one domain (behavioral, emotional, or educational) did not guarantee competence in another. About one in five children were functioning poorly in all three domains. Because findings vary according to the operational definition of resilience, researchers must use caution in conceptualizing their analytic variables and interpreting findings. Furthermore, given the lack of cross-domain competence, services to maltreated children and their families should be comprehensive.
作者回顾了关于儿童期虐待后复原力的文献，并描述了在不同发展阶段衡量结果的变化如何影响研究结果、实践意义和政策建议。尽管所审查的 21 项研究将类似领域的功能正常视为虐待后复原力的证据，但很少有研究提供特定指标或功能领域的患病率估计。作者使用国家儿童和青少年福利调查（NSCAW），探讨了不同的复原力操作化方法。在使用的指标中，表现出适应力的儿童数量差异很大；此外，在一个领域（行为、情感或教育）的适应力并不能保证在另一个领域的适应力。大约五分之一的儿童在所有三个领域都表现不佳。由于复原力的操作定义不同，研究人员在概念化分析变量和解释研究结果时必须谨慎。此外，鉴于缺乏跨领域的能力，受虐待儿童及其家庭的服务应该是全面的。
