University of Connecticut School of Medicine, Farmington, CT 06030, USA.
J Interpers Violence. 2011 Nov;26(16):3316-37. doi: 10.1177/0886260510393009. Epub 2011 Feb 28.
In a clinical sample of child psychiatry outpatients, chart review data were collected for 114 consecutive admissions over a 1-year period at a Child and Adolescent Outpatient Psychiatry Clinic. Data included history of documented maltreatment, potentially traumatic domestic or community violence, neglect or emotional abuse, and noninterpersonal stressors as well as demographics, psychiatric diagnoses, and parent-rated child emotional and disruptive behavior problems. On a bivariate and multivariate basis, any past exposure to interpersonal violence-but not to noninterpersonal traumas-was related to more severe disruptive behavior problems, independent of the effects of demographics and psychiatric diagnoses. Noninterpersonal trauma and psychiatric diagnoses were associated with emotional problems; exposure to interpersonal violence appeared to partially account for this relationship despite not being independently associated with emotional problem severity. History of exposure to interpersonal violence warrants clinical and research attention as a severity marker and potential treatment focus in psychiatric outpatient services for children, particularly those with disruptive behavior problems.
在一项儿童精神病学门诊患者的临床样本中，对儿童和青少年门诊精神病学诊所 1 年内连续 114 次入院的图表审查数据进行了收集。数据包括有记录的虐待、潜在创伤性家庭或社区暴力、忽视或情感虐待以及非人际压力源以及人口统计学、精神科诊断以及父母评定的儿童情绪和行为障碍问题。在单变量和多变量基础上，任何过去暴露于人际暴力但不是非人际创伤与更严重的行为障碍问题有关，而与人口统计学和精神科诊断无关。非人际创伤和精神科诊断与情绪问题有关；尽管与情绪问题严重程度无关，但暴露于人际暴力似乎部分解释了这种关系。暴露于人际暴力的历史值得临床和研究关注，作为儿童精神科门诊服务的严重程度标志物和潜在治疗重点，特别是那些有行为障碍问题的儿童。
