New York University School of Medicine, New York, NY, USA.
Child Maltreat. 2012 May;17(2):153-63. doi: 10.1177/1077559511433817. Epub 2012 Feb 13.
Recurrence rates of psychological maltreatment (PM) and the services that may reduce those rates have not been systematically evaluated. The National Child Abuse and Neglect Data System was used for 2003-2007 to study a cohort of children in 18 states with PM reports first confirmed by child protective services (CPS) during 2003. PM recurrence rates after counseling and other referrals were assessed while controlling for factors associated with service referral and other maltreatment. A total of 11,646 children had a first CPS-confirmed report with PM, and 9.2% of them had a second-confirmed PM report within 5 years. Fewer than one fourth of families were referred for services after PM, with service referrals being more likely for families with poverty, drug or alcohol problems, or other violence. Controlling for these factors, counseling referral was associated with a 54% reduction in PM recurrence, but other services were not associated with statistically significant reductions. Few families in which PM was confirmed receive any services, and most services provided were not associated with reductions in PM recurrence. Clarification of key services associated with efficacious prevention of PM is needed.
心理虐待 (PM) 的复发率以及可能降低这些复发率的服务尚未得到系统评估。利用国家儿童虐待和忽视数据系统，对 2003 年至 2007 年间来自 18 个州的儿童队列进行了研究，这些儿童在 2003 年首次经儿童保护服务 (CPS) 确认存在 PM 报告。在控制与服务转介和其他虐待相关的因素的同时，评估了咨询和其他转介后的 PM 复发率。共有 11646 名儿童首次经 CPS 确认存在 PM 报告，其中 9.2%的儿童在 5 年内有第二次确认的 PM 报告。PM 后接受服务的家庭不到四分之一，而有贫困、毒品或酒精问题或其他暴力问题的家庭更有可能获得服务转介。在控制这些因素的情况下，咨询转介与 PM 复发率降低 54%相关，但其他服务与 PM 复发率降低无统计学显著相关性。在确认 PM 的家庭中，很少有家庭接受任何服务，而且提供的大多数服务与 PM 复发率降低无关。需要明确与 PM 有效预防相关的关键服务。
