University of Utah, Department of Pediatrics, IntermountainInjury Control and Research Center, 295 Chipeta Way, Salt Lake City, UT 84158, USA.
JAMA Pediatr. 2013 Mar 1;167(3):236-42. doi: 10.1001/2013.jamapediatrics.324.
OBJECTIVE To describe longitudinal change in child behavior problems associated with resolution of intimate partner violence (IPV) after an investigation for suspected child maltreatment. DESIGN Retrospective cohort study. SETTING The National Survey of Child and Adolescent Well-Being, a nationally representative longitudinal sample of US households investigated for suspected child maltreatment. PARTICIPANTS The study included 320 school-aged subjects with caregiver-reported IPV in the year prior to baseline interview. Caregivers were interviewed an average of 3, 20, 36, and 81 months following investigation. MAIN EXPOSURE Resolution vs persistence of baseline IPV. Persistence was defined by report of IPV during any follow-up interview. MAIN OUTCOME MEASURES Clinically significant internalizing or externalizing child behavior problems. RESULTS In total, 44.6% of caregivers who reported IPV at the baseline interview reported persistent IPV. After adjusting for significant covariates, IPV resolution was associated with an 11.9% reduction in internalizing problems by 81 months (P = .03); IPV persistence was associated with persistence in baseline problems. Resolution of IPV was associated with an 18.5% reduction in externalizing problems by 20 months that was sustained at 36 and 81 months (all P < .05). Intimate partner violence persistence was associated with a steady but nonsignificant increase in externalizing behavior problems during 81 months (10.1%, P = .07). The adjusted relative risks for internalizing and externalizing behavior problems 81 months following a child protective services investigation for children exposed to persistent vs resolved IPV were 1.79 (95% CI, 0.91-3.52) and 1.88 (95% CI, 1.12-3.18), respectively. CONCLUSIONS Resolution of IPV after a child protective services investigation for suspected child maltreatment is associated with meaningful, sustained reductions in clinically significant child behavior problems.
描述与疑似虐待儿童调查后亲密伴侣暴力（IPV）解决相关的儿童行为问题的纵向变化。
回顾性队列研究。
全国儿童和青少年福利调查，这是一个具有全国代表性的美国家庭纵向样本，对疑似虐待儿童的家庭进行了调查。
本研究包括 320 名基线访谈前一年有照顾者报告的 IPV 的学龄儿童。照顾者在调查后平均 3、20、36 和 81 个月接受访谈。
基线 IPV 的解决与持续。持续性定义为任何随访访谈中报告的 IPV。
临床显著的内化或外化儿童行为问题。
在基线访谈中报告 IPV 的护理人员中，共有 44.6%报告持续存在 IPV。在调整了显著协变量后，IPV 解决与 81 个月时内化问题减少 11.9%（P = 0.03）相关；IPV 持续与基线问题持续相关。IPV 解决与 20 个月时外化问题减少 18.5%相关，该比例在 36 和 81 个月时保持稳定（均 P < 0.05）。IPV 持续与外化行为问题在 81 个月期间持续但无统计学意义的增加相关（10.1%，P = 0.07）。在儿童保护服务调查后 81 个月，暴露于持续 IPV 与解决 IPV 的儿童的内化和外化行为问题的调整相对风险分别为 1.79（95%CI，0.91-3.52）和 1.88（95%CI，1.12-3.18）。
儿童保护服务调查后 IPV 的解决与临床显著儿童行为问题的显著、持续减少相关。
