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幼儿期虐待与行为问题轨迹:探索性别和种族差异

Early childhood maltreatment and trajectories of behavioral problems: exploring gender and racial differences.

作者信息

Godinet Meripa T, Li Fenfang, Berg Teresa

机构信息

University of Hawai'i Myron B. Thompson School of Social Work, 1800 East West Road, Honolulu, HI 96822, United States.

出版信息

Child Abuse Negl. 2014 Mar;38(3):544-56. doi: 10.1016/j.chiabu.2013.07.018. Epub 2013 Aug 29.

Abstract

The current study aimed to examine the trajectory of child behavior problems over time as a function of early maltreatment. We anticipated that early alleged maltreatment would have a substantial impact on both internalizing and externalizing behaviors. The impact of gender and racial differences in the trajectories were also examined. Using the LONGSCAN archived data, a total of 484 children were selected for the study from varying sites. Two groups were formed: children with early allegations of maltreatment from birth to age 4 and children without any report. Children included did not have further allegations of maltreatment from ages 4 to 12. Additionally, they must have completed a behavioral assessment using the Child Behavior Checklist at the age 4 baseline interview. Multilevel modeling using the SAS PROC MIXED procedure was used to examine the effects of early allegations of maltreatment on the trajectories of both internalizing and externalizing problems. Although race was not significant, gender was found to differ in trajectory of behavioral problems among children with early allegations of maltreatment. For boys, the impact of early maltreatment was strongest at the most proximal assessment of behavioral outcomes and then decreased gradually over the course of subsequent periods. For girls, although no significant impact was observed at each measurement point, the impact of early maltreatment increased and became pronounced over time. Findings support the importance of early intervention/prevention to decrease the likelihood of presenting behavioral problems in later childhood years with consideration to gender.

摘要

本研究旨在考察儿童行为问题随时间的发展轨迹,以及早期虐待对其的影响。我们预计早期被指控的虐待行为会对内化行为和外化行为产生重大影响。我们还考察了性别和种族差异在这些轨迹中的影响。利用LONGSCAN存档数据,从不同地点共选取了484名儿童进行研究。研究分为两组:出生至4岁有早期虐待指控的儿童和无任何此类报告的儿童。所纳入的儿童在4至12岁期间没有进一步的虐待指控。此外,他们必须在4岁基线访谈时使用儿童行为量表完成行为评估。使用SAS PROC MIXED程序进行多层次建模,以考察早期虐待指控对内化和外化问题轨迹的影响。尽管种族因素不显著,但在有早期虐待指控的儿童中,发现性别在行为问题轨迹上存在差异。对于男孩,早期虐待对行为结果最接近评估时的影响最强,随后在后续阶段逐渐减弱。对于女孩,虽然在每个测量点未观察到显著影响,但早期虐待的影响随时间增加并变得明显。研究结果支持早期干预/预防的重要性,即在考虑性别的情况下,降低儿童后期出现行为问题的可能性。

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