一项关于受虐待儿童（5至16岁）在向儿童虐待与忽视问题咨询及报告中心报告后心理健康与生活质量的前瞻性研究设计。
Design of a prospective study on mental health and quality of life of maltreated children (aged 5-16 years) after a report to an advice and reporting center on child abuse and neglect.
作者信息
Snoeren Froukje, Hoefnagels Cees, Evers Silvia M A A, Lamers-Winkelman Francien
机构信息
Netherlands Institute of Mental Health and Addiction, Trimbos Institute, PO Box 725, Utrecht, 3500 AS, Netherlands.
出版信息
BMC Public Health. 2013 Oct 9;13:942. doi: 10.1186/1471-2458-13-942.
BACKGROUND
Child maltreatment is recognized as a widespread problem with huge implications for mental health and quality of life. Studies have repeatedly shown that victims of child maltreatment report significantly more adverse life outcomes than non-victims. The main objective of the study is (1) to examine the mental health and quality of life of maltreated children over a 1.5 year period beginning shortly after a report has been filed with an Advies- en Meldpunt Kindermishandeling (AMK) (advice and reporting center on child abuse and neglect). Secondary objectives are: (2) to examine how relevant determinants influence the mental health and quality of life of maltreated children, and (3) to examine differences in mental health and quality of life outcomes when comparing families of Dutch origin with families originating from Morocco and Suriname.
METHODS/DESIGN: A prospective study will be performed, in which parent-child dyads will be followed over a 1.5 year period. Participants will be recruited shortly after the report to the AMK and they will be asked to complete a questionnaire four times, at baseline and every six months thereafter. Data will be analyzed using a longitudinal multi-level analysis.
DISCUSSION
The study is expected to yield evidence about the mental health and quality of life of maltreated children and about determinants that influence their mental health and quality of life outcomes. Strengths of this study are (1) the design which makes it possible to start examining outcomes shortly after or even during the actual maltreatment and to follow parent-child dyads for 1.5 years, and (2) asking children as informants about their own situation by making use of self-report questionnaires as much as possible. Limitations include the risks of selection bias and loss to follow-up during 1.5 years of data collection.
TRIAL REGISTRATION
NTR3674, funded by ZonMw, project 15700.2012.
背景
儿童虐待被认为是一个普遍存在的问题，对心理健康和生活质量有着重大影响。研究反复表明，遭受儿童虐待的受害者报告的不良生活后果比未受虐待者多得多。该研究的主要目标是：（1）在向儿童虐待与忽视咨询及报告中心（AMK）报告后不久开始的1.5年期间，检查受虐待儿童的心理健康和生活质量。次要目标是：（2）检查相关决定因素如何影响受虐待儿童的心理健康和生活质量，以及（3）比较荷兰裔家庭与摩洛哥和苏里南裔家庭时，检查心理健康和生活质量结果的差异。
方法/设计：将进行一项前瞻性研究，在1.5年期间跟踪亲子二元组。参与者将在向AMK报告后不久招募，并将被要求在基线时以及此后每六个月完成一次问卷调查。数据将使用纵向多层次分析进行分析。
讨论
该研究预计将提供有关受虐待儿童心理健康和生活质量以及影响其心理健康和生活质量结果的决定因素的证据。本研究的优点是：（1）该设计使得有可能在实际虐待后不久甚至期间开始检查结果，并跟踪亲子二元组1.5年，以及（2）尽可能多地使用自我报告问卷，让儿童作为自己情况的信息提供者。局限性包括在1.5年的数据收集期间存在选择偏倚和失访的风险。
试验注册
NTR3674，由荷兰卫生与福利研究所（ZonMw）资助，项目15700.2012。
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