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一项针对遭受亲密伴侣暴力儿童的干预项目的疗效试验。

An Efficacy Trial of an Intervention Program for Children Exposed to Intimate Partner Violence.

作者信息

Graham-Bermann Sandra A, Miller-Graff Laura E, Howell Kathryn H, Grogan-Kaylor Andrew

机构信息

Professor of Psychology and Psychiatry, University of Michigan, Ann Arbor, MI, 48109-1043, USA.

Psychology and Peace Studies, University of Notre Dame, Notre Dame, IN, 46556, USA.

出版信息

Child Psychiatry Hum Dev. 2015 Dec;46(6):928-39. doi: 10.1007/s10578-015-0532-4.

Abstract

Children exposed to intimate partner violence (IPV) are at high risk for adjustment problems, especially internalizing disorders. Few evidence-based interventions are available to address internalizing behavior problems in this population. An efficacy trial compared outcomes for 4-6 year old children randomly assigned to a program designed to address the effects of exposure to IPV with those allocated to a waitlist comparison condition. Mothers (N = 120) and children from the United States and Canada were assessed at baseline, 5 weeks later (post-intervention) and at 8-month follow-up. The evaluation compared rates of change over time for child internalizing problems. Results were analyzed using both intent-to-treat (ITT) and per-protocol (PP) approaches. ITT analyses indicated the program reduced internalizing problems for girls at follow-up. PP analyses indicated the program reduced internalizing problems for both boys and girls at post-intervention. In this study, child internalizing problems were significantly reduced through an intervention for the mother and the child.

摘要

遭受亲密伴侣暴力(IPV)的儿童出现适应问题的风险很高,尤其是内化障碍。针对这一人群的内化行为问题,几乎没有基于证据的干预措施。一项疗效试验比较了随机分配到一个旨在解决接触IPV影响的项目的4至6岁儿童与分配到等待名单对照条件的儿童的结果。来自美国和加拿大的母亲(N = 120)和儿童在基线、5周后(干预后)和8个月随访时接受评估。评估比较了儿童内化问题随时间的变化率。结果采用意向性分析(ITT)和符合方案分析(PP)两种方法进行分析。ITT分析表明,该项目在随访时减少了女孩的内化问题。PP分析表明,该项目在干预后减少了男孩和女孩的内化问题。在本研究中,通过对母亲和孩子的干预,儿童的内化问题显著减少。

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