Lauterbach Dean, Armour Cherie
Department of Psychology, Eastern Michigan University, 303a Mark Jefferson Science Hall, Ypsilanti, MI, 48197, USA.
School of Psychology, University of Ulster at Coleraine Campus, Coleraine, Northern Ireland, UK.
J Abnorm Child Psychol. 2016 Feb;44(2):369-79. doi: 10.1007/s10802-015-9998-6.
Very few studies have investigated the longitudinal trajectory of depression and anxiety related symptomatology among child victims of maltreatment or among those at risk for maltreatment. The current study examined latent class trajectories of anxiety/depression symptoms in a sample of 1354 (n = 657 boys, n = 697 girls) victimized or at risk children using data collected from the Longtitudinal Studies of Child Abuse and Neglect (LONGSCAN). Four trajectory groups were identified labeled low-stable, moderate-stable, moderate-increasing, and high-decreasing. This study also sought to investigate predictors of group membership. Relative to the low-stable group, membership in the three more pathological groups (i.e., moderate-stable, moderate-increasing, and high-decreasing) was predicted by a greater number of maltreatment allegations, more visits to a primary care physician for psychological issues, less perceived support by primary maternal caregiver, and lower rated popularity of the child. Implications for early identification of child maltreatment victims in primary health care settings was discussed.
很少有研究调查过受虐待儿童或有受虐待风险儿童中抑郁和焦虑相关症状的纵向轨迹。本研究使用从儿童虐待与忽视纵向研究（LONGSCAN）收集的数据，对1354名（n = 657名男孩，n = 697名女孩）受虐待或有风险的儿童样本中的焦虑/抑郁症状潜在类别轨迹进行了研究。确定了四个轨迹组，分别标记为低稳定组、中度稳定组、中度增加组和高度下降组。本研究还试图调查组群归属的预测因素。与低稳定组相比，在三个更具病态的组（即中度稳定组、中度增加组和高度下降组）中的成员身份可通过更多的虐待指控、因心理问题看初级保健医生的次数更多、主要母亲照顾者给予的支持感较少以及儿童受欢迎程度评分较低来预测。讨论了在初级卫生保健环境中早期识别受虐待儿童受害者的意义。
