The Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, 5 Longfellow Pl., Suite 215, Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA; Institute for Juvenile Research, University of Illinois College of Medicine, 1747 W Roosevelt Rd., Chicago, IL 60608, USA.
Harvard T.H. Chan School of Public Health, 677 Huntington Ave., Boston, MA 02115, USA.
Child Abuse Negl. 2017 Mar;65:48-57. doi: 10.1016/j.chiabu.2017.01.004. Epub 2017 Jan 19.
Child abuse is a global problem, and parents with histories of childhood abuse are at increased risk of abusing their offspring. The objective of this systematic review is to provide a clear overview of the existing literature of randomized controlled trials evaluating the effectiveness of interventions to prevent child abuse. PubMed, PsychINFO, Web of Science, Sociological Abstracts, and CINAHL were systematically searched and expanded by hand search. This review includes all randomized controlled trials (RCTs) of interventions designed to prevent abuse among mothers identified as high-risk. Of the eight studies identified, only three found statistically significant reductions in abuse by any measure, and only two found reductions in incidents reported to child protective services. While much has been written about child abuse in high-risk families, few RCTs have been performed. Only home visitation has a significant evidence base for reducing child abuse, and the findings vary considerably. Also, data from low- and middle-income countries are limited.
儿童虐待是一个全球性问题，有儿童期虐待史的父母更有可能虐待他们的后代。本系统评价的目的是提供现有文献的清晰概述，评估预防儿童虐待的干预措施的有效性。通过系统搜索 PubMed、PsychINFO、Web of Science、Sociological Abstracts 和 CINAHL，并通过手工搜索进行扩展。本综述包括所有旨在预防被确定为高风险的母亲虐待的干预措施的随机对照试验 (RCT)。在所确定的八项研究中，只有三项研究发现任何措施的虐待发生率都有统计学意义的降低，只有两项研究发现向儿童保护服务机构报告的事件减少。尽管有很多关于高风险家庭中儿童虐待的文献，但很少有 RCT 进行。只有家访在减少儿童虐待方面有坚实的证据基础，而且结果差异很大。此外，来自低收入和中等收入国家的数据有限。
