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促进受虐儿童有弹性的学业功能发展。

Promoting the development of resilient academic functioning in maltreated children.

机构信息

Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, United States.

The College of Social Work, The Ohio State University, United States.

出版信息

Child Abuse Negl. 2018 Jan;75:92-103. doi: 10.1016/j.chiabu.2017.07.018. Epub 2017 Aug 4.

Abstract

This study examined (a) the extent of heterogeneity in the patterns of developmental trajectories of language development and academic functioning in children who have experienced maltreatment, (b) how maltreatment type (i.e., neglect or physical abuse) and timing of abuse explained variation in developmental trajectories, and (c) the extent to which individual protective factors (i.e., preschool attendance, prosocial skills), relationship protective factors (i.e., parental warmth, absence of past-year depressive episode, cognitive/verbal responsiveness) and community protective factors (i.e., neighborhood safety) promoted the development of resilient language/academic functioning trajectories. Longitudinal data analyses were conducted using cohort sequential Growth Mixture Model (CS-GMM) with a United States national representative sample of children reported to Child Protective Services (n=1,776). Five distinct developmental trajectories from birth to age 10 were identified including two resilient groups. Children who were neglected during infancy/toddlerhood or physically abused during preschool age were more likely to be in the poorer language/academic functioning groups (decreasing/recovery/decreasing and high decreasing) than the resilient high stable group. Child prosocial skills, caregiver warmth, and caregiver cognitive stimulation significantly predicted membership in the two resilient academic functioning groups (low increasing and high stable), after controlling for demographics and child physical abuse and neglect. Results suggest that it is possible for a maltreated child to successfully achieve competent academic functioning, despite the early adversity, and identifies three possible avenues of intervention points. This study also makes a significant contribution to the field of child development research through the novel use of CS-GMM, which has implications for future longitudinal data collection methodology.

摘要

本研究考察了

(a) 经历过虐待的儿童在语言发展和学业功能的发展轨迹模式方面存在的异质性程度;(b) 虐待的类型(即忽视或身体虐待)和虐待发生的时间如何解释发展轨迹的变化;(c) 个体保护因素(即学前教育参与、亲社会技能)、关系保护因素(即父母温暖、过去一年无抑郁发作、认知/言语反应能力)和社区保护因素(即邻里安全)在多大程度上促进了具有弹性的语言/学业功能轨迹的发展。使用队列顺序增长混合模型(CS-GMM)对来自儿童保护服务机构报告的具有美国全国代表性的儿童样本(n=1776)进行了纵向数据分析。从出生到 10 岁,确定了五个不同的发展轨迹,包括两个有弹性的群体。在婴儿/学步期受到忽视或在学前阶段受到身体虐待的儿童,更有可能处于语言/学业功能较差的群体(下降/恢复/下降和高下降),而不是具有弹性的高稳定群体。在控制了人口统计学特征以及儿童身体虐待和忽视后,儿童亲社会技能、照顾者温暖和照顾者认知刺激显著预测了两个具有弹性的学业功能群体(低增长和高稳定)的成员资格。研究结果表明,尽管存在早期逆境,受虐待的儿童仍有可能成功地获得胜任的学业功能,并确定了三个可能的干预点。本研究还通过使用 CS-GMM 对儿童发展研究领域做出了重要贡献,这对未来的纵向数据收集方法具有重要意义。

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