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巴西某服务中心受虐儿童和青少年的健康相关生活质量。

Health-related quality of life of maltreated children and adolescents who attended a service center in Brazil.

机构信息

Postgraduate Program in Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves 457, 96015-560, Pelotas, Rio Grande Do Sul, Brazil.

Dentistry College, Federal University of Pelotas, Rua Gonçalves Chaves 457, 96015-560, Pelotas, Rio Grande Do Sul, Brazil.

出版信息

Qual Life Res. 2018 Aug;27(8):2157-2164. doi: 10.1007/s11136-018-1881-9. Epub 2018 May 15.

Abstract

PURPOSE

This study's aim was to evaluate the health-related quality of life (HRQoL) and associated factors of maltreated children and adolescents.

METHODS

This cross-sectional study consisted of individuals between 8 and 17 years of age who were victims of maltreatment. The KIDSCREEN-52 was used to measure their HRQoL. Socioeconomic and demographic data were collected, as well as information about the type of abuse, type of perpetrator, and psychological support adherence. The Kruskal-Wallis test was used to analyze the scores of the KIDSCREEN-52 by the independent variables.

RESULTS

One hundred and thirteen victims answered the questionnaire. Girls and adolescents had a lower overall HRQoL score (p < 0.05). Children who suffered from sexual abuse had a lowest score on the moods and emotions dimension than children who suffered from physical abuse (p < 0.05). There was a lowest score on the autonomy dimension among the children who suffered maltreatment by an extrafamilial perpetrator than those who were victimized by an intrafamilial perpetrator (p < 0.05). A lower score on the psychological well-being was observed among the children who adhered to the psychological support program provided by the service compared to those who terminated the service before completion (p < 0.05).

CONCLUSIONS

Adolescents and girls were associated with lower HRQoL scores. There was no association between the overall HRQoL score and the characteristics of the maltreatment; however, the type of abuse and the victim's relationship with the perpetrator were only related to some dimensions. These findings may assist maltreatment care providers in planning strategies to reduce the consequences that violence may cause.

摘要

目的

本研究旨在评估受虐待儿童和青少年的健康相关生活质量(HRQoL)及其相关因素。

方法

本横断面研究纳入了 8 至 17 岁遭受虐待的个体。使用 KIDSCREEN-52 评估他们的 HRQoL。收集了社会经济和人口统计学数据,以及关于虐待类型、施虐者类型和心理支持依从性的信息。使用 Kruskal-Wallis 检验分析 KIDSCREEN-52 评分的独立变量。

结果

113 名受害者回答了问卷。女孩和青少年的总体 HRQoL 评分较低(p<0.05)。遭受性虐待的儿童在情绪和情感维度上的得分低于遭受身体虐待的儿童(p<0.05)。遭受非家庭施虐者虐待的儿童在自主性维度上的得分低于遭受家庭施虐者虐待的儿童(p<0.05)。与完成服务前退出服务的儿童相比,接受服务提供的心理支持计划的儿童在心理幸福感方面的得分较低(p<0.05)。

结论

青少年和女孩的 HRQoL 评分较低。HRQoL 总分与虐待特征之间没有关联;然而,虐待类型和受害者与施虐者的关系仅与某些维度有关。这些发现可能有助于虐待护理提供者制定策略,减少暴力可能造成的后果。

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