Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands.
Centro de Trauma, CES, University of Coimbra, Coimbra, Portugal.
Eur J Public Health. 2019 Jun 1;29(3):425-431. doi: 10.1093/eurpub/cky216.
Child maltreatment (CM) is associated with long-lasting poor health outcomes, as well as increased levels of disability and health-services consumption across the life-span. However, less is known about how CM consequences can be reduced during adulthood. We investigated professional opinions on how to mitigate long-term consequences of CM in a public health (PH) perspective.
Using the Delphi method in three rounds, we inquired 91 professionals, mostly European researchers and clinicians about potential PH actions to mitigate CM consequences during adulthood.
Most experts agreed that PH actions are needed. Increasing community awareness and training emotional regulation in affected adults were prioritized strategies. Enlarging curricular knowledge about CM for professionals and developing evidence-based interventions were considered preferred methods. Reducing the barriers for access to interventions for adults, such as those provided by trauma-informed services were also suggested. Participants highlighted the possibility to reduce CM consequences across generations as a significant benefit.
PH programmes to reduce the burden of CM can be enhanced by specific actions to facilitate the recognition of difficulties in affected adults and to expand the availability of helpful resources. The application of these programmes could be assisted by the use of modern information-technology.
儿童虐待（CM）与长期健康状况不佳以及整个生命周期内残疾和卫生服务消费水平增加有关。然而，对于如何在成年期减轻 CM 的后果知之甚少。我们调查了专业人士对如何从公共卫生（PH）角度减轻 CM 长期后果的看法。
我们使用德尔菲法进行了三轮调查，询问了 91 名专业人士，其中大多数是欧洲研究人员和临床医生，了解在成年期减轻 CM 后果的潜在 PH 行动。
大多数专家都认为需要采取 PH 行动。提高社区意识和培训受影响成年人的情绪调节被优先考虑为策略。扩大专业人员对 CM 的课程知识并开发基于证据的干预措施被认为是首选方法。还建议减少成年人获得干预措施的障碍，例如创伤知情服务提供的干预措施。参与者强调了跨代减少 CM 后果的可能性，这是一个重大的好处。
可以通过特定的行动来增强 PH 计划，以促进识别受影响成年人的困难，并扩大有用资源的可用性，从而减轻 CM 的负担。这些计划的应用可以通过使用现代信息技术来辅助。
