Child Trends, Minneapolis, Minnesota.
Texas Tech University, Lubbock, Texas.
Infant Ment Health J. 2019 Mar;40(2):169-185. doi: 10.1002/imhj.21767. Epub 2019 Jan 18.
Clinicians working with Early Head Start (EHS) families consider family well-being and positive parent-child relationships as foundational to school readiness. Understanding the links between risk factors and these dimensions of family engagement can inform clinical decision-making, as risk assessments are used to tailoring program services. The current study examined the associations between high risk, or potential, for child physical abuse and both parenting quality and children's emotion regulation (ER) during toddlerhood; EHS participation was examined as a buffer. The sample included EHS-eligible mothers of infants (N = 80) drawn from one site of the EHS Research and Evaluation Project. Associations were tested between mothers' potential for child physical abuse, measured during infancy, and observed maternal sensitivity, positive regard, harshness, and children's ER skills at child ages 1 and 2 years. Results indicated that high potential for child physical abuse was associated with lower positive regard at age 1 and lower ER skills at age 2. EHS participation operated as a buffer on each of these associations. Implications for screening for child physical abuse potential and the constructs it represents in clinical settings as well as how EHS can promote family engagement are discussed.
临床医生在与早期开端(EHS)家庭合作时,将家庭福祉和积极的亲子关系视为儿童入学准备的基础。了解风险因素与家庭参与这些维度之间的联系,可以为临床决策提供信息,因为风险评估用于调整计划服务。本研究考察了幼儿期儿童身体虐待的高风险或潜在风险与育儿质量和儿童情绪调节(ER)之间的关联;EHS 参与被视为缓冲。该样本包括从 EHS 研究和评估项目的一个地点中抽取的符合 EHS 条件的婴儿母亲(N=80)。在婴儿期进行的儿童身体虐待潜在风险与 1 岁和 2 岁时观察到的母亲敏感性、积极关注、严厉和儿童 ER 技能之间的关联进行了测试。结果表明,儿童身体虐待的高潜在风险与 1 岁时的积极关注较低和 2 岁时的 ER 技能较低有关。EHS 参与在这些关联中的每一个方面都起到了缓冲作用。讨论了在临床环境中筛查儿童身体虐待潜在风险及其代表的结构的意义,以及 EHS 如何促进家庭参与。