对有照顾者实施创伤史儿童的儿童安置、情绪、行为及依恋问题的检查。
Examination of Child Placement, Emotional, Behavioral and Attachment Problems Among Children with Caregiver-Perpetrated Trauma Histories.
作者信息
Beyerlein Brittany A, Briggs Ernestine C, Vivrette Rebecca L, Theodore Peter, Lee Robert
机构信息
1UCLA-Duke National Center for Child Traumatic Stress, Department of Psychiatry and Biobehavioral Sciences, University of California, 11150 West Olympic Boulevard, Suite 650, Los Angeles, CA 90064 USA.
2UCLA-Duke National Center for Child Traumatic Stress, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC USA.
出版信息
J Child Adolesc Trauma. 2018 Feb 21;12(2):245-255. doi: 10.1007/s40653-018-0206-z. eCollection 2019 Jun.
Caregiver-perpetrated trauma (CPT) is associated with adverse consequences for youth, including out-of-home placement. Although promotion of kinship care placement has recently increased, effects on youth remain unclear. Psychosocial functioning of 1107 CPT-exposed youth ages 2 to 18 was compared across placement types using generalized mixed models. Youth remaining at home had increased Somatization symptoms compared to kinship (OR = .25, CI = 0.07-.88) and foster care (OR = .32, CI = 0.11-.98) youth. Both out-of-home placement types had higher odds of Attachment Problems (OR = 3.61, CI = 2.22-5.87 and 4.41, CI = 2.71-7.18 respectively). PTSD symptoms varied, youth in kinship care had increased self-reported re-experiencing symptoms (OR = 2.66, CI = 1.04-6.8), while youth in foster care had elevated clinician-rated PTSD (OR = 2.07, CI = 1.1.3-3.80). Given the limited differences between kinship and foster care, studies should continue to delineate the impact of child placement type to inform child welfare policy.
照顾者造成的创伤（CPT）与青少年的不良后果相关，包括家庭外安置。尽管最近对亲属关系照料安置的推广有所增加，但对青少年的影响仍不明确。使用广义混合模型，对1107名2至18岁遭受CPT的青少年在不同安置类型下的心理社会功能进行了比较。与亲属关系照料（OR = 0.25，CI = 0.07 - 0.88）和寄养照料（OR = 0.32，CI = 0.11 - 0.98）的青少年相比，留在家中的青少年躯体化症状有所增加。两种家庭外安置类型出现依恋问题的几率都更高（分别为OR = 3.61，CI = 2.22 - 5.87和OR = 4.41，CI = 2.71 - 7.18）。创伤后应激障碍（PTSD）症状各不相同，亲属关系照料中的青少年自我报告的再次体验症状有所增加（OR = 2.66，CI = 1.04 - 6.8），而寄养照料中的青少年临床医生评定的PTSD水平升高（OR = 2.07，CI = 1.13 - 3.80）。鉴于亲属关系照料和寄养照料之间差异有限，研究应继续阐明儿童安置类型的影响，以为儿童福利政策提供参考。
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