The University of Western Ontario, 1137 Western Road, London, Ontario, Canada.
The University of Western Ontario, 1137 Western Road, London, Ontario, Canada.
Child Abuse Negl. 2021 Apr;114:104956. doi: 10.1016/j.chiabu.2021.104956. Epub 2021 Feb 11.
Exposure to maltreatment has a detrimental impact on both physical and mental health. However, research on the relationship between polyvictimization and care planning needs is scarce.
This study investigated the associations between interpersonal polyvictimization and care planning needs for children and youth, controlling for sex and age differences.
The sample included 18,701 children and youth (M = 12.33, SD = 3.53) between 4 and 18 years. Participants were recruited from over 58 mental health agencies, facilities, and schools in Ontario, Canada between November 2012 and February 2020.
Multivariate binary logistic regression was used to investigate polyvictimization, sex and age groups, as predictors on care planning outcomes. Significant interaction effects were further examined using simple effects analyses.
Children and youth experiencing polyvictimization, compared to those who did not, were more likely to report attachment difficulties, lack of informal support, interpersonal conflict, substance use and harm to self or others. In addition, the relationship between polyvictimization and attachment and interpersonal conflict care planning was moderated by sex.
Findings emphasize the importance of focusing on interpersonal polyvictimization and sex differences when developing treatment plans for a variety of care planning needs. Mental health practitioners could utilize the study findings to guide their clinical practices and ensure effective services are provided to those seeking mental health care.
遭受虐待会对身心健康造成不利影响。然而，关于多受虐与护理计划需求之间关系的研究还很缺乏。
本研究调查了儿童和青少年人际多受虐与护理计划需求之间的关联，同时控制了性别和年龄差异。
该样本包括来自加拿大安大略省 58 家以上心理健康机构、设施和学校的 18701 名 4 至 18 岁的儿童和青少年（M=12.33，SD=3.53）。参与者于 2012 年 11 月至 2020 年 2 月期间招募。
使用多元二项逻辑回归分析了多受虐、性别和年龄组作为护理计划结果的预测因素。进一步使用简单效应分析检验了显著的交互效应。
与未经历多受虐的儿童和青少年相比，经历多受虐的儿童和青少年更有可能报告依恋困难、缺乏非正式支持、人际冲突、物质使用以及对自己或他人的伤害。此外，多受虐与依恋和人际冲突护理计划之间的关系受到性别的调节。
研究结果强调了在制定各种护理计划需求的治疗计划时关注人际多受虐和性别差异的重要性。心理健康从业者可以利用研究结果指导他们的临床实践，确保为寻求心理健康护理的人提供有效的服务。
