Australian Centre for Precision Health, Cancer Research Institute, University of South Australia, Adelaide, South Australia, Australia.
University of South Australia, Adelaide, South Australia, Australia.
Child Abuse Negl. 2021 Dec;122:105301. doi: 10.1016/j.chiabu.2021.105301. Epub 2021 Sep 4.
This study explored the associations between child maltreatment and functional resilience at school commencement, and investigated factors related to resilience separately for boys and girls.
Children were part of a birth cohort of all children born in South Australia between 1986 and 2017 who had completed the Early Australian Development Census (AEDC) at about age 5-6 years when starting primary school (N = 65,083).
Multivariable logistic regression analysis was conducted with a subsample of 3414 high-risk children who had a maltreatment substantiation or investigation, with resilience defined as having well or highly developed strengths on the Multiple Strength Indicator of the AEDC.
CPS involvement was strongly associated with poorer functioning at school commencement. Among high-risk children, 51.2% demonstrated resilience. Predictors of resilience in the multivariable model were being older, not having an emotional condition, and being read to at home. Risk factors were being male, living in rural or remote areas, having a physical or sensory disability, or having a learning disability. Boys who had been maltreated demonstrated few strengths and had less resilience than girls. Boys and girls who were read to regularly at home had more than three times the odds of showing resilience than children who were not read to at home.
The early learning environment provides an ideal opportunity to identify and intervene to help those children who are struggling with school adjustment following familial maltreatment. Boys are likely to need additional help.
本研究探讨了儿童虐待与入学时功能韧性之间的关联，并分别探讨了男孩和女孩韧性相关的因素。
该研究的参与者是 1986 年至 2017 年期间在南澳大利亚出生的所有儿童的出生队列的一部分，他们在开始上小学时（N=65083）大约 5-6 岁完成了早期澳大利亚发展普查（AEDC）。
对有虐待证实或调查的 3414 名高风险儿童进行了多变量逻辑回归分析，韧性的定义是在 AEDC 的多项优势指标上表现出良好或高度发展的优势。
儿童保护服务的介入与入学时较差的学习功能密切相关。在高风险儿童中，有 51.2%表现出了韧性。多变量模型中的韧性预测因素是年龄较大、没有情绪问题、在家中阅读。风险因素是男性、居住在农村或偏远地区、有身体或感官残疾或有学习障碍。遭受过虐待的男孩表现出的优势很少，韧性比女孩低。经常在家中阅读的男孩和女孩表现出韧性的可能性是未在家中阅读的孩子的三倍以上。
早期学习环境提供了一个理想的机会，可以识别和干预那些在经历家庭虐待后在学校适应方面遇到困难的儿童。男孩可能需要额外的帮助。
