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儿童和照料者在儿童虐待报告上的差异及其与儿童福利的关系。

Discrepancies between children's and caregivers' child maltreatment reporting and their associations with child wellbeing.

机构信息

University of Mississippi, Department of Social Work, Garland 315, University, MS 38677, United States of America.

University of South Carolina College of Social Work, 1512 Pendleton St Hamilton College, Columbia, SC 29208, United States of America.

出版信息

Child Abuse Negl. 2022 Nov;133:105858. doi: 10.1016/j.chiabu.2022.105858. Epub 2022 Sep 1.

Abstract

BACKGROUND

Child maltreatment reporting is critical for case investigation and service disposition. However, reporting discrepancies across informants is a challenge for child welfare services.

METHODS

Using data from the Fragile Families and Child Wellbeing Study (n = 3150), the current study examined child-caregiver discrepancies in reporting the frequencies of psychological and physical maltreatment. Multivariate models were used to examine how caregivers' reports, children's reports, and discrepancies between the two were associated with child anxiety, depression, aggression, and delinquency.

RESULTS

A quarter of the children reported psychological maltreatment at a higher (25.7 %) or lower (23.8 %) frequency than their caregivers' report, respectively; 8.4 % and 8.7 % of the children did so in physical maltreatment reports, respectively. Multivariate models showed that children's maltreatment reports were more closely associated with children's anxiety, depression, and delinquency than caregivers' reports, while caregivers' reports were more closely associated with children's aggression. After accounting for caregivers' reporting and other covariates, children who reported more frequent psychological maltreatment than their caregivers' report had a higher level of anxiety, depression, and delinquency (b = 0.17 to 0.25, p < 0.001), and the opposite was true (b = -0.36 to -0.13, p < 0.001). Similarly, children who reported more frequent physical maltreatment than their caregivers' report had a higher level of all negative outcomes (b = 0.04 to 0.44; p = 0.04 to <0.00), and the opposite was true for aggression (b = -0.08, p = 0.004).

CONCLUSIONS

The findings suggest that in addition to other reporting barriers, children and caregivers may perceive maltreatment differently, and such discrepancies are related to children's wellbeing.

摘要

背景

儿童虐待报告对于案件调查和服务处置至关重要。然而,报告在不同报告者之间存在差异,这对儿童福利服务构成了挑战。

方法

本研究使用来自脆弱家庭与儿童福利研究(Fragile Families and Child Wellbeing Study,n=3150)的数据,检验了照料者在报告心理和身体虐待频率方面的差异。使用多元模型检验了照料者报告、儿童报告以及两者之间的差异与儿童焦虑、抑郁、攻击和犯罪行为的关系。

结果

分别有四分之一的儿童报告心理虐待的频率高于(25.7%)或低于(23.8%)其照料者的报告;分别有 8.4%和 8.7%的儿童在身体虐待报告中这样做。多元模型显示,儿童的虐待报告与儿童的焦虑、抑郁和犯罪行为更为密切相关,而照料者的报告与儿童的攻击行为更为密切相关。在考虑了照料者的报告和其他协变量后,与照料者报告相比,报告更频繁的心理虐待的儿童具有更高水平的焦虑、抑郁和犯罪行为(b=0.17 至 0.25,p<0.001),反之亦然(b=-0.36 至-0.13,p<0.001)。同样,与照料者报告相比,报告更频繁的身体虐待的儿童具有更高水平的所有负面结果(b=0.04 至 0.44;p=0.04 至<0.00),而对于攻击行为则相反(b=-0.08,p=0.004)。

结论

研究结果表明,除了其他报告障碍外,儿童和照料者可能对虐待有不同的看法,这种差异与儿童的幸福感有关。

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