Julian Megan M, Riggs Jessica, Wong Kristyn, Lawler Jamie M, Brophy-Herb Holly E, Ribaudo Julie, Stacks Ann, Jester Jennifer M, Pitzen Jerrica, Rosenblum Katherine L, Muzik Maria
Department of Psychiatry, University of Michigan, Ann Arbor, MI, United States.
Department of Psychology, Eastern Michigan University, Ypsilanti, MI, United States.
Front Psychiatry. 2023 Feb 28;14:979740. doi: 10.3389/fpsyt.2023.979740. eCollection 2023.
Research examining the effectiveness of home visiting programs that reduce child maltreatment or associated risks yield mixed findings; some find positive significant impacts on maltreatment, whereas others find small to no effects. The Michigan Model of Infant Mental Health Home Visiting (IMH-HV) is a manualized, needs-driven, relationship-focused, home-based intervention service that significantly impacts maternal and child outcomes; the effect of this intervention on child maltreatment has not been sufficiently evaluated.
The current study examined associations between treatment and dosage of IMH-HV and child abuse potential in a longitudinal, randomized controlled trial (RCT).
Participants included 66 mother-infant dyads (Mother age = 31.93 years at baseline; child age = 11.22 months at baseline) who received up to 1 year of IMH-HV treatment ( = 32 visits) or no IMH-HV treatment during the study period.
Mothers completed a battery of assessments including the Brief Child Abuse Potential Inventory (BCAP) at baseline and at the 12-month follow-up assessment.
Regression analyses indicated that after controlling for baseline BCAP scores, those who received any IMH-HV treatment had lower 12-month BCAP scores compared to those who received no treatment. Additionally, participation in more visits was associated with lower child abuse potential at 12 months, and a reduced likelihood of scoring in the risk range.
Findings suggest that greater participation in IMH-HV is associated with decreased risk for child maltreatment 1 year after initiating treatment. IMH-HV promotes parent-clinician therapeutic alliance and provides infant-parent psychotherapy which differentiate it from traditional home visiting programs.
关于减少儿童虐待或相关风险的家访项目有效性的研究结果不一；一些研究发现对虐待有显著积极影响，而另一些研究则发现影响很小或没有影响。密歇根婴儿心理健康家访模式（IMH-HV）是一种标准化、需求驱动、以关系为重点的居家干预服务，对母婴结局有显著影响；该干预对儿童虐待的影响尚未得到充分评估。
本研究在一项纵向随机对照试验（RCT）中，考察了IMH-HV的治疗和剂量与儿童虐待可能性之间的关联。
参与者包括66对母婴二元组（母亲基线年龄=31.93岁；儿童基线年龄=11.22个月），在研究期间，他们接受了长达1年的IMH-HV治疗（=32次家访）或未接受IMH-HV治疗。
母亲们在基线和12个月随访评估时完成了一系列评估，包括简短儿童虐待可能性量表（BCAP）。
回归分析表明，在控制基线BCAP分数后，接受任何IMH-HV治疗的母亲在12个月时的BCAP分数低于未接受治疗的母亲。此外，参与更多家访与12个月时较低的儿童虐待可能性以及在风险范围内得分的可能性降低相关。
研究结果表明，更多地参与IMH-HV与治疗开始1年后儿童受虐待风险降低相关。IMH-HV促进了家长与临床医生的治疗联盟，并提供了婴儿-家长心理治疗，这使其有别于传统的家访项目。
