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儿童报告的家庭暴力:现有工具的系统评价

Child-Reported Family Violence: A Systematic Review of Available Instruments.

作者信息

Booth Anna T, Cloud Zoe C G, Vuong An, Von Doussa Henry, Ralfs Claire, McIntosh Jennifer E

机构信息

La Trobe University, Bundoora, VIC, Australia.

Relationships Australia South Australia, Hindmarsh, SA, Australia.

出版信息

Trauma Violence Abuse. 2024 Apr;25(2):1661-1679. doi: 10.1177/15248380231194062. Epub 2023 Aug 30.

DOI:10.1177/15248380231194062
PMID:37646364
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10913336/
Abstract

The impact of family violence (FV) on children is a significant global public policy issue. Earliest identification of FV among children is critical for preventing escalating sequelae. While practitioners routinely ask adults about FV, there are relatively few measures that enable children to reliably self-report on their own safety. This review sought to systematically identify and appraise all available child self-report measures for screening and assessment of FV in both clinical and research settings. Database searching was conducted in January 2022. Articles were eligible for review if they included a validated child (5-18 years) self-report measure of FV (including victimization, perpetration, and/or exposure to inter-parental violence). Screening of an initial 4,714 records identified a total of 85 articles, representing 32 unique validated instruments. Results provide an up-to-date catalog of child self-report measures of FV, intended to benefit practitioners, services and researchers in selecting appropriate tools, and in understanding their suitability and limitations for different cohorts and practice goals. While just under half of the measures captured both exposure to inter-parental violence and direct victimization, none captured all three domains of exposure, victimization and perpetration together. Instruments with provision for input from multiple respondents (e.g., both child and parent report) and with assessment of contextual risk factors were few. Findings point to the need for developmentally appropriate, whole-of-family screening and assessment frameworks to support children in the early identification of family safety concerns.

摘要

家庭暴力(FV)对儿童的影响是一个重大的全球公共政策问题。尽早识别儿童中的家庭暴力对于预防后遗症的升级至关重要。虽然从业者经常询问成年人有关家庭暴力的情况,但能够让儿童可靠地自我报告自身安全状况的措施相对较少。本综述旨在系统地识别和评估所有现有的儿童自我报告措施,用于在临床和研究环境中筛查和评估家庭暴力。2022年1月进行了数据库检索。如果文章包含经过验证的针对5至18岁儿童的家庭暴力自我报告措施(包括受害情况、施暴情况和/或遭受父母间暴力的情况),则符合综述条件。对最初的4714条记录进行筛选后,共识别出85篇文章,代表32种独特的经过验证的工具。研究结果提供了一份最新的儿童家庭暴力自我报告措施目录,旨在帮助从业者、服务机构和研究人员选择合适的工具,并了解这些工具对于不同群体和实践目标的适用性和局限性。虽然略少于一半的措施涵盖了遭受父母间暴力和直接受害情况,但没有一项措施同时涵盖暴露、受害和施暴这三个领域。提供多个受访者(如儿童和家长报告)输入以及评估背景风险因素的工具很少。研究结果表明,需要制定适合不同发育阶段的全家庭筛查和评估框架,以支持儿童尽早识别家庭安全问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30d9/10913336/f3203f5a9b6d/10.1177_15248380231194062-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30d9/10913336/f3203f5a9b6d/10.1177_15248380231194062-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30d9/10913336/f3203f5a9b6d/10.1177_15248380231194062-fig1.jpg

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Utility of screening for adverse childhood experiences (ACE) in children and young people attending clinical and healthcare settings: a systematic review.
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