Silver School of Social Work, New York University, New York, NY, United States.
Silver School of Social Work, New York University, New York, NY, United States.
Child Abuse Negl. 2024 Aug;154:106942. doi: 10.1016/j.chiabu.2024.106942. Epub 2024 Jul 29.
Despite a large body of evidence linking the impact of trauma, parenting, and child maltreatment recidivism, current child welfare services often do not target maternal trauma and post-traumatic stress disorder (PTSD). Moreover, there is little evidence that traditional family preservation services (FPS) lower the rates of repeat incidences of child abuse and neglect. The novel intervention, Parenting-STAIR (P-STAIR), seeks to address maternal mental health and parenting skills in order to reduce punitive parenting behaviors.
This study analyzes the effects of P-STAIR on child maltreatment risk.
P-STAIR was administered to 112 child welfare-involved mothers in New York City (NYC). The mothers were between 18 and 52 years old (M = 31.1, SD = 6.6) and were referred from 4 child welfare preventive service agencies in NYC.
To evaluate change over time in indicators of maltreatment risk, two-tailed paired sample t-tests compared 1) pre- and post-treatment scores and 2) pre-treatment and 3-month follow-up scores.
Among the 71 mothers who completed treatment, significant improvements from baseline to post-assessment and pre- to 3-month follow-up were observed across total scores on the CTSPC and the AAPI-2. Improvements were evident in nonviolent disciple, psychological aggression, expectations, empathy, and parent-child family roles at both the post-assessment and 3-month follow-up which are proximal outcomes of P-STAIR (CTSPC: pre-post nonviolent disciple d = 0.70; pre-post psychological aggression d = 0.34; pre-follow-up nonviolent disciple d = 0.42; pre-follow-up psychological aggression d = 0.36; AAPI-2; pre-post expectations d = 0.31; pre-post empathy d = 0.39; pre-post parent-child roles d = 0.47; pre-follow-up expectations d = 0.33; pre-follow-up empathy d = 0.42; pre-follow-up parent-child roles d = 0.66).
The improvement in indicators of maltreatment risk demonstrates promising support for the utility of P-STAIR within the child welfare system.
尽管有大量证据表明创伤、育儿和儿童虐待复发之间存在关联，但当前的儿童福利服务往往没有针对母亲的创伤和创伤后应激障碍（PTSD）。此外，几乎没有证据表明传统的家庭保护服务（FPS）能降低虐待和忽视儿童的再发率。新的干预措施“养育-阶梯（P-STAIR）”旨在解决母亲的心理健康和育儿技能问题，以减少惩罚性的育儿行为。
本研究分析了 P-STAIR 对儿童虐待风险的影响。
纽约市（NYC）的 112 名参与儿童福利的母亲接受了 P-STAIR 的治疗。母亲年龄在 18 至 52 岁之间（M=31.1，SD=6.6），是从 NYC 的 4 个儿童福利预防服务机构转介过来的。
为了评估随时间推移虐待风险指标的变化，采用双侧配对样本 t 检验比较了 1）治疗前和治疗后得分，以及 2）治疗前和 3 个月随访得分。
在完成治疗的 71 名母亲中，与基线相比，在 CTSPC 和 AAPI-2 上的总分，以及在非暴力纪律、心理攻击、期望、同理心和父母-子女家庭角色方面，在治疗后评估和 3 个月随访时均有显著改善，这些都是 P-STAIR 的近期结果（CTSPC：治疗前-后非暴力纪律 d=0.70；治疗前-后心理攻击 d=0.34；随访前-非暴力纪律 d=0.42；随访前-心理攻击 d=0.36；AAPI-2；治疗前-后期望 d=0.31；治疗前-后同理心 d=0.39；治疗前-后父母-子女角色 d=0.47；随访前-期望 d=0.33；随访前-同理心 d=0.42；随访前-父母-子女角色 d=0.66）。
虐待风险指标的改善表明，P-STAIR 在儿童福利系统中的实用性得到了有希望的支持。
