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为什么前瞻性和回顾性的儿童虐待测量结果不同?队列研究中的定性分析。

Why do prospective and retrospective measures of childhood maltreatment differ? Qualitative analyses in a cohort study.

机构信息

Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK; Department of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, London, UK.

出版信息

Child Abuse Negl. 2024 Nov;157:107070. doi: 10.1016/j.chiabu.2024.107070. Epub 2024 Oct 3.

Abstract

BACKGROUND

Research indicates that prospective and retrospective measures of maltreatment often identify different groups of individuals, yet the reasons for these discrepancies remain understudied.

OBJECTIVE

This study explores potential sources of disagreement between prospective and retrospective measures of maltreatment, utilising qualitative data from interviewers' notes.

PARTICIPANTS AND SETTING

The Environmental Risk Longitudinal Twin Study includes 2232 children followed from ages 5-18. Prospective measures relied on caregiver interviews and researcher observations from ages 5-12, while retrospective measures involved self-reports via the Childhood Trauma Questionnaire at age 18.

METHODS

We purposively sampled written interviewer notes from 36 participants who reported more types of maltreatment retrospectively than prospectively ('new reports' group) and 31 participants who reported fewer types retrospectively than prospectively ('omitted reports' group). We conducted a framework analysis of the notes, comparing between the two groups to explore explanations for measurement disagreement.

RESULTS

Three categories of themes emerged related to measurement discrepancies: challenges with prospective measures, highlighting reasons given by the 'new reports' group for why maltreatment went undetected or was not adequately responded to prospectively; challenges with retrospective measures that highlight difficulties with openness and accuracy of self-reports; and differences in appraisals of violence or distressing childhood experiences between the two groups that might lead to new or omitted retrospective reports.

CONCLUSIONS

Our findings underscore potential mechanisms underlying the disagreement between prospective and retrospective measures, contributing to better understanding of these different constructs and more balanced interpretation of related findings.

摘要

背景

研究表明,虐待的前瞻性和回顾性测量通常会识别出不同的人群,但这些差异的原因仍未得到充分研究。

目的

本研究利用访谈员记录中的定性数据,探讨虐待的前瞻性和回顾性测量之间存在分歧的潜在原因。

参与者和设置

环境风险纵向双胞胎研究包括 2232 名从 5-18 岁开始随访的儿童。前瞻性测量依赖于 5-12 岁时照顾者的访谈和研究人员的观察,而回顾性测量则涉及 18 岁时通过儿童创伤问卷进行的自我报告。

方法

我们从报告回顾性报告多于前瞻性报告的 36 名参与者(“新报告”组)和报告回顾性报告少于前瞻性报告的 31 名参与者(“遗漏报告”组)的书面访谈员记录中有意选择样本。我们对记录进行了框架分析,对两组进行了比较,以探讨测量不一致的解释。

结果

出现了三个与测量差异相关的主题类别:前瞻性测量的挑战,突出了“新报告”组提出的为什么虐待行为未被前瞻性检测到或未得到充分应对的原因;回顾性测量的挑战,突出了自我报告的开放性和准确性方面的困难;以及两组对暴力或令人痛苦的童年经历的评估差异,可能导致新的或遗漏的回顾性报告。

结论

我们的研究结果强调了前瞻性和回顾性测量之间存在分歧的潜在机制,有助于更好地理解这些不同的结构,并对相关发现进行更平衡的解释。

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