Lynch M A
Lancet. 1975 Aug 16;2(7929):317-9. doi: 10.1016/s0140-6736(75)92747-6.
Intensive therapeutic work with families, in which child abuse had occurred, suggested that bonding failure related in part to the pregnancy, perinatal experience, and early ill-health of the abused proband and parents. 25 consecutive unequivocally abused children who had 1 or more siblings were selected from our referrals. Six factors emerged as highly significantly over-represented in the proband biography as compared with the control sibling group: abnormal pregnancy, abnormal labour or delivery, neonatal separation, other separation in the first six months, illnesses in the first year of life, and illness in the mother in first year of life. These data suggest that treatment of parents during pregnancy the perinatal period, and early infancy may well be fruitful in the prevention of child abuse.
针对曾发生过虐待儿童事件的家庭开展的深入治疗工作表明，情感联结失败部分与受虐先证者及其父母的孕期、围产期经历以及早期健康问题有关。我们从转诊病例中挑选出25名连续的、明确遭受虐待且有1个或更多兄弟姐妹的儿童。与对照的兄弟姐妹组相比，有六个因素在先证者的经历中显著过度呈现：异常妊娠、异常分娩、新生儿分离、出生后头六个月的其他分离情况、一岁内患病以及母亲在一岁内患病。这些数据表明，在孕期、围产期和婴儿早期对父母进行治疗，很可能对预防虐待儿童富有成效。
