Hunter R S, Kilstrom N, Kraybill E N, Loda F
Pediatrics. 1978 Apr;61(4):629-35.
Families of premature and ill newborns admitted to a regional newborn intensive care unit were studied prospectively to assess the incidence of reported child abuse and neglect. Of the 255 infants discharged to their parents, ten were subsequently reported as victims of maltreatment during the first year of life. The high incidence of maltreatment (3.9%) in these premature and ill newborns supports the findings of retrospective studies that there is an increased risk of maltreatment in these special infants. Thirteen family psychosocial characteristics, assessed by admission interview, showed significant association with later maltreatment. These family characteristics included social isolation, a family history of child abuse and neglect, serious marital problems, inadequate child care arrangements, apathetic and dependent personality styles, and inadequate child spacing. Maltreated infants were less mature at birth and had more congenital defects than their nursery mates. There was also less family-infant contact during the prolonged nursery hospitalization in families in which maltreatment eventually occurred.
对入住地区新生儿重症监护病房的早产和患病新生儿家庭进行了前瞻性研究，以评估报告的虐待和忽视儿童事件的发生率。在255名出院回家的婴儿中，有10名随后在出生后的第一年被报告为虐待受害者。这些早产和患病新生儿中虐待事件的高发生率（3.9%）支持了回顾性研究的结果，即这些特殊婴儿遭受虐待的风险增加。通过入院访谈评估的13个家庭心理社会特征与后期虐待存在显著关联。这些家庭特征包括社会隔离、虐待和忽视儿童的家族史、严重的婚姻问题、不充分的儿童照料安排、冷漠和依赖的人格类型以及生育间隔不当。受虐待婴儿出生时比同病房的婴儿成熟度更低，先天性缺陷更多。在最终发生虐待事件的家庭中，婴儿在长时间住院期间与家人的接触也较少。
