Oates R K, Bross D C
Department of Pediatrics and Child Health, University of Sydney, Australia.
Child Abuse Negl. 1995 Apr;19(4):463-73. doi: 10.1016/0145-2134(95)00005-s.
A literature review of articles on treatment of physically abused children and treatment of physically abused parents was undertaken. Only articles that had more than five subjects in the sample, at least 15% of the children in the sample having been physically abused and either pretest, posttest; comparison group; or randomization between different treatments used in the design were selected. Twelve papers meeting these criteria for abusive parents and 13 for treatment of abused children were found. Treatment duration ranged from 4 weeks to 12 months for parents and 4 weeks to 24 months for children. A wide range of treatments were used, the most popular for children being therapeutic daycare, with emphasis on improving developmental skills. While most programs showed some improvement with treatment, many had no, or very short, follow-up to see if improvement was sustained. More emphasis needs to be placed on rigorous evaluation and longer-term follow-up of children in physical abuse treatment programs.
我们对有关受身体虐待儿童治疗及受身体虐待父母治疗的文章进行了文献综述。仅选取了样本中超过五名受试者、样本中至少15%的儿童曾遭受身体虐待且设计中采用了前测、后测、对照组或不同治疗方法随机分组的文章。发现有12篇论文符合受虐父母的这些标准，13篇符合受虐儿童治疗的标准。父母的治疗时长为4周至12个月，儿童为4周至24个月。采用了广泛的治疗方法，儿童最常用的是治疗性日托，重点是提高发育技能。虽然大多数项目在治疗后都有一定改善，但许多项目没有或只有非常短暂的随访，以查看改善是否持续。在身体虐待治疗项目中，需要更加重视对儿童进行严格评估和长期随访。
