Kinard E M
Family Research Laboratory, University of New Hampshire, Durham 03824, USA.
J Am Acad Child Adolesc Psychiatry. 1995 Aug;34(8):1043-53. doi: 10.1097/00004583-199508000-00014.
Mother and teacher ratings of behavior problems in abused and nonabused children were compared. The extent to which ratings were related to maternal depressive symptoms was examined.
The sample for this report consists of 172 elementary school-age abused children and a matched comparison group of 155 nonabused children. Maternal and teacher ratings of child behavior were obtained with the parent and teacher versions of the Achenbach Child Behavior Checklist. Maternal depressive symptomatology was assessed with the CES-Depression Scale.
Mothers and teachers rated abused children, both boys and girls, as having greater behavior problems than nonabused children, with abused boys having more problems than abused girls. Regardless of abuse status, there were no significant differences by rater. Maternal depressive symptomatology had independent effects on maternal ratings but was not related to teacher ratings. The combination of abuse and maternal depressed mood resulted in the greatest problems for children. Both raters reported greater problems in the clinical range for abused boys than for nonabused boys. Few differences were noted between abused and nonabused girls for clinical problems.
Intervention strategies for abused children must address their behavioral problems and must consider the extent of depressive symptoms in the children's mothers.
比较受虐待儿童与未受虐待儿童行为问题的母亲和教师评分。研究评分与母亲抑郁症状的相关程度。
本报告的样本包括172名小学适龄受虐待儿童和155名匹配的未受虐待儿童对照组。通过Achenbach儿童行为量表的家长版和教师版获得母亲和教师对儿童行为的评分。用CES-抑郁量表评估母亲的抑郁症状。
母亲和教师都认为,受虐待儿童(包括男孩和女孩)比未受虐待儿童有更多的行为问题,受虐待男孩比受虐待女孩问题更多。无论是否受虐待,评分者之间没有显著差异。母亲的抑郁症状对母亲的评分有独立影响,但与教师评分无关。受虐待和母亲情绪低落相结合给儿童带来的问题最大。两位评分者都报告说,受虐待男孩在临床范围内的问题比未受虐待男孩更多。受虐待女孩和未受虐待女孩在临床问题上几乎没有差异。
针对受虐待儿童的干预策略必须解决他们的行为问题,并且必须考虑儿童母亲的抑郁症状程度。