Child Abuse & Neglect最新文献_第9页

Implementing a strength-based adverse childhood experiences prevention program for predominantly Indigenous families: A mixed-method process evaluation 实施以力量为基础的儿童不良经历预防计划，主要是土著家庭：混合方法过程评估。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-01-13 DOI: 10.1016/j.chiabu.2024.107230

Emily A. Waterman , Katie M. Edwards , Skyler Hopfauf , Ramona Herrington , Natira Mullet , Preciouse Trujillo

Background

Given high rates of adverse childhood experiences (ACEs) among Indigenous youth, it is critical to develop and evaluate strategies to prevent these experiences; one part of evaluation is process evaluation, including analysis of fidelity, attendance and barriers to attendance, contamination, and program acceptability.

Objective

To present a process evaluation of Tiwahe Wicagwicayapi, a strengths-based, family-based program for predominantly Indigenous youth (ages 10 to 14) and their caregivers. The program aimed to prevent ACEs including child abuse and neglect.

Participants and setting

The project included 124 families from a small-sized city in the Great Plains region of the United States.

Method

The mixed-method evaluation included multiple data sources, including researcher-collected and observations, and participant surveys and interviews.

Results

Results indicated 93 % fidelity on average. About three-quarters of caregivers and children attended at least one session, and the primary barriers to attendance included busyness, medical events, and transportation issues. Contamination was common (32.6 % among children and 36.2 % among caregivers), reflecting the close-knit nature of the surrounding community and consistent with extended kinship systems in Indigenous communities. Finally, participants found the program acceptable and impactful, particularly programming directly related to Lakota culture, traditions, and ceremony.

Conclusions

Findings indicate the importance of cultural relevance to successful and effective programming. These process data along with outcome data published elsewhere suggest that the Tiwahe Wicagwicayapi program is a promising approach to prevent ACEs including child abuse and neglect among Indigenous children.

背景：鉴于土著青年中不良童年经历（ace）的高比例，制定和评估预防这些经历的策略至关重要；评估的一部分是过程评估，包括对保真度、出勤和出勤障碍、污染和程序可接受性的分析。目的：介绍Tiwahe Wicagwicayapi的过程评估，Tiwahe Wicagwicayapi是一个以优势为基础，以家庭为基础的项目，主要针对土著青年（10至14岁）及其照顾者。该项目旨在预防包括虐待和忽视儿童在内的不良经历。参与者和环境：该项目包括来自美国大平原地区一个小城市的124个家庭。方法：采用多种数据来源，包括研究者收集和观察，以及参与者的调查和访谈。结果：结果显示平均准确率为93%。大约四分之三的护理人员和儿童至少参加了一次会议，出席会议的主要障碍包括繁忙，医疗事件和交通问题。污染很常见（32.6%发生在儿童中，36.2%发生在照料者中），反映了周围社区的紧密联系性质，并与土著社区扩大的亲属制度相一致。最后，参与者发现这个项目是可以接受的，而且很有影响力，特别是与拉科塔文化、传统和仪式直接相关的项目。结论：研究结果表明文化相关性对成功和有效的规划的重要性。这些过程数据以及其他地方公布的结果数据表明，Tiwahe Wicagwicayapi项目是一种很有希望的方法，可以预防土著儿童中的儿童虐待和忽视。

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引用次数: 0

School closures, child maltreatment reporting and victimization during the pandemic 大流行期间学校关闭、儿童虐待报告和受害情况。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-01-13 DOI: 10.1016/j.chiabu.2024.107243

Weiwei Chen , Shanta R. Dube

Background

School closures during the pandemic correlated with declines in child maltreatment reports in the U.S. However, it remains unclear how reporting from personnel other than schoolteachers or nurses and the nature of these reports were affected.

Objective

To examine the effect of school closures on child maltreatment reports by reporting source, maltreatment type, and likelihood of victimization as the pandemic evolved.

Participants and setting

Child maltreatment reporting in the U.S. from January 2018 to May 2022.

Methods

Linking child file data from the National Child Abuse and Neglect Data System with school closure data from the U.S. School Closure & Distance Learning Database, we estimate the effect of school closures on county-month level child maltreatment reports by reporting source and maltreatment type. We also examine the effect on individual-level likelihood of victimization over three phases (January 2018–February 2020, March 2020–May 2021, and August 2021–May 2022).

Results

The county-month level models show that school closures negatively affected reporting across all sources and maltreatment types. The child-report level models suggest that school closures were associated with an increased likelihood of victimization. The effects of school closures and maltreatment risk factors (e.g. caregiver domestic violence) did not weaken as the pandemic waned.

Conclusions

This study adds nuance to the understanding of child maltreatment trends in relation to school closures and other factors throughout the pandemic. It is crucial to enhance reporting through alternative methods. Strategies targeting domestic violence and inadequate housing may be more effective in reducing and preventing child maltreatment.

背景：大流行期间学校关闭与美国儿童虐待报告的下降相关。然而，目前尚不清楚学校教师或护士以外的人员报告以及这些报告的性质是如何受到影响的。目的：通过报告来源、虐待类型和随着疫情发展受害的可能性，研究学校关闭对儿童虐待报告的影响。参与者和环境：2018年1月至2022年5月期间美国儿童虐待报告。方法：将来自国家儿童虐待和忽视数据系统的儿童档案数据与来自美国学校关闭和远程学习数据库的学校关闭数据联系起来，我们根据报告来源和虐待类型估计学校关闭对县月级儿童虐待报告的影响。我们还研究了三个阶段（2018年1月至2020年2月，2020年3月至2021年5月和2021年8月至2022年5月）对个人层面受害可能性的影响。结果：县月级模型显示，学校关闭对所有来源和虐待类型的报告产生了负面影响。儿童报告水平模型表明，学校关闭与受害的可能性增加有关。学校关闭和虐待风险因素（如照料者家庭暴力）的影响并未随着疫情的减弱而减弱。结论：这项研究增加了对整个大流行期间与学校关闭和其他因素相关的儿童虐待趋势的细微理解。通过替代方法加强报告是至关重要的。针对家庭暴力和住房不足的战略在减少和防止虐待儿童方面可能更为有效。

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引用次数: 0

Child and youth participation in child protection: Provincial harm reduction policy efforts in the Canadian Province of New Brunswick. 儿童和青年参与儿童保护：加拿大新不伦瑞克省省级减少伤害政策努力。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-01-10 DOI: 10.1016/j.chiabu.2024.107231

Tara M Collins

Background: The United Nations Convention on the Rights of the Child (1989) affirms interdependent rights to protection and participation, but barriers continue to hinder participation in protection practices.

Objective: What can be learned from young people's participation in their own protection when it comes to harm reduction public policy efforts?

Participants and setting: This study focused on provincial public policy in New Brunswick, Canada and involved both children and adults in research design and data collection. The provincial Youth Voice Committee was created to inform the development and implementation of the provincial harm reduction strategy. This strategy promotes children's rights to live free from harm through the reduction of physical, sexual, emotional, and sociocultural harms, not only abuse and neglect.

Method: This study involved international and local child and youth advisory committees to support research design and implementation. Participatory qualitative data collection methods included young people and adults separately as well as collectively in intergenerational meetings.

Results: Findings reveal a broad and unique interpretation of child protection as harm reduction, and that fear and policy processes continue to pose barriers even in contexts dedicated to children's rights. Adults should no longer exclusively influence protection policies, and children and youth are interested in effective intergenerational and relational collaborations. Greater commitment to diversity is needed in participatory efforts.

Conclusions: A rights-based relational approach in research and policy-making necessitates the effective involvement of children and youth to support harm reduction in policy and practice. Policy makers are urged to engage young people alongside adults in child protection and public policies.

背景：联合国《儿童权利公约》（1989 年）确认了相互依存的保护权和参与权，但在参与保护实践方面仍存在障碍：目标：当涉及到减少伤害的公共政策努力时，从年轻人参与自身保护中可以学到什么？本研究侧重于加拿大新不伦瑞克省的省级公共政策，儿童和成人都参与了研究设计和数据收集。该省成立了 "青年之声 "委员会，为该省减少伤害战略的制定和实施提供信息。该战略通过减少身体、性、情感和社会文化伤害，而不仅仅是虐待和忽视，来促进儿童免受伤害的权利：这项研究涉及国际和地方儿童与青少年咨询委员会，以支持研究的设计和实施。采用参与式定性数据收集方法，让青少年和成年人分别以及集体参加代际会议：结果：研究结果表明，对儿童保护的广泛而独特的解释是减少伤害，即使在致力于儿童权利的背景下，恐惧和政策程序仍然构成障碍。成人不应再单独影响保护政策，儿童和青年对有效的代际合作和关系合作很感兴趣。在参与性工作中，需要对多样性做出更大的承诺：在研究和决策中采用基于权利的关系方法，需要儿童和青年的有效参与，以支持在政策和实践中减少伤害。敦促政策制定者让青少年与成年人一起参与儿童保护和公共政策。

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引用次数: 0

Symptom structure of complex posttraumatic stress disorder among de facto unattended children in China: A network analysis 中国事实上无人照看儿童的复杂创伤后应激障碍症状结构：网络分析。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-01-01 DOI: 10.1016/j.chiabu.2024.107170

Yiming Liang , Yue Sun , Jiarui Hong , Juzhe Xi

Backgrounds

Complex posttraumatic stress disorder (CPTSD) is closely related to childhood trauma, yet there is a dearth of studies that have explored the symptoms of CPTSD among children in adversity.

Objective

The current study aimed to explore the structure of the CPTSD network and to identify central symptoms in a sample of de facto unattended children in China.

Methods

In total, 244 children and adolescents were included in the analysis, ranging from 9 to 16 years old (11.72 ± 1.64), with 45.49 % girls and 53.67 % boys. The International Trauma Questionnaire (ITQ) was used to assess CPTSD symptoms. We used a regularized partial correlation network to identify which symptoms had a high level of strength centrality or bridge centrality, and a Bayesian network to identify the upstream symptoms.

Results

The results showed that avoidance and emotional numbing had the highest level of strength centrality. Exaggerated startle response and emotional numbing had the highest level of bridge centrality. Last, re-experiencing was identified as upstream in the Bayesian network. Developmental differences are observed in CPTSD symptom centrality compared to adult populations.

Conclusions

These findings offer insight into key symptoms of CPTSD in vulnerable children and adolescents. We revealed that children and adolescents in adversity who exhibit avoidance, emotional numbing, and re-experiencing should be given more attention.

背景：复杂创伤后应激障碍（CPTSD）与儿童创伤密切相关，但缺乏对逆境儿童CPTSD症状的研究。目的：本研究旨在探索CPTSD网络的结构，并在中国事实上无人照看的儿童样本中识别中心症状。方法：共纳入244例9 ~ 16岁儿童青少年（11.72±1.64）例，其中女生占45.49%，男生占53.67%。采用国际创伤问卷（ITQ）评估CPTSD症状。我们使用正则化的部分相关网络来识别哪些症状具有高水平的强度中心性或桥梁中心性，并使用贝叶斯网络来识别上游症状。结果：逃避和情绪麻木的强度中心性最高。夸张的惊吓反应和情绪麻木具有最高水平的桥梁中心性。最后，重新体验在贝叶斯网络中被识别为上游。与成年人群相比，CPTSD症状中心性存在发育差异。结论：这些发现对弱势儿童和青少年CPTSD的主要症状提供了深入的了解。我们发现，在逆境中表现出逃避、情绪麻木和重新体验的儿童和青少年应该得到更多的关注。

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引用次数: 0

Child maltreatment mortality in Canada: An analysis of coroner and medical examiner data 加拿大儿童虐待死亡率：对验尸官和法医数据的分析。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-01-01 DOI: 10.1016/j.chiabu.2024.107127

Natasha Richmond , Amy Ornstein , Lil Tonmyr , Susie Dzakpasu , Chantal Nelson , Nathaniel J. Pollock

Background

Fatalities are the most severe consequence of child maltreatment, but there are gaps in what is known about the epidemiology of such deaths in Canada.

Objectives

The objectives of this study were to: (1) identify child maltreatment deaths among those classified as homicide or undetermined manner; (2) estimate rates of child maltreatment mortality by sex, age, geography, and year; and (3) measure differences between rates of child maltreatment mortality and homicide mortality.

Methods

We used a cross-sectional design and analyzed mortality data from the Canadian Coroner and Medical Examiner Database for a ten-year period (2007 to 2016). To identify child maltreatment deaths, we reviewed narrative data about children aged 0 to 17 years old whose deaths were classified as homicide or undetermined. Descriptive statistics, mortality rates, and incidence rate ratios were calculated.

Results

Among the 1758 child deaths due to homicide or an undetermined manner, maltreatment was the probable cause in 20.4 % (n = 359) of deaths; most child maltreatment deaths (72.1 %, n = 259) were among children younger than 5 years old. The national child maltreatment mortality rate was 0.55 deaths per 100,000; the rate was highest among infants (3.43 per 100,000) and decreased at older ages.

Conclusion

This study provides evidence about the epidemiology of child maltreatment mortality in Canada.

背景：死亡是虐待儿童最严重的后果，但在加拿大对这类死亡的流行病学了解方面存在差距。目的：本研究的目的是：(1)在那些被归类为他杀或未确定方式的儿童虐待死亡中确定；(2)按性别、年龄、地域和年份估计儿童受虐待死亡率；(3)衡量虐待儿童死亡率和他杀死亡率之间的差异。方法：采用横断面设计，分析加拿大验尸官和法医数据库10年（2007年至2016年）的死亡率数据。为了确定儿童受虐待死亡，我们审查了0至17岁儿童的叙事数据，这些儿童的死亡被归类为他杀或死因不明。计算描述性统计、死亡率和发病率比。结果：1758例儿童死亡中，有20.4% （n = 359）的死因可能是虐待；大多数儿童虐待致死（72.1%,n = 259）发生在5岁以下儿童中。全国儿童受虐待死亡率为每10万人0.55人；死亡率在婴儿中最高（每10万人中有3.43人），随着年龄的增长而下降。结论：本研究为加拿大儿童虐待死亡率的流行病学提供了证据。

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引用次数: 0

Teenagers' emotional symptoms and antisocial behavior in group home care: A myth or reality? 青少年的情绪症状和反社会行为：神话还是现实？

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-01-01 DOI: 10.1016/j.chiabu.2024.107172

Gershon K. Osei

Background

Child advocates, group home and child protection workers report high levels of emotional symptoms and antisocial behavior among teenagers living in group homes. Extant studies is, however, silent on the prevalence of emotional symptoms and its association with teenagers' antisocial behavior in group homes.

Objective

The study aims at examining the association between emotional symptoms and teenagers' antisocial behavior and how prevalent emotional symptoms are among teenagers living in group homes.

Participants and setting

A total of 875 teenagers living in group homes in Ontario, Canada were included in the study.

Method

Ontario Looking After Children data of cohorts surveyed in 2010–2015 was used for analysis. The data included participants' gender, age, ethnicity, general health status, academic challenges, conduct problems, group home size and emotional symptoms.

Result

Teenagers' emotional symptoms was found to be associated with their antisocial behavior (OR = 2.49, 95 % CI 1.83, 3.39). Sixty-three percent (63 %) of the teenagers experience emotional symptoms of anxiety on regular basis, four out of every 10 of them show depressive symptoms. Majority of them (73.7 %) get nervous when faced with new situations and can lose confidence in such instances and 54.5 % of them could easily get scared in such situations.

Conclusion

Findings suggest that there is a significant association between teenagers' emotional symptoms and their antisocial behavior. Findings also show that there is significant prevalence of emotional symptoms among teenagers in group homes in Ontario. The social and clinical implications make future research into the issue important.

背景：儿童倡导者、集体之家和儿童保护工作者报告说，在集体之家生活的青少年中，情绪症状和反社会行为水平很高。然而，现有的研究对情绪症状的普遍性及其与集体家庭中青少年反社会行为的关系保持沉默。目的：探讨情绪症状与青少年反社会行为的关系，以及情绪症状在集体之家青少年中的普遍程度。参与者和环境：共有875名住在加拿大安大略省集体之家的青少年参与了这项研究。方法：采用2010-2015年安大略省照看儿童调查队列数据进行分析。数据包括参与者的性别、年龄、种族、一般健康状况、学业挑战、行为问题、团体家庭规模和情绪症状。结果：青少年情绪症状与反社会行为相关（OR = 2.49, 95% CI 1.83, 3.39）。63%（63%）的青少年经常出现焦虑情绪症状，每10人中就有4人出现抑郁症状。他们中的大多数（73.7%）在面对新情况时会感到紧张，在这种情况下会失去信心，54.5%的人在这种情况下很容易感到害怕。结论：青少年情绪症状与反社会行为之间存在显著关联。研究结果还表明，安大略省集体之家的青少年中情绪症状的发生率很高。社会和临床意义使得未来对该问题的研究变得重要。

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引用次数: 0

The role of childhood maltreatment and mental health disorders on suicidal behaviour in adolescents 儿童虐待和精神健康障碍对青少年自杀行为的作用。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-01-01 DOI: 10.1016/j.chiabu.2024.107151

S. Gómez-Vallejo , M. Díaz-Marsa , V. Fernández Rodrigues , J. Andreo-Jover , T. Bobes-Bascarán , A.I. Cebrià , B. Crespo Facorro , N. Garrido-Torres , A. González-Pinto , L. Jiménez-Teviño , E. Lara , M.P. Lopez-Peña , A. Palao-Tarrero , D.J. Palao , V. Pérez , M. Ruiz-Veguilla , P.A. Sáiz , Y. Sánchez-Carro , A. de la Torre-Luque , E. Vidal Bermejo , Nuria Tur

Background

Suicide stands as a grave and pressing public health concern, ranking among the foremost causes of death in the youth demographics. While childhood maltreatment (CM) and mental disorders have garnered substantial attention as risk factors for suicide, there remains an enigmatic aspect concerning how these two elements interact, influencing the nature of suicidal ideation and suicidal behaviour, and the transition between them.

Objective

This study endeavours to shed light on the intricate interplay between CM, mental disorders, and suicide.

Participants and setting

We gathered data from 289 adolescents aged 12–17 (87.2 % female) drawn from eight different hospitals across Spain, all of whom had attempted suicide within the past 10 days.

Methods

We assessed suicidal ideation severity and intensity, suicidal behaviour by attempts using the C-SSRS, and the presence of CM using CTQ and identified concurrent mental disorders according to the MINI. Regression analysis and moderation analysis were conducted by PROCESS macro.

Results

Moderation analysis revealed that higher scores of CM were associated with a higher number of suicide attempts with the presence of a mental disorder. Additionally, we found that those with higher scores of CM reported less severe characteristics of suicidal ideation, when presenting along with an anxiety disorder.

Conclusions

These findings revealed CM increased risk of suicidal behaviour among young individuals. Additionally, the results suggest that adolescents with CM and anxiety disorder might under-report suicidal ideation. Hence, these findings offer a potential key to identifying and preventing suicide risk among young individuals.

背景：自杀是一个严重而紧迫的公共卫生问题，是青年人口中最主要的死亡原因之一。虽然儿童虐待（CM）和精神障碍作为自杀的危险因素已经引起了大量关注，但这两个因素如何相互作用，影响自杀意念和自杀行为的性质，以及它们之间的过渡，仍然是一个谜。目的：本研究试图揭示CM、精神障碍和自杀之间复杂的相互作用。参与者和环境：我们收集了来自西班牙8家不同医院的289名12-17岁青少年（87.2%为女性）的数据，这些青少年在过去10天内都曾试图自杀。方法：我们用C-SSRS评估自杀意念的严重程度和强度，用自杀企图评估自杀行为，用CTQ评估CM的存在，并根据MINI确定并发精神障碍。采用PROCESS宏进行回归分析和调节分析。结果：适度分析显示，较高的CM分数与较高的自杀企图与精神障碍的存在有关。此外，我们发现那些CM得分较高的人在出现焦虑障碍时报告的自杀意念特征较轻。结论：这些发现表明CM增加了年轻人自杀行为的风险。此外，研究结果表明患有慢性焦虑症的青少年可能低估了自杀意念。因此，这些发现为识别和预防年轻人自杀风险提供了潜在的关键。

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引用次数: 0

Childcare subsidy receipt and reduced emotional neglect: Examining parents' enhanced self-efficacy as a mediator 领取托儿津贴与减少情绪忽视：父母自我效能感增强的中介检验。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-01-01 DOI: 10.1016/j.chiabu.2024.107184

Olivia D. Chang , Kathryn Maguire-Jack , Katherine E. Marçal , Kathryn Showalter , Yanghyun Park , Rujeko O. Machinga-Asaolu , Eric Thibodeau , Catherine A. Murphy , J. Bart Klika

Background

Each year 1.5 million children receive childcare subsidized under the Child Care and Development Fund, which supports working parents with low income in affording childcare; such policies hold promise for reducing child neglect.

Objective

The current study sought to examine how receiving childcare subsidies might reduce emotional neglect by supporting working parents' self-efficacy.

Participants and setting

Data came from the Future of Families and Child Well-being Study (FFCWS) which oversampled births to unmarried mothers in large U.S. cities. The current study focused on the third wave of the study, when focal children were age three, and when many parents were using childcare.

Methods

The associations between childcare subsidy receipt, parent self-efficacy, and emotional neglect were analyzed with path modeling using a structural equation modeling framework. Furthermore, we estimated the indirect effect of subsidy receipt on emotional neglect via parent self-efficacy.

Results

Receipt of the childcare subsidy was significantly associated with decreased emotional neglect (b = –1.24, p = .045) and increased parent self-efficacy (b = .16, p = .004). Self-efficacy was significantly associated with decreased emotional neglect (b = –1.27, p < .001). The path model results showed a significant mediating effect of self-efficacy on the link between receipt of the childcare subsidy and emotional neglect (b = –.20, p = .01).

Conclusions

The present study highlights the potential for increasing access to affordable, high-quality childcare to improve parent and child well-being. Subsidies that increase access to high-quality childcare can benefit both mothers and children.

背景：每年有150万儿童获得儿童保育和发展基金的托儿补贴，该基金支持低收入的工作父母负担托儿费用；这些政策有望减少对儿童的忽视。目的：本研究旨在探讨领取托儿补贴如何通过支持在职父母的自我效能感来减少情绪忽视。参与者和环境：数据来自未来家庭和儿童福利研究（FFCWS），该研究对美国大城市未婚母亲的生育进行了抽样调查。目前的研究集中在研究的第三波，当焦点儿童三岁时，当许多父母使用托儿服务时。方法：采用结构方程模型框架，采用路径模型对领取托儿补贴、父母自我效能感与情绪忽视的关系进行分析。此外，我们还通过父母自我效能感来评估补助收入对情绪忽视的间接影响。结果：领取托儿补贴与情绪忽视减少（b = -1.24, p = 0.045）和父母自我效能感增加（b = 0.16, p = 0.004）显著相关。自我效能感与情绪忽视的减少显著相关（b = -1.27, p < 0.001）。路径模型结果显示，自我效能感在领取托儿补贴与情绪忽视之间的关系中起着显著的中介作用（b = -）。20, p = 0.01)。结论：本研究强调了增加负担得起的高质量托儿服务的潜力，以改善父母和儿童的福祉。增加获得高质量儿童保育机会的补贴可以使母亲和儿童都受益。

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引用次数: 0

Family support among young adults: The role of childhood maltreatment 年轻人的家庭支持：童年虐待的作用。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-01-01 DOI: 10.1016/j.chiabu.2024.107162

Melissa Radey , Lenore McWey

Background

Success in young adulthood marked by independence and exploration is not universal. Parentification, when young people acquire adult roles before they are developmentally ready, and family support patterns suggest potential differences based on childhood maltreatment history hence widening inequalities.

Objective

This study aimed to describe family-of-origin support patterns among young adults with various levels of exposure to child maltreatment and child protective services (CPS).

Participants & setting

The study leveraged Year 22 data of the Future of Families and Child Wellbeing dataset; a national, longitudinal, birth-cohort study of U.S. children born in 1998–2000.

Methods

We used bivariate statistics and logistic regressions to examine maltreatment exposure, socioeconomic conditions, and family-of-origin relationships.

Results

Those with out-of-home care and CPS contact without out-of-home care had lower odds of contact and feeling “extra” close to their caregiver compared to those without reported maltreatment, and those with out-of-home care had lower odds of receiving financial support from family for bills (OR = 0.62, 95 % CI [0.42, 0.92]). Those with out-of-home care had higher odds of providing dependent care to family members (OR = 1.67, 95 % CI [1.02, 2.72]); and those with CPS contact only had higher odds of supporting family members financially (OR = 1.79, 95 % CI [1.29, 2.47]).

Conclusion

Findings suggest the importance of public support programs to assist those with maltreatment histories susceptible to the absence of parental support and additional demands of support provision. Understanding young adult-parent relationships within the context of childhood maltreatment is critical to promote well-being.

背景：以独立和探索为标志的青年成功并不普遍。父母教养（当年轻人在发育准备好之前获得成人角色时）和家庭支持模式表明基于童年虐待史的潜在差异，从而扩大了不平等。目的：本研究旨在描述不同程度暴露于儿童虐待和儿童保护服务（CPS）的年轻人的原生家庭支持模式。参与者和环境：该研究利用了未来家庭和儿童福利数据集的22年级数据；一项针对1998-2000年出生的美国儿童的全国性纵向出生队列研究。方法：我们使用双变量统计和逻辑回归来检验虐待暴露、社会经济条件和原生家庭关系。结果：与那些没有报告虐待的人相比，那些有户外护理和CPS接触而没有户外护理的人接触和感觉“额外”接近他们的照顾者的几率更低，那些有户外护理的人从家庭获得经济支持的几率更低（OR = 0.62, 95% CI[0.42, 0.92]）。接受户外护理的患者为家庭成员提供依赖性护理的几率更高（OR = 1.67, 95% CI [1.02, 2.72]）；而那些与CPS接触的人在经济上支持家庭成员的几率更高（OR = 1.79, 95% CI[1.29, 2.47]）。结论：研究结果表明，公共支持计划对那些有虐待史的人的重要性，这些人容易受到缺乏父母支持和额外支持需求的影响。在儿童虐待的背景下理解年轻人与父母的关系对促进幸福至关重要。

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引用次数: 0

Navigating the services maze: Assessing service needs, referrals, receipts, and child protective services re-report and foster care entry outcomes 导航服务迷宫：评估服务需求，转介，收据，儿童保护服务重新报告和寄养进入结果。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect

Pub Date : 2025-01-01 DOI: 10.1016/j.chiabu.2024.107164

Chien-Jen Chiang , Hyunil Kim , Mi Youn Yang , Melissa Jonson-Reid , Catherine LaBrenz , Jun-Hong Chen

Background

Research shows that families involved with Child Protective Services (CPS) have diverse needs not fully met by service referrals and provision. Furthermore, it is still unknown whether the service provision gaps are linked to child safety and permanency outcomes.

Objective

This study aims to address this research gap by evaluating the rereport and foster care entry outcomes of child welfare services based on the needs, referrals, and receipt of services for families involved with CPS.

Participant and setting

The National Survey on Child and Adolescent Well-being II (NSCAW II) was used for this study, excluding children with prior reports and those in foster care to focus on re-report and foster care entry outcomes, reducing the sample from 5872 to 2580 children.

Methods

Logistic Regression analyses were performed to investigate the relationship between services needed, referred, and receipts and child welfare outcomes. The analyses were structured into three sets of models to explore different aspects of service engagement and its impact on child welfare outcomes.

Results

Our study shows that specific CPS services, particularly caregivers' needs for mental health and substance misuse services, significantly impact the likelihood of re-reporting and foster care placements.

Conclusion

Most families contacting the child welfare system receive only case management services if their report moves beyond investigation. Such an approach requires that services are available, acceptable, and of sufficient quality to meet needs. This paper highlights crucial disparities in service needs, referrals, and receipts among families engaged with CPS.

背景：研究表明，参与儿童保护服务（CPS）的家庭有不同的需求，不能完全满足服务转介和提供。此外，还不清楚提供服务的差距是否与儿童安全和永久性结果有关。目的：本研究旨在通过评估儿童福利服务的报告和寄养入户结果，以解决这一研究空白，该报告基于儿童福利服务家庭的需求、转介和服务接收情况。参与者和环境：本研究采用国家儿童和青少年福祉调查II (NSCAW II)，排除了先前有报告的儿童和寄养儿童，重点关注重新报告和寄养儿童的入学结果，将样本从5872名减少到2580名。方法：采用Logistic回归分析，探讨服务需求、转介、收入与儿童福利结果之间的关系。分析分为三组模型，以探索服务参与的不同方面及其对儿童福利结果的影响。结果：我们的研究表明，特定的CPS服务，特别是照顾者对精神健康和药物滥用服务的需求，显著影响了重新报告和寄养安置的可能性。结论：大多数与儿童福利系统联系的家庭，如果他们的报告超出了调查范围，只会得到个案管理服务。这种方法要求服务是可用的、可接受的，并且质量足以满足需要。这篇论文强调了服务需求、转诊和收入在参与CPS的家庭之间的关键差异。

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引用次数: 0