虐待与儿童心理发展

儿童虐待问题近年来日益受到社会的广泛关注,本文旨在国内外已有的相关研究的基础上,阐述儿童期的虐待对儿童各个方面的心理发展的影响,以为心理和教育工作者对受虐待儿童的心理进行有效的干预和教育提供参考。     

Evaluation of a Spiritually Based Child Maltreatment Prevention Training Program

The authors empirically evaluated a spiritually based 1‐day child maltreatment training program. Pretest, posttest, and follow‐up results indicated that participants' recognition of hypothetical maltreatment did not increase after training. Furthermore, although participants decreased their use of items known to dissuade decisions to report, they were less likely to report maltreatment posttraining and 1 month later. Focus group data revealed that participants felt more knowledgeable but insufficiently prepared to respond to maltreatment and that they needed opportunities to practice what they had learned. Suggestions for clergy, pastoral counselors, and mental health professionals working within spiritual communities are provided to inform curriculum advancements.     

Clinical Assessment of Child Victims and Adult Survivors of Child Maltreatment

In the last 2 decades, various forms of child maltreatment, including physical abuse, sexual abuse, psychological abuse, and neglect, have gained the increased attention of the general public and mental health professionals. In this article, the authors review relevant literature to assist counselors in conducting quality clinical assessments of child victims and adult survivors of child maltreatment. Guidelines are discussed, and specific measures and procedures are recommended.     

Cumulative Risk and Protection Models of Child Maltreatment

Abstract

The often misused concepts of risk, vulnerability, protective factors, and resilience are clearly defined and existing models of child risk are presented. Research of risk and protective factors for child maltreatment is then discussed as it reflects on these models. A major conclusion is that child maltreatment exists within a complex context of cumulative risk and protection which needs to be considered in designing research of intervention programs. This article provides one of the clearest presentations and integrations in the literature of the conceptual bases and research findings relevant for considering child risk and resilience.     

Child Maltreatment in Vietnam: Prevalence and Cross-Cultural Comparison

This Vietnam prevalence study on child maltreatment (VPM-2014) was designed to examine the prevalence of child maltreatment in Vietnam and to compare it with the child maltreatment prevalence in the Netherlands using the same measures and procedure. Questionnaires were filled out by 1,851 students aged 12 to 17 years (47.3% were boys). Results indicated that half of the students (49.9%) reported at least 1 event of child maltreatment in the past year. Emotional abuse was most frequently reported (31.8%), followed by physical abuse, neglect, and witnessing parental conflict. Sexual abuse was the least prevalent (2.6%). Compared with the Netherlands, the prevalence rates of most types of child maltreatment were higher in Vietnam: The largest difference was with emotional abuse, followed by neglect, physical abuse, and witnessing parental conflict. Only the past-year sexual abuse prevalence in Vietnam was lower. These findings highlight the alarming problem of child maltreatment in Vietnam.     

An Analysis of Child Maltreatment Content in Introductory Psychology Textbooks

The purpose of this study was to examine the extent to which introductory psychology textbooks cover child maltreatment and to evaluate how appropriately the information was presented. We randomly selected 15 introductory psychology textbooks from Koenig et al.’s (2004) Compendium of Introductory Psychology Texts. Three analyses included a subject index review, a content review, and a content analysis review. Although all of the textbooks covered the topic of child maltreatment in some fashion, they varied considerably in the specific forms of child maltreatment that they addressed. Furthermore, content that addressed child maltreatment consistently lacked appropriate emphasis and clear definitions. The results are discussed to enhance understanding regarding the most appropriate information on child maltreatment to include in introductory psychology textbooks.     

Multilevel Investigation into the Community Context of Child Maltreatment

Official rates of child maltreatment vary considerably from community to community. Extensive research on the role of the community context in maltreatment suggests that the neighborhood in which families live could impact their maltreatment behavior. However, the vast majority of existing studies and literature reviews on the topic have not used statistical methods to appropriately control for the impact of these variables at the individual level. This literature review approaches the question of whether the community context affects maltreatment behavior above and beyond the individual-level variables by critiquing the studies that have successfully measured maltreatment risks at both the individual and community level using multilevel modeling.     

Predictors of Child Maltreatment Potential in a National Sample of Mothers of Young Children

Although previous studies have furthered our broad ability to predict child maltreatment potential, young children remain at the highest risk for experiencing maltreatment. Thus, several variables of relevance for this population were examined. A national community sample of 158 mothers with young children between ages 1.5 and 5 years rated their young children’s temperament as well as their own temperament, emotion regulation, stress, coping, and child maltreatment potential. Young children’s mood quality as well as mothers’ mood quality, flexibility/rigidity, emotion dysregulation, parenting stress, cumulated severity of stress, and emotion-focused coping added unique incremental variance to the prediction of child maltreatment potential, accounting for 67% of the variance overall. Further, mothers’ emotion dysregulation mediated the relationship between mothers’ flexibility/rigidity and child maltreatment potential. Consequently, emotion regulation skills represent an important point of intervention for mothers of young children who are at increased risk for child maltreatment due to difficult temperament characteristics.     

The Role of Parenting Programmes in the Prevention of Child Maltreatment

Child maltreatment is a major worldwide concern and continuing high rates of abuse demand action. This article examines the role of parenting programmes as a strategy to prevent child maltreatment in the population as a whole and also as a targeted intervention for parents who have abused, or are at risk of abusing, their children. We argue that a blend of universal and targeted interventions is needed to reduce the prevalence of child maltreatment. Parenting interventions that concurrently target positive parenting and effective child management skills, dysfunctional parental attributions, and increasing parents' capacity to regulate their emotions are particularly useful. A variant of the Triple P—Positive Parenting Program, known as Pathways Triple P, is discussed to illustrate the value of this approach. Contextual factors that need to be addressed in working with child protection cases are also discussed. The role of training and supervision is discussed in the context of disseminating evidence‐based parenting programmes, and future directions for research are presented.     

The Cultural Adaptation of a Community‐Based Child Maltreatment Prevention Initiative

A unique primary prevention effort, Strong Communities for Children (Strong Communities), focuses on changing attitudes and expectations regarding communities' collective responsibilities for the safety of children. Findings from a 6‐year pilot of the initiative in South Carolina have shown promise in reducing child maltreatment, but efforts to adapt the initiative to different cultural contexts have been lacking. No models exist for adapting an initiative that takes a community‐level approach to ensuring children's safety. Thus, this article addresses the gap by providing an overview of the original initiative, how the initiative was adapted to the Israeli context, and lessons learned from the experience. Building on conceptualizations of cultural adaptation by Castro et al. (Prevention Science, 5, 2004, 41) and Resnicow et al. (Ethnicity and Disease, 9, 1999, 11), sources of nonfit (i.e., sociodemographic traits, political conflict, government services, and the presence and role of community organizations) were identified and deep and surface structure modifications were made to the content and delivery. Ultimately, this article describes the adaption and dissemination of a community‐based child maltreatment prevention initiative in Tel Aviv, Israel, and addresses researchers' calls for more publications describing the adaptation of interventions and the procedures that need to be implemented to achieve cultural relevance.     

Adverse Effects of Childhood Emotional Maltreatment on Child Behavioral Outcomes

This study used a diverse community sample to test a moderated mediation model, investigating maternal depressive symptoms as a mediator of the relations between maternal emotional maltreatment and child behavior problems; we further tested the moderating effects of observed maternal hostility on these relations. Participants included 64 mother–child dyads (8–11 years old; 59.4% female), in which mothers completed self- and child-report measures and dyads completed a conflict resolution task. Results of a moderated mediation analysis (PROCESS; Hayes, 2013) indicated that the maternal history of emotional maltreatment was associated with increased maternal depressive symptoms, and subsequently with higher child externalizing problems. In addition, these relations were strongest at high levels of observed maternal hostility in the conflict task.     

Prevention of Child Maltreatment: Evaluation of a Parent Education Program for Teen Mothers

We conducted an evaluation of a parent education program for the prevention of child maltreatment that served urban teen, unmarried mothers at risk for child maltreatment. Three to five years after the birth of their children, program graduates (n = 125) were significantly less likely than controls (n = 410) to have founded reports of maltreatment in the state database. On the basis of a follow-up phone call to a subset of 80 program graduates and 40 controls, mothers who enrolled in the 12-week parent education/support program showed trends toward being more likely to have completed high school, taken some college courses, and delayed subsequent pregnancies until after age 21.     

Identifying Effective Components of Child Maltreatment Interventions: A Meta-analysis

There is a lack of knowledge about specific components that make interventions effective in preventing or reducing child maltreatment. The aim of the present meta-analysis was to increase this knowledge by summarizing findings on effects of interventions for child maltreatment and by examining potential moderators of this effect, such as intervention components and study characteristics. Identifying effective components is essential for developing or improving child maltreatment interventions. A literature search yielded 121 independent studies (N = 39,044) examining the effects of interventions for preventing or reducing child maltreatment. From these studies, 352 effect sizes were extracted. The overall effect size was significant and small in magnitude for both preventive interventions (d = 0.26, p < .001) and curative interventions (d = 0.36, p < .001). Cognitive behavioral therapy, home visitation, parent training, family-based/multisystemic, substance abuse, and combined interventions were effective in preventing and/or reducing child maltreatment. For preventive interventions, larger effect sizes were found for short-term interventions (0–6 months), interventions focusing on increasing self-confidence of parents, and interventions delivered by professionals only. Further, effect sizes of preventive interventions increased as follow-up duration increased, which may indicate a sleeper effect of preventive interventions. For curative interventions, larger effect sizes were found for interventions focusing on improving parenting skills and interventions providing social and/or emotional support. Interventions can be effective in preventing or reducing child maltreatment. Theoretical and practical implications are discussed.     

Maltreatment of adolescents: the relationship to a predisposition toward violent behavior and delinquency

This discussion reviews the literature concerning the association between the maltreatment, abuse and exploitation of adolescents and the predisposition to violent and other offending behavior. We review the importance and family dynamics of abuse which bear a relationship to antisocial behavior. The distinction is made between child abuse and adolescent abuse, and controversies regarding the sequelae of various maltreatments are discussed. Recent work in sexual abuse and its relationship to male sexual offenders and male prostitutes is detailed. Adolescents who commit various offenses or are in contact with juvenile justice system may be or have been the victims of various forms of maltreatment and exploitation. Helping professionals caring for these youths should have an understanding of these factors and the underlying dynamics.     

Permanent Housing for Child Welfare‐Involved Families: Impact on Child Maltreatment Overview

A longitudinal randomized controlled trial tested whether access to permanent housing reduces child maltreatment among inadequately housed families under investigation for child abuse and neglect. The study followed homeless and child welfare‐involved families randomly assigned to receive a referral for housing subsidies plus housing case management (n = 75, 196 children) or housing case management alone (n = 75, 186 children). Latent growth models examined change in caregiver‐reported frequencies of psychological aggression, physical abuse, and neglect toward children at five time points across 2.5 years. Intent‐to‐treat analyses suggested treatment differences for minor assault and neglect that approached significance; families randomly assigned to permanent housing plus case management exhibited marginally greater declines compared to families referred for housing case management only. Caregiver psychological aggression remained high over time, regardless of treatment condition. No evidence indicated higher risk families benefitted more from permanent housing. Results show some promise of permanent housing and highlight the complex needs of homeless families under investigation for child maltreatment. Findings emphasize the importance of continued involvement from the child welfare system to connect families with important resources.     

Child Conduct Problems Across Home and School Contexts: a Person-Centered Approach

To examine patterns of conduct problems across the home and school context, we used latent class analysis to analyze primary caregivers’ and teachers’ ratings on the conduct problems subscale of the Strengths and Difficulties Questionnaire (Goodman Journal of Child Psychology and Psychiatry, 38, 581–586, 1997) in the Family Life Project (N?=?1,292), a prospective study of child development in rural and small town contexts. We found a similar four-class solution at 5 and 7 years of age. In decreasing prevalence, the following classes were identified: (1) low symptoms reported by both informants (low cross-context); (2) high parent-reported symptoms, low teacher-reported symptoms (home context); (3) low parent-reported symptoms, moderate teacher-reported symptoms (school context); and (4) high symptoms reported by both informants (high cross-context). Classes exhibited stability from age five to age seven: children were more likely to remain in the same class than to transition to a different class, and longitudinal stability was especially high for children in the low cross-context class at age 5. A number of child and family characteristics measured in early childhood (executive function, verbal ability, poverty-related risk, sensitive parenting, and parental depressive symptoms) were associated with class membership at age five and age seven, but were generally not associated with longitudinal transitions between classes.     

Child Maltreatment in DSM‐5 and ICD‐11

Child maltreatment is widespread and has a tremendous impact on child victims and their families. Over the past decade, definitions of child maltreatment have been developed that are operationalized, face valid, and can be reliably applied in clinical settings. These definitions have informed the revised Diagnostic and Statistical Manual (American Psychiatric Association, 2013) and are being considered for the International Classification of Disease–11 (World Health Organization). Now that these definitions are available in major diagnostic systems, primary healthcare providers and clinicians who see children and families are poised to help screen for, identify, prevent, and treat child maltreatment. This article reviews the definitions of maltreatment in these diagnostic systems, along with assessment and screening tools, and empirically supported prevention and intervention approaches.     

Personalization in Mother–Child Emotion Talk Across Three Contexts

An unexplored aspect of contextual variation in emotion talk is the extent to which the emotions mothers and children discuss relate to the child, mother, or another self. To establish the extent to which mothers and children personalize the emotions they discuss, we examined the emotion talk of 40 American mother–child dyads in three conversational contexts: reminiscing, book reading, and play. We found that both mothers and children talked about emotions directly relevant to the child mostly in the reminiscing context and about emotions relating to another self mostly in the book context. Interestingly, the discussion of personalized emotions did not significantly differ between the book and play contexts, but did for the independent emotions. The discussion of mothers' own emotions occurred with almost the same frequency in all three contexts. In addition, within‐context analyses revealed that while mothers discussed the child's and their own emotions in the book and play contexts at about the same rate, children focused on their own emotions significantly more than on mothers' emotions in all three contexts. We contextualize the significance of the results in light of intervention programmes and future research. Copyright © 2013 John Wiley & Sons, Ltd.