A cognitive approach to child abuse prevention
A cognitive approach to child abuse prevention
复制标题
DOI：
10.1037//0893-3200.16.3.243
复制
发表时间：
2002-09-01
影响因子：
2.7
通讯作者：
O'Hara, N
中科院分区：
文献类型：
--
作者：
Bugental, DB;Ellerson, PC;O'Hara, N
这项调查测试了认知再培训作为预防虐待儿童计划的一个组成部分的增量效用。高危家庭(N=96)被随机分配到控制条件、模仿健康开始计划的家访(非强化家访)或包括认知成分(强化家访)的家访。母亲是在怀孕后期或出生后不久确定的，她们的参与持续了一年。在加强家访条件的母亲中，严厉的父母教养水平比在没有加强家访或控制条件的母亲中要低。第一年身体虐待的发生率(虐待母亲的百分比)在对照条件下为26%，在未加强家访条件下为23%，在加强家访条件下为4%。包括医学高危儿童在内的家庭受益最大。对儿童健康的益处呈线性模式；随着计划功能的增加，对儿童健康的益处增加。
This investigation tested the incremental utility of cognitive retraining as a component within a program designed to prevent child maltreatment. High-risk families (N = 96) were randomly assigned to a control condition, home visitation modeled after the Healthy Start program (unenhanced home visitation), or home visitation that included a cognitive component (enhanced home visitation). Mothers were identified late during pregnancy or soon after birth, and their participation continued for 1 year. Lower levels of harsh parenting were found among mothers in the enhanced home visitation condition than among those in the unenhanced home visitation or control conditions. Prevalence of physical abuse (percentage of mothers who were abusive) during the first year was 26% in the control condition, 23% in the unenhanced home visitation condition, and 4% in the enhanced home visitation condition. Benefits were greatest in families that included a medically at-risk child. A linear pattern of benefits was found for child health; as program features were added, benefits for child health increased.