Maternal report on child outcome after a community-based program following intimate partner violence
Maternal report on child outcome after a community-based program following intimate partner violence
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DOI：
10.3109/08039488.2011.624632
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发表时间：
2012-09-01
影响因子：
1.8
通讯作者：
Broberg, Anders G.
中科院分区：
文献类型：
--
作者：
Grip, Karin;Almqvist, Kjerstin;Broberg, Anders G.
工作背景：本研究探讨了一个为期15周的社区为基础的计划，46名儿童暴露于亲密伴侣暴力（IPV）和他们的母亲的感知效果。目的：主要目的是描述儿童谁进入现有的社区为基础的方案之一的行为问题，并评估该计划对儿童的一般行为功能的影响，由他们的母亲进行评估。结果：治疗后儿童的评定行为问题（SDQ）下降，效应量在中等范围内。这些问题造成的社会损害也减少了。行为问题的影响与IPV暴露的程度或治疗后母亲自身创伤症状的变化无关。结果也在个体水平上用可靠变化指数（RCI）进行了分析，结果显示大多数儿童在治疗后没有变化。结论：这项研究的一个启示是需要进行基线筛查和评估。目前的样本中约有一半有临床症状，表明需要专门的精神病/心理治疗。此外，行为问题的减少是显着的，但许多儿童在治疗后仍然有高水平的行为问题，这表明需要更强烈或不同类型的干预。
Background: This study examined the perceived effectiveness of a 15-week community-based program for 46 children exposed to intimate partner violence (IPV) and their mothers. Aims: The primary aims were to describe the children who entered one of the existing community-based programs in terms of behavioral problems and to evaluate the impact of the program on children's general behavioral functioning as assessed by their mothers. Results: Children's rated behavioral problems (SDQ) dropped following treatment; the effect size was in the medium range. The social impairment caused by the problems decreased as well. The effect regarding behavioral problems was not related to the degree of exposure to IPV or the mothers own changes in trauma symptoms following treatment. Results were analyzed as well at the individual level with the Reliable Change Index (RCI), which showed that the majority of children were unchanged following treatment. Conclusions: One implication from the study is the need for baseline screening and assessment. About half of the current sample had a clinical symptom picture indicating the need for specialized psychiatric/psychotherapeutic treatment. Furthermore, the reduction in behavioral problems was significant but many children still had high levels of behavioral problems after treatment, indicating a need of a more intense or a different type of intervention.