Relationships heal: Reducing harsh parenting and child abuse potential with relationship-based parent-infant home visiting
Relationships heal: Reducing harsh parenting and child abuse potential with relationship-based parent-infant home visiting
复制标题
DOI：
10.1016/j.childyouth.2021.106135
复制
发表时间：
2021-07-08
影响因子：
3.3
通讯作者：
Rosenblum, Katherine L.
中科院分区：
文献类型：
--
作者：
Julian, Megan M.;Muzik, Maria;Rosenblum, Katherine L.
背景：童年时期的虐待和严厉的养育方式会对幼儿的发展产生持久的影响，家访干预为减轻这种风险提供了重要的机会。目的：本研究旨在探讨参与密歇根婴儿心理健康家访模式（IMH-HV）与严厉父母教养和虐待儿童可能性之间的关系。参与者和环境：参与者是密歇根州社区精神卫生服务机构接受IMH-HV治疗的76名母亲及其婴儿/幼儿（基线年龄= 9.9个月）。方法：在基线（开始服务后不久）和基线后3、6、9和12个月收集数据。母亲们提供了人口统计信息，并完成了几项问卷调查，包括儿童虐待潜力简要清单（BCAP）。由一位训练有素的研究助理使用家庭环境观察测量量表（Home）的子量表对严厉的父母教养进行评分。治疗剂量从IMH-HV临床医生处收集。结果：在研究的三个时间点上，IMH-HV访问次数较多的母亲表现出较低的观察到的严厉育儿水平（估计值= 0.050,p = 0.002），而与压迫相关的较高累积社会因素（SFAO）预测了三个时间点上较高的严厉育儿水平。在控制SFAO的情况下，在研究的各个时间点上，较高的IMH-HV就诊次数也预示着较低的儿童虐待可能性（估计= -0.78,p = 0.043）。结论：参与密歇根州的IMH-HV模式，在社区提供，与减少严厉的父母和虐待儿童的可能性有关。
Background: Childhood maltreatment and harsh parenting can have lasting effects on young children's development, and home visiting interventions provide critical opportunities to mitigate this risk. Objective: This study aimed to examine associations between participation in the Michigan Model of Infant Mental Health Home Visiting (IMH-HV) and both harsh parenting and child abuse potential. Participants and Setting: Participants were 76 mothers and their infants/toddlers (M age = 9.9 months at baseline) receiving IMH-HV with Community Mental Health Service Provider agencies in Michigan. Methods: Data were collected at baseline (shortly after initiation of services), and 3, 6, 9, and 12 months post baseline assessment. Mothers provided demographic information and completed several questionnaire measures including the Brief Child Abuse Potential Inventory (BCAP). Harsh parenting was rated by a trained research assistant using subscales from the Home Observation of Measurement of the Environment (HOME). Treatment dosage was collected from IMH-HV clinicians. Results: Mothers with higher numbers of IMH-HV visits showed lower levels of observed harsh parenting over the three time points in the study (estimate = 0.050, p = 0.002) and higher cumulative societal factors associated with oppression (SFAO) predicted higher harsh parenting over the three time points. A higher number of IMH-HV visits also predicted lower child abuse potential across the time points of the study (estimate = -0.78, p = 0.043), controlling for SFAO. Conclusions: Participation in the Michigan Model of IMH-HV, delivered in the community, is associated with reductions in both harsh parenting and child abuse potential.