Are negative/unrealistic parent descriptors of infant attributes associated with physical abuse?
Are negative/unrealistic parent descriptors of infant attributes associated with physical abuse?
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父母对婴儿属性的负面/不切实际的描述是否与身体虐待有关？
DOI：
10.1016/j.chiabu.2018.03.020
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发表时间：
2018
影响因子：
4.8
通讯作者：
Thompson,Richard
中科院分区：
文献类型：
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作者：
Young,Audrey;Pierce,MaryClyde;Kaczor,Kim;Lorenz,DouglasJ;Hickey,Sheila;Berger,SusanP;Schmidt,SuzanneM;Fingarson,Amanda;Fortin,Kristine;Thompson,Richard
父母对孩子行为的看法影响他们对孩子的反应，可能是身体虐待的重要预测因素。我们调查了12个月或更小的婴儿，他们被描述为消极或发展不现实的话，是否比其他婴儿更有可能受到身体虐待。作为一项前瞻性观察性多中心研究的一部分，调查瘀伤和家庭心理社会特征，父母被要求（1）描述他们孩子的个性，（2）列出三个词来描述他们的孩子。四个独立的评分员使用定性内容分析对父母的反应进行编码，识别婴儿的描述符，并将每个描述符分为积极的、中性的或消极/不切实际的。一个医学专家小组对心理社会数据不知情，将每个案件分别归类为虐待或事故。然后，我们分析了负面/不切实际的描述和虐待性伤害之间的潜在联系。在185名儿童中，147例（79%）被归类为事故，38例（21%）被归类为虐待。185例中有35例（19%）父母使用了至少一种负面/不切实际的描述，而其余150例（81%）仅包括正面或中性描述。在用消极/不切实际的词语描述的婴儿中，60%被虐待，相比之下，用积极或中性词语描述的婴儿中有11%被虐待（p<0.0001;年龄组调整OR = 9.95; 95%置信区间[3.98，24.90]）。虽然受样本量的限制，这项试点研究为未来的工作提供了信息，以创建一个筛选工具，利用负面/不切实际的描述符结合其他预测因素，以确定身体虐待儿童的高风险婴儿。
Parents’ perceptions of child behavior influence their responses to the child and may be important predictors of physical abuse. We examined whether infants 12 months of age or younger who were described with negative or developmentally unrealistic words were more likely than other infants to have been physically abused. As part of a prospective observational multicenter study investigating bruising and familial psychosocial characteristics, parents were asked to (1) describe their child’s personality, and (2) list three words to describe their child. Four independent raters coded parent responses using a qualitative content analysis, identifying descriptors of infants and classifying each as positive, neutral, or negative/unrealistic. A medical expert panel, blinded to the psychosocial data, separately categorized each case as abuse or accident. We then analyzed the potential association between negative/unrealistic descriptors and abusive injury. Of 185 children enrolled, 147 cases (79%) were categorized as accident and 38 (21%) as abuse. Parents used at least one negative/unrealistic descriptor in 35/185 cases (19%), while the remaining 150 cases (81%) included only positive or neutral descriptors. Of the infants described with negative/unrealistic words, 60% were abused, compared to 11% of those described with positive or neutral words (p< .0001; age group-adjusted OR = 9.95; 95% confidence interval [3.98, 24.90]). Though limited by sample-size, this pilot study informs future work to create a screening tool utilizing negative/unrealistic descriptors in combination with other predictive factors to identify infants at high risk for physical child abuse.