Aggressive behavior in abused children

Aggressive behavior in abused children
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DOI:
10.1196/annals.1301.009
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发表时间:
2003-01-01
期刊:
ROOTS OF MENTAL ILLNESS IN CHILDREN
影响因子:
--
通讯作者:
Melloni, RH
Melloni, RH
中科院分区:
其他
文献类型:
--
作者:
Connor, DF;Doerfler, LA;Melloni, RH

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我们的目的是调查临床转诊和非临床转诊儿童和青少年样本中创伤性应激的终生史(定义为身体和/或性虐待和攻击性)与心理社会功能之间的关系。这是一项回顾性案例比较研究。对三组儿童进行了识别、评估、年龄匹配和性别部分匹配。将临床转诊至有虐待史的儿童 (N = 29) 与临床转诊至无虐待史的儿童 (N = 29) 以及居住在社区的非临床儿童组 (N = 29) 进行比较。在三组中评估了调查特定类型的攻击性、智商和精神病理学的变量。与非临床社区儿童相比,临床转诊儿童在所有指标上的得分均较差。与临床转诊的非受虐儿童相比,临床转诊的受虐待儿童在攻击性指标上的得分较高,在反应性攻击性和言语攻击性方面的得分也明显更高。临床转介的受虐儿童的言语智商得分显着低于临床转介的非受虐儿童,但在精神病理学方面没有差异。结果支持评估受创伤青少年样本中特定类型的攻击行为的重要性。言语信息处理在受虐待的儿童和青少年中可能特别容易受到伤害,并且更容易受到攻击性反应。
Our objective was to investigate the relationship between a lifetime history of traumatic stress, defined as physical and/or sexual abuse and aggression and psychosocial functioning in a sample of clinically referred and nonclinically referred children and adolescents. This is a retrospective case comparison study. Three groups of children were identified, assessed, matched for age, and partially matched for gender. Children clinically referred to residential treatment with a history of abuse (N = 29) were compared with children clinically referred to residential treatment without a history of abuse (N = 29), and a nonclinical group of children residing in the community (N = 29). Variables investigating specific types of aggression, IQ, and psychopathology were assessed across the three groups. Clinically referred children scored worse on all measures compared with nonclinical community children. Clinically referred abused children scored higher on measures of aggression and significantly higher on measures of reactive aggression and verbal aggression than clinically referred nonabused children. Clinically referred abused children had significantly lower verbal IQ scores than clinically referred nonabused children, but no difference in psychopathology. Results support the importance of assessing specific types of aggression in samples of traumatized youths. Verbal information processing may be especially vulnerable in abused children and adolescents and enhance vulnerability to aggressive responding.