Patterns of Multiple Victimization Among Maltreated Children in Navy Families

Patterns of Multiple Victimization Among Maltreated Children in Navy Families
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DOI:
10.1002/jts.21853
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发表时间:
2013-10-01
影响因子:
3.3
通讯作者:
Fitzgerald, Monica M.
Fitzgerald, Monica M.
中科院分区:
医学3区
文献类型:
--
作者:
Grasso, Damion J.;Saunders, Benjamin E.;Fitzgerald, Monica M.

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目前的研究审查了与儿童接触多种类型的父母造成的受害相关的累积风险。样本由195名7至17岁的儿童组成(64.1%为女性,48.2%为非白人),他们因性虐待、身体虐待或父母亲密伴侣暴力指控而被转介到美国海军家庭倡导计划。我们进行了一个探索性的潜在类分析,以确定不同的亚组的儿童一生的受害。我们假设,至少有2类或亚组将被确定,1的特点是更大的受害和更差的结果。结果表明,三类儿童最符合数据:(a)所有三类儿童的受害率都很高,(B)身体虐待和目睹亲密伴侣暴力的比率很高,(c)仅身体虐待的比率很高。研究结果表明,高受害类是在最大的风险,酒精和物质的使用,违法行为,并符合标准的创伤后应激障碍(PTSD)和/或抑郁症1年后(比值比= 4.53)。这些调查结果突出了严重的心理健康需要的一个小,但显着的高风险部分多重受害儿童进入儿童福利系统。
The current study examined the cumulative risk associated with children's exposure to multiple types of parent-inflicted victimization. The sample was comprised of 195 children who were 7 to 17 years old (64.1% female and 48.2% non-White) at the time of referral to the United States Navy's Family Advocacy Program due to allegations of sexual abuse, physical abuse, or parental intimate partner violence. We conducted an exploratory latent class analysis to identify distinct subgroups of children based on lifetime victimization. We hypothesized that at least 2 classes or subgroups would be identified, with 1 characterized by greater victimization and poorer outcomes. Results indicated that 3 classes of children best fit the data: (a) high victimization across all 3 categories, (b) high rates of physical abuse and witnessing intimate partner violence, and (c) high rates of physical abuse only. Findings indicated that the high victimization class was at greatest risk for alcohol and substance use, delinquent behavior, and meeting criteria for posttraumatic stress disorder (PTSD) and/or depression 1 year later (odds ratio = 4.53). These findings highlight the serious mental health needs of a small but significantly high-risk portion of multiply victimized children entering the child welfare system.