Behaviors of children following a randomized controlled treatment program for their abused mothers.
Behaviors of children following a randomized controlled treatment program for their abused mothers.
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受虐待母亲接受随机对照治疗计划后的儿童行为。
DOI：
10.1080/01460860500396708
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Watson,Kathy
中科院分区：
文献类型：
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作者：
McFarlane,JudithM;Groff,JanetY;O'Brien,JenniferA;Watson,Kathy
目的确定为受虐待母亲提供的治疗方案是否对其子女的行为产生积极影响。方法采用一项随机、双组临床试验，测量受虐母亲在接受两种级别的虐待治疗服务后6、12、18和24个月的儿童行为：(1)虐待评估并收到钱包大小的转诊卡，或(2)虐待评估，收到钱包大小的转诊卡，以及护士病例管理课程。实验地点是公立初级保健诊所。参与者是233名在过去12个月内报告遭受身体或性虐待的妇女，她们至少有一个年龄在18个月到18岁之间的孩子与她们住在一起。结果测量是儿童行为检查表（CBCL）在基线、6、12、18和24个月的得分。CBCL评分为临床参考样本的儿童作为对照组。结果无论母亲接受何种治疗方案，所有患儿的CBCL评分从入院到24个月均有显著改善（p < 0.001）。到24个月时，大多数儿童和青少年的得分明显低于参考标准。18个月至5岁的儿童表现出最大的改善，而青少年表现出最少的改善。结论：披露虐待，如在虐待评估期间发生的虐待，与护士病例管理干预与儿童行为得分的改善相同。常规的虐待评估和转诊有可能积极改善遭受家庭暴力的儿童的行为功能。
ObjectiveTo determine if a treatment program offered to abused mothers positively affects the behaviors of their children.MethodsA randomized, two-arm, clinical trial was used to measure child behavior at 6, 12, 18, and 24 months following the application of two levels of abuse treatment services to abused mothers: (1) abuse assessment and receipt of a wallet-size referral card, or (2) abuse assessment, receipt of a wallet-size referral card, and nurse case management sessions. The setting was public primary care clinics. The participants were 233 women who reported physical or sexual abuse within the preceding 12 months, and who had at least one child, ages 18 months to 18 years, living with them. Outcome measures were scores on the Child Behavior Checklist (CBCL) at baseline, 6, 12, 18, and 24 months. CBCL scores for a clinically-referred sample of children served as a comparison group.ResultsAll children improved significantly (p < .001) on CBCL scores from intake to 24 months, regardless of which treatment protocol their mother received. By 24 months, the majority of children and adolescents had scores significantly less than the referred norms. Children ages 18 months to 5 years showed the most improvement and teenagers showed the least improvement.ConclusionsDisclosure of abuse, such as that which happens during abuse assessment, was associated with the same improvement in child behavior scores as a nurse case management intervention. Routine abuse assessment and referral have the potential to positively improve the behavioral functioning of children exposed to domestic violence.