Identifying maltreatment subgroups with patterns of maltreatment subtype and chronicity: A latent class analysis approach.
Identifying maltreatment subgroups with patterns of maltreatment subtype and chronicity: A latent class analysis approach.
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DOI：
10.1016/j.chiabu.2018.08.013
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发表时间：
2019-01
影响因子：
4.8
通讯作者：
Cicchetti D
中科院分区：
文献类型：
--
作者：
Warmingham JM;Handley ED;Rogosch FA;Manly JT;Cicchetti D
虐待经历是复杂的，很难描述虐待类型的多样性。子类型，如情感虐待，性虐待，身体虐待和忽视通常同时发生，并可能在整个发展过程中持续存在。因此，将个别虐待亚型视为独立发生并不能代表儿童生活中发生的虐待的性质。本文采用潜在类别分析（LCA），根据虐待亚型和慢性化的共性来识别受虐待儿童的亚组。在674名低收入城市儿童的样本中，其中51.6%的人经历过官方记录的虐待，我们的分析确定了四类儿童，根据虐待亚型和慢性程度分为三类，还有一组儿童没有经历虐待。确定的最大一类虐待儿童是慢性、多亚型虐待类（57%的受虐待儿童）;第二类的特点是在一个单一的发展时期被忽视（31%的受虐待儿童），最小类的特点是单一亚型的虐待（情感虐待，身体虐待或性虐待）发生在一个单一的发展阶段（12%的虐待儿童）。对这些群体的描述证实了虐待亚型的重叠性质。在为期一周的夏令营中，由儿童自我报告和营地辅导员报告测量的儿童行为和社会情感结果在潜伏班之间存在显着差异。最大的差异出现在未受虐待类和长期虐待类之间。经历过慢性、多亚型虐待的儿童表现出更高水平的外化行为、情绪失调、抑郁和焦虑。
Maltreatment experiences are complex, and it is difficult to characterize the heterogeneity in types of maltreatment. Subtypes, such as emotional maltreatment, sexual abuse, physical abuse, and neglect commonly co-occur and may persist across development. Therefore, treating individual maltreatment subtypes as independently occurring is not representative of the nature of maltreatment as it occurs in children’s lives. Latent class analysis (LCA) is employed herein to identify subgroups of maltreated children based on commonalities in maltreatment subtype and chronicity. In a sample of 674 low-income urban children, 51.6% of whom experienced officially documented maltreatment, our analyses identified four classes of children, with three distinct classes based on maltreatment subtypes and chronicity, and one group of children who did not experience maltreatment. The largest class of maltreated children identified was the chronic, multi-subtype maltreatment class (57% of maltreated children); a second class was characterized by only neglect in a single developmental period (31% of maltreated children), and the smallest class was characterized by a single subtype of maltreatment (emotional maltreatment, physical, or sexual abuse) occurring in a single developmental period (12% of maltreated children). Characterization of these groups confirms the overlapping nature of maltreatment subtypes. There were notable differences between latent classes on child behavioral and socio-emotional outcomes measured by child self-report and camp counselors report during a one-week summer camp. The largest differences were between the non-maltreated class and the chronic maltreatment class. Children who experienced chronic, multi-subtype maltreatment showed higher levels of externalizing behavior, emotion dysregulation, depression, and anxiety.
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影响因子：
3.3
作者：
Cowell RA;Cicchetti D;Rogosch FA;Toth SL
通讯作者：
Toth SL
影响因子：
4.7
作者：
Armour, Cherie;Elklit, Ask;Christoffersen, Mogens N.
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影响因子：
5.4
作者：
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通讯作者：
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影响因子：
3
作者：
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通讯作者：
AKAIKE, H
影响因子：
4.6
作者：
Cicchetti D;Rogosch FA;Gunnar MR;Toth SL
通讯作者：
Toth SL