Resolution of Intimate Partner Violence and Child Behavior Problems After Investigation for Suspected Child Maltreatment
Resolution of Intimate Partner Violence and Child Behavior Problems After Investigation for Suspected Child Maltreatment
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DOI：
10.1001/2013.jamapediatrics.324
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发表时间：
2013-03-01
期刊：
影响因子：
26.1
通讯作者：
Keenan, Heather T.
中科院分区：
文献类型：
--
作者：
Campbell, Kristine A.;Thomas, Andrea M.;Keenan, Heather T.
目的：描述在涉嫌虐待儿童的调查后，与亲密伴侣暴力(IPV)解决相关的儿童行为问题的纵向变化。设计：回溯性队列研究。地点：全国儿童和青少年幸福感调查，这是一个具有全国代表性的纵向样本，调查了涉嫌虐待儿童的美国家庭。参与者：该研究包括320名学龄儿童，在基线访谈前一年有照顾者报告的IPV。调查结束后，照顾者分别接受了3个月、20个月、36个月和81个月的访谈。主要暴露：基线IPV的分辨率与持续性。结果：在基线访谈中报告IPV的照顾者中，有44.6%的人报告了持续性IPV。在调整了显著的协变量后，IPV的解决与内化问题减少11.9%相关81个月(P=.03)；IPV的持久性与基线问题的持久性相关。IPV的解决与外部性问题减少18.5%相关，后者持续36个月和81个月(均P
Objective: To describe longitudinal change in child behavior problems associated with resolution of intimate partner violence (IPV) after an investigation for suspected child maltreatment.Design: Retrospective cohort study.Setting: The National Survey of Child and Adolescent Well-Being, a nationally representative longitudinal sample of US households investigated for suspected child maltreatment.Participants: The study included 320 school-aged subjects with caregiver-reported IPV in the year prior to baseline interview. Caregivers were interviewed an average of 3, 20, 36, and 81 months following investigation.Main Exposure: Resolution vs persistence of baseline IPV. Persistence was defined by report of IPV during any follow-up interview.Main Outcome Measures: Clinically significant internalizing or externalizing child behavior problems.Results: In total, 44.6% of caregivers who reported IPV at the baseline interview reported persistent IPV. After adjusting for significant covariates, IPV resolution was associated with an 11.9% reduction in internalizing problems by 81 months (P=.03); IPV persistence was associated with persistence in baseline problems. Resolution of IPV was associated with an 18.5% reduction in externalizing problems by 20 months that was sustained at 36 and 81 months (all P