A Multisource Approach to Assessing Child Maltreatment From Records, Caregivers, and Children
A Multisource Approach to Assessing Child Maltreatment From Records, Caregivers, and Children
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DOI：
10.1177/1077559516675724
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发表时间：
2017-02-01
影响因子：
5.1
通讯作者：
White, Lars O.
中科院分区：
文献类型：
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作者：
Sierau, Susan;Brand, Tilman;White, Lars O.
从业者和研究人员都面临着不同来源报告的有关虐待儿童的信息不一致的挑战。本研究利用不同来源之间的一致性和不一致，从虐待儿童保护服务 (CPS) 记录、照顾者和儿童三个角度探讨多源数据方法的适用性。样本包括 686 名儿童早期（3 至 8 岁；n = 275）或儿童晚期/青春期（9 至 16 岁；n = 411）的参与者，其中 161 名来自两个 CPS 站点，525 名来自针对心理社会风险进行过采样的社区。我们在因素分析方法中建立了三个组成部分：关于虐待存在的来源之间的共享方差（趋同性）、儿童自身观点产生的非共享方差以及看护者与 CPS 观点的比较。来源之间的共同差异是看护者和自我报告的儿童症状的最强预测因素。儿童视角和照顾者视角与 CPS 视角相比，主要增加了儿童晚期/青春期症状的预测强度，超过了情感虐待、缺乏监督和身体虐待情况下的收敛性。相比之下，收敛几乎完全解释了未能提供儿童症状的原因。我们的结果表明，平均而言，来自不同来源的虐待报告的一致信息是儿童风险的最佳指标。
Practitioners and researchers alike face the challenge that different sources report inconsistent information regarding child maltreatment. The present study capitalizes on concordance and discordance between different sources and probes applicability of a multisource approach to data from three perspectives on maltreatmentChild Protection Services (CPS) records, caregivers, and children. The sample comprised 686 participants in early childhood (3- to 8-year-olds; n = 275) or late childhood/adolescence (9- to 16-year-olds; n = 411), 161 from two CPS sites and 525 from the community oversampled for psychosocial risk. We established three components within a factor-analytic approach: the shared variance between sources on presence of maltreatment (convergence), nonshared variance resulting from the child's own perspective, and the caregiver versus CPS perspective. The shared variance between sources was the strongest predictor of caregiver- and self-reported child symptoms. Child perspective and caregiver versus CPS perspective mainly added predictive strength of symptoms in late childhood/adolescence over and above convergence in the case of emotional maltreatment, lack of supervision, and physical abuse. By contrast, convergence almost fully accounted for child symptoms for failure to provide. Our results suggest consistent information from different sources reporting on maltreatment is, on average, the best indicator of child risk.