一个简短的不良经验测量在幼儿的母亲之间
Félice Lê-Scherban1,2, Anqi Wang1, Kelly A Courts1,3
1Department of Epidemiology and Biostatistics.
Pediatrics
|March 7, 2024
概括
一个简短的2项儿童不良经历 (ACE) 查工具显示,在儿科环境中识别有显著童年逆境的母亲的准确性很高. 这种快速评估可以帮助将家庭与所需的支持服务联系起来.
科学领域:
- 儿科健康 儿科健康
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 在儿科环境中对父母的不良童年经历 (ACE) 的查是具有挑战性的,原因是漫长而敏感的问卷.
- 需要快速选工具来克服这些障碍,并促进及时干预.
研究的目的:
- 评估一个简短的2项儿童不良经历 (ACEs) 措施,用于城市儿科急诊室的母亲.
- 评估这个短期措施的敏感性和特异性,与全面的ACEs问卷相比.
主要方法:
- 一项横截面研究对3999名幼儿母亲进行了2项ACEs测量和完整的ACEs问卷.
- 灵敏度和特异性是使用在完整问卷上的4+ACE值来计算的.
- 通过检查与母体,家庭和儿童结局的关联来评估收的有效性.
主要成果:
- 两项ACE测量显示88%的灵敏度和90%的特异性在识别4+ACE的母亲.
- 13%的母亲报告说,在童年时期遭受了情绪虐待,16%的母亲报告说,在童年时期家庭中使用了毒品.
- 通过简短的测量方法确定的高逆境与不利的母亲,家庭和儿童结果有关.
结论:
- 一项2项ACEs测量,重点关注儿童情绪虐待和家庭物质使用,是儿童环境中潜在的有价值的工具.
- 这种快速查可以识别有重大逆境的母亲,为提供全面的家庭支持服务提供信息.
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