Abstract：
UNASSIGNED: This study aimed to evaluate the prevalence of developmental and emotional/ behavioural concerns in maltreated children and to examine the impact of adverse family/caregiver risk factors on these outcomes.
UNASSIGNED: We analysed family demographic and baseline data of 132 maltreated children and their caregivers from a family support programme in Singapore. We examined the associations of 3 main risk factors (i.e., caregiver mental health, educational attainment, and family socio-economic status [SES]) with developmental/behavioural outcomes using multivariable logistic regression, controlling for caregiver relationship to the child. Caregiver mental health was assessed using the Patient Health Questionnaire 9 (PHQ-9) and General Anxiety Disorder 7 (GAD-7) tools. Developmental/behavioural outcomes were assessed using the Ages and Stages Questionnaires (ASQ-3), ASQ-Social-Emotional (ASQ-SE), and the Child Behaviour Checklist (CBCL).
UNASSIGNED: The children ranged in age, from 2 months to 3 years 11 months (median age 1.7 years, interquartile range [IQR] 0.9-2.6). Among caregivers, 86 (65.2%) were biological mothers, 11 (8.3%) were biological fathers, and 35 (26.5%) were foster parents or extended family members. Low family SES was associated with communication concerns on the ASQ-3 (adjusted odds ratio [AOR] 3.04, 95% CI 1.08-8.57, P=0.04). Caregiver mental health concerns were associated with increased behavioural concerns on the CBCL (AOR 6.54, 95% CI 1.83-23.33, P=0.004) and higher scores on the ASQ-SE (AOR 7.78, 95% CI 2.38-25.38, P=0.001).
UNASSIGNED: Maltreated children with caregivers experiencing mental health issues are more likely to have heightened emotional and behavioural concerns. Those from low SES families are also at increased risk of language delay, affecting their communication.
UNASSIGNED: We analysed family demographic and baseline data of 132 maltreated children and their caregivers from a family support programme in Singapore. We examined the associations of 3 main risk factors (i.e., caregiver mental health, educational attainment, and family socio-economic status [SES]) with developmental/behavioural outcomes using multivariable logistic regression, controlling for caregiver relationship to the child. Caregiver mental health was assessed using the Patient Health Questionnaire 9 (PHQ-9) and General Anxiety Disorder 7 (GAD-7) tools. Developmental/behavioural outcomes were assessed using the Ages and Stages Questionnaires (ASQ-3), ASQ-Social-Emotional (ASQ-SE), and the Child Behaviour Checklist (CBCL).
UNASSIGNED: The children ranged in age, from 2 months to 3 years 11 months (median age 1.7 years, interquartile range [IQR] 0.9-2.6). Among caregivers, 86 (65.2%) were biological mothers, 11 (8.3%) were biological fathers, and 35 (26.5%) were foster parents or extended family members. Low family SES was associated with communication concerns on the ASQ-3 (adjusted odds ratio [AOR] 3.04, 95% CI 1.08-8.57, P=0.04). Caregiver mental health concerns were associated with increased behavioural concerns on the CBCL (AOR 6.54, 95% CI 1.83-23.33, P=0.004) and higher scores on the ASQ-SE (AOR 7.78, 95% CI 2.38-25.38, P=0.001).
UNASSIGNED: Maltreated children with caregivers experiencing mental health issues are more likely to have heightened emotional and behavioural concerns. Those from low SES families are also at increased risk of language delay, affecting their communication.
摘要：
本研究旨在评估虐待儿童的发育和情感/行为问题的患病率，并研究不良家庭/照顾者风险因素对这些结果的影响。
我们分析了来自新加坡家庭支持计划的132名虐待儿童及其照顾者的家庭人口统计学和基线数据。我们检查了3个主要危险因素的关联(即照顾者心理健康，教育程度,和家庭社会经济地位[SES])与发展/行为结果使用多变量逻辑回归，控制照顾者与孩子的关系。使用患者健康问卷9（PHQ-9）和一般焦虑症7（GAD-7）工具评估护理人员的心理健康。使用年龄和阶段问卷(ASQ-3)评估发育/行为结果，ASQ-社会情绪(ASQ-SE)，和儿童行为清单（CBCL）。
■孩子的年龄不等，从2个月到3岁11个月(中位年龄1.7岁，四分位数间距[IQR]0.9-2.6)。在护理人员中，86(65.2%)是亲生母亲，11人（8.3％）是亲生父亲，35人(26.5%)为寄养父母或大家庭成员。较低的家庭SES与ASQ-3的沟通问题相关（调整后的比值比[AOR]3.04，95％CI1.08-8.57，P=0.04）。照顾者的心理健康问题与CBCL的行为问题增加相关（AOR6.54，95％CI1.83-23.33，P=0.004）和ASQ-SE得分较高（AOR7.78，95％CI2.38-25.38，P=0.001）。
照顾者遇到心理健康问题的虐待儿童更有可能增加情绪和行为方面的担忧。来自低SES家庭的人语言延迟的风险也增加，影响他们的沟通。
我们分析了来自新加坡家庭支持计划的132名虐待儿童及其照顾者的家庭人口统计学和基线数据。我们检查了3个主要危险因素的关联(即照顾者心理健康，教育程度,和家庭社会经济地位[SES])与发展/行为结果使用多变量逻辑回归，控制照顾者与孩子的关系。使用患者健康问卷9（PHQ-9）和一般焦虑症7（GAD-7）工具评估护理人员的心理健康。使用年龄和阶段问卷(ASQ-3)评估发育/行为结果，ASQ-社会情绪(ASQ-SE)，和儿童行为清单（CBCL）。
■孩子的年龄不等，从2个月到3岁11个月(中位年龄1.7岁，四分位数间距[IQR]0.9-2.6)。在护理人员中，86(65.2%)是亲生母亲，11人（8.3％）是亲生父亲，35人(26.5%)为寄养父母或大家庭成员。较低的家庭SES与ASQ-3的沟通问题相关（调整后的比值比[AOR]3.04，95％CI1.08-8.57，P=0.04）。照顾者的心理健康问题与CBCL的行为问题增加相关（AOR6.54，95％CI1.83-23.33，P=0.004）和ASQ-SE得分较高（AOR7.78，95％CI2.38-25.38，P=0.001）。
照顾者遇到心理健康问题的虐待儿童更有可能增加情绪和行为方面的担忧。来自低SES家庭的人语言延迟的风险也增加，影响他们的沟通。
