Abstract：
BACKGROUND: Despite a large body of evidence linking the impact of trauma, parenting, and child maltreatment recidivism, current child welfare services often do not target maternal trauma and post-traumatic stress disorder (PTSD). Moreover, there is little evidence that traditional family preservation services (FPS) lower the rates of repeat incidences of child abuse and neglect. The novel intervention, Parenting-STAIR (P-STAIR), seeks to address maternal mental health and parenting skills in order to reduce punitive parenting behaviors.
OBJECTIVE: This study analyzes the effects of P-STAIR on child maltreatment risk.
METHODS: P-STAIR was administered to 112 child welfare-involved mothers in New York City (NYC). The mothers were between 18 and 52 years old (M = 31.1, SD = 6.6) and were referred from 4 child welfare preventive service agencies in NYC.
METHODS: To evaluate change over time in indicators of maltreatment risk, two-tailed paired sample t-tests compared 1) pre- and post-treatment scores and 2) pre-treatment and 3-month follow-up scores.
RESULTS: Among the 71 mothers who completed treatment, significant improvements from baseline to post-assessment and pre- to 3-month follow-up were observed across total scores on the CTSPC and the AAPI-2. Improvements were evident in nonviolent disciple, psychological aggression, expectations, empathy, and parent-child family roles at both the post-assessment and 3-month follow-up which are proximal outcomes of P-STAIR (CTSPC: pre-post nonviolent disciple d = 0.70; pre-post psychological aggression d = 0.34; pre-follow-up nonviolent disciple d = 0.42; pre-follow-up psychological aggression d = 0.36; AAPI-2; pre-post expectations d = 0.31; pre-post empathy d = 0.39; pre-post parent-child roles d = 0.47; pre-follow-up expectations d = 0.33; pre-follow-up empathy d = 0.42; pre-follow-up parent-child roles d = 0.66).
CONCLUSIONS: The improvement in indicators of maltreatment risk demonstrates promising support for the utility of P-STAIR within the child welfare system.
OBJECTIVE: This study analyzes the effects of P-STAIR on child maltreatment risk.
METHODS: P-STAIR was administered to 112 child welfare-involved mothers in New York City (NYC). The mothers were between 18 and 52 years old (M = 31.1, SD = 6.6) and were referred from 4 child welfare preventive service agencies in NYC.
METHODS: To evaluate change over time in indicators of maltreatment risk, two-tailed paired sample t-tests compared 1) pre- and post-treatment scores and 2) pre-treatment and 3-month follow-up scores.
RESULTS: Among the 71 mothers who completed treatment, significant improvements from baseline to post-assessment and pre- to 3-month follow-up were observed across total scores on the CTSPC and the AAPI-2. Improvements were evident in nonviolent disciple, psychological aggression, expectations, empathy, and parent-child family roles at both the post-assessment and 3-month follow-up which are proximal outcomes of P-STAIR (CTSPC: pre-post nonviolent disciple d = 0.70; pre-post psychological aggression d = 0.34; pre-follow-up nonviolent disciple d = 0.42; pre-follow-up psychological aggression d = 0.36; AAPI-2; pre-post expectations d = 0.31; pre-post empathy d = 0.39; pre-post parent-child roles d = 0.47; pre-follow-up expectations d = 0.33; pre-follow-up empathy d = 0.42; pre-follow-up parent-child roles d = 0.66).
CONCLUSIONS: The improvement in indicators of maltreatment risk demonstrates promising support for the utility of P-STAIR within the child welfare system.
摘要：
背景：尽管有大量证据表明创伤的影响，育儿,虐待儿童的累犯，当前的儿童福利服务通常不针对产妇创伤和创伤后应激障碍（PTSD）。此外，几乎没有证据表明传统的家庭保护服务（FPS）降低了虐待和忽视儿童的重复发生率。新颖的干预，Parenting-STAIR(P-STAIR),旨在解决产妇的心理健康和育儿技巧，以减少惩罚性的育儿行为。
目的：本研究分析了P-STAIR对儿童虐待风险的影响。
方法：在纽约市（NYC）对112名参与儿童福利的母亲实施了P-STAIR。母亲的年龄在18至52岁之间（M=31.1，SD=6.6），并从纽约市的4个儿童福利预防服务机构转介。
方法：为了评估虐待风险指标随时间的变化，双尾配对样本t检验比较1）治疗前后评分和2）治疗前和3个月随访评分。
结果：在完成治疗的71位母亲中，在CTSPC和AAPI-2的总分中,观察到从基线到评估后以及随访前到3个月的显著改善.非暴力门徒的改善显而易见，心理攻击,期望,同理心,评估后和3个月随访中的亲子家庭角色是P-STAIR的近端结果（CTSPC：非暴力前门徒d=0.70；心理侵略前d=0.34；随访前非暴力门徒d=0.42；随访前心理侵略d=0.36；AAPI-2；对父母的期望d=0.31；对父母的post-post-follow-child-post.
结论：虐待风险指标的改善表明，P-STAIR在儿童福利系统中的效用得到了有希望的支持。
目的：本研究分析了P-STAIR对儿童虐待风险的影响。
方法：在纽约市（NYC）对112名参与儿童福利的母亲实施了P-STAIR。母亲的年龄在18至52岁之间（M=31.1，SD=6.6），并从纽约市的4个儿童福利预防服务机构转介。
方法：为了评估虐待风险指标随时间的变化，双尾配对样本t检验比较1）治疗前后评分和2）治疗前和3个月随访评分。
结果：在完成治疗的71位母亲中，在CTSPC和AAPI-2的总分中,观察到从基线到评估后以及随访前到3个月的显著改善.非暴力门徒的改善显而易见，心理攻击,期望,同理心,评估后和3个月随访中的亲子家庭角色是P-STAIR的近端结果（CTSPC：非暴力前门徒d=0.70；心理侵略前d=0.34；随访前非暴力门徒d=0.42；随访前心理侵略d=0.36；AAPI-2；对父母的期望d=0.31；对父母的post-post-follow-child-post.
结论：虐待风险指标的改善表明，P-STAIR在儿童福利系统中的效用得到了有希望的支持。
