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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Limiting home visiting effects: Maternal depression as a moderator of child maltreatment
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Limiting home visiting effects: Maternal depression as a moderator of child maltreatment

机译：限制家访的效果：孕产妇抑郁是儿童虐待的缓和剂

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OBJECTIVE: To test, with a sample of adolescent mothers (16-20 at childbirth) and their first-born infants/toddlers (average age 1 year), whether the impact of a home visiting (HV) child maltreatment prevention program was moderated by maternal depression. METHODS: The study design was a randomized controlled trial of Healthy Families Massachusetts, a statewide child maltreatment prevention program. A total of 707 first-time mothers were randomly assigned to the HV or control group. The HV group received visits from paraprofessional home visitors. Mothers in the control group were referred to other service providers. The outcome variable consisted of state Child Protective Services reports of child abuse and neglect (mother or other person as perpetrator). Maternal depression was assessed by maternal report (Center for Epidemiologic Studies-Depression questionnaire). RESULTS: A considerable proportion of families had child maltreatment reports (30% of sample) and maternal depression (38% had clinically significant symptoms). Most maltreatment was neglect. Among control group mothers, reports of maltreatment did not vary according to depressive symptoms. For HV mothers, probability of reports varied with levels of depressive symptoms. Nonsymptomatic HV mothers were less likely to have a child who was reported for maltreatment compared with HV mothers who endorsed clinical levels of depressive symptoms. CONCLUSIONS: The prevalence of maternal depressive symptoms in this sample, and the link between depression and child maltreatment prevention program effectiveness, suggest that home visitors be alert to maternal depression. Programs also should be aware of possible surveillance effects related to maternal depression. Pediatrics 2013;132: S126-S133.
机译：目的：通过对青春期母亲（分娩时为16-20岁）及其长子婴儿/幼儿（平均年龄为1岁）的样本进行测试，来测试预防家庭访问（HV）儿童虐待的计划是否受到了缓解产妇抑郁症。方法：研究设计是马萨诸塞州健康家庭的一项随机对照试验，这是一项全州性的儿童虐待预防计划。总共707名初次母亲被随机分配到HV或对照组。 HV小组接待了专业家庭访问者。对照组的母亲被转介给其他服务提供者。结果变量由国家儿童保护服务局关于虐待和忽视儿童（母亲或其他人作为犯罪者）的报告组成。母体抑郁症通过母体报告（流行病学研究中心-抑郁问卷）进行评估。结果：相当多的家庭有儿童虐待报告（占样本的30％）和产妇抑郁症（占38％的临床显着症状）。大多数虐待是被忽视的。在对照组母亲中，虐待的报道没有根据抑郁症状而有所不同。对于HV母亲，报告的可能性随抑郁症状的程度而变化。与接受临床症状水平的HV母亲相比，无症状的HV母亲所生孩子受到虐待的可能性较小。结论：本样本中母亲抑郁症状的流行以及抑郁与预防儿童虐待方案的有效性之间的联系表明，家庭访问者应警惕母亲抑郁。程序还应该意识到与产妇抑郁症有关的可能的监视效果。儿科2013; 132：S126-S133。

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