Kindesmisshandlung bei Pflegekindern
Eine Studie zur Untersuchung der Häufigkeit und der spezifischen und kumulierten Auswirkungen von Kindesmisshandlung
Abstract
Zusammenfassung.Theoretischer Hintergrund: Pflegekinder erleben signifikant mehr Misshandlung und Vernachlässigung als andere Kinder und leiden häufiger unter deren langfristigen Auswirkungen. Methode: In dem vom BMBF geförderten Forschungsprojekt GROW&TREAT wurden 94 Pflegekinder hinsichtlich der Auswirkungen unterschiedlicher Misshandlungsformen auf ihre Entwicklung untersucht. Als Vergleichsstichprobe dienten 157 in der Herkunftsfamilie lebende Kinder ohne bekannte Misshandlungserfahrung. Mithilfe standardisierter Verfahren wurden emotionale und Verhaltensprobleme, die Beziehungsgestaltung zwischen den Kindern und ihren (Pflege–) Eltern, sowie die kognitive Entwicklung der Kinder erfasst. Ergebnisse: Die Ergebnisse zeigen wie erwartet, dass Pflegekinder eine ungünstigere Entwicklung aufweisen und dass unterschiedliche Misshandlungsformen spezifische Auswirkungen auf die kognitive Entwicklung der Kinder haben. Diskussion: Die Limitationen der Studie und Implikationen für weitere Forschungsansätze werden kritisch reflektiert.
Abstract.Background: Foster children experience significantly more maltreatment and neglect than non-foster children do, and therefore are more likely to suffer from long-term consequences. Method: The current investigation was part of the GROW&TREAT research project, funded by the BMBF. In all, 94 foster children were examined regarding the impact of different forms of child maltreatment on their development. As a comparison group, 157 non-foster children were included in the study. Standardized methods were used to assess the child’s emotional and behavioral problems, the parent–child relationship, and the child’s cognitive skills. Results: The results of the study showed that the developmental outcomes were less favorable in foster than in biological children. Different types of maltreatment had specific effects on the child’s cognitive development. Conclusion: The limitations of the study and implications for further investigations are critically discussed.
Literatur
1983). Manual for the Child Behavior Checklist. Burlington: University of Vermont, Department of Psychology.
(2000). Manual for the ASEBA Preschool Forms and Profiles: An integrated system of multi-informant assessment. Burlington: University of Vermont, Department of Psychology.
(2011). Classes and consequences of multiple maltreatment: A person-centered analysis. Child Maltreatment, 16, 250 – 261.
(2014). Inventar zur Erfassung der Eltern-Kind-Beziehung. Schweinfurt: Leopoldina Krankhaus.
(2004). Mental health need and access to mental health services by youths involved with child welfare: A national survey. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 960 – 970.
(2008). Eyberg Child Behavior Inventory (Deutsche Version). Lutz, FL: Psychological Assessment Ressources.
(2006). Who disrupts from placement in foster and kinship care? Child Abuse & Neglect, 30, 409 – 424.
(2002). Child neglect: Outcomes in high-risk urban preschoolers. Pediatrics, 109, 1100 – 1107.
(2014). Mehrfachdiagnosen bei Schweizer Heimjugendlichen. Kindheit und Entwicklung, 23, 140 – 150.
(2005). Maltreatment’s wake: the relationship of maltreatment dimensions to child outcomes. Child Abuse & Neglect, 29, 597 – 619.
(1983). Conduct problem behavior: Standardization of a behavioral rating scale with adolescents. Journal of Clinical Child Psychology, 12, 347 – 354.
(2002). Vernachlässigung von Kindern. Monatsschrift Kinderheilkunde, 150, 1339 – 1343.
(2016). Assessing childhood maltreatment on the population level in Germany: findings and methodological challenges. Child and adolscent psychiatry and mental health, 10, 15.
(2002). Child neglect: developmental issues and outcomes. Child Abuse and Neglect, 26, 679 – 695.
(2011). Maltreatment in childhood and adolescence – results from a survey of a representative sample of the general German population. Deutsches Ärzteblatt International, 108, 287 – 294. https://doi.org/10.3238/arztebl.2011.0287
(2013). Frequency of child maltreatment in a representative sample of the German population. BMC Public Health, 13, 980 – 986.
(2002). A 12-year prospective study of the long-term effects of early child physical maltreatment on psychological, behavioral, and academic problems in adolescence. Archives of Pediatrics & Adolescent Medicine, 156, 824 – 830.
(2009). Die psychische Entwicklung von Pflegekindern und Pflegeeltern- Ergebnisse einer prospektiven Längsschnittstudie. Verhaltenstherapie & psychosoziale Praxis, 41, 863 – 881.
(2013). Child maltreatment and adolescent mental health problems in a large birth cohort. Child Abuse & Neglect, 37, 292 – 302.
(2013). Emotional, behavioral, and developmental features indicative of neglect or emotional abuse in preschool children: a systematic review. JAMA Pediatrics, 167, 769 – 775.
. (2015). Children neglected. Where cumulative risk theory fails. Child Abuse & Neglect, 45, 1 – 8.
(2010). Traumafolgestörungen bei Pflegekindern nach Misshandlung und Vernachlässigung. Verhaltenstherapie, 20, 3744.
(2008). Psychosocial and cognitive functioning of children with specific profiles of maltreatment. Child Abuse & Neglect, 32, 958 – 971.
(2011). Wechsler Preschool and Primary Scale of Intelligence – III (WPPSI III, 2. Auflage, deutsche Version). Frankfurt: Pearson.
(2011). Prävalenz von Kindesmisshandlung und -vernachlässigung in Deutschland. Kindheit und Entwicklung, 20, 64 – 71.
(2009). Parent Child Play Task Procedures and Script. Eugene: Oregon Research Institute.
(2010). Prävalenzentwicklung von hyperkinetischen Störungen und Methylphenidatverordnungen. Deutsches Ärzteblatt, 107, 615 – 621. https://doi.org/10.3238/arztebl.2010.0615
(1997). Structure of anxiety symptoms among children: A confirmatory factor-analytic study. Journal of Abnormal Psychology, 106, 280 – 297.
(2001). The structure of anxiety symptoms among preschoolers. Behavior Research and Therapy, 39, 1293 – 1316.
(2001). Violence exposure among school-age children in foster care: Relationship to distress symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 588 – 594.
(2009). Risk factors in child maltreatment: A meta-analitic review of the literature. Aggression and Violent Behavior, 14, 13 – 29.
(2015). The prevalence of child maltreatment across the globe: review of a series of meta-analyses. Child Abuse Review, 24, 37 – 50.
(2003). The neurobiological consequences of early stress and childhood maltreatment. Neuroscience & Biobehavioral Reviews, 27, 33 – 44.
(2011). Variations in emotional abuse experiences among multiply maltreated young adolescents and relations with developmental outcomes. Child Abuse & Neglect, 35, 876 – 886.
(2016). Experience by children and adolescents of more than one type of maltreatment: Association of different classes of maltreatment profiles with clinical outcome variables. Child Abuse & Neglect, 57, 1 – 11.
(1999). Report of the Consultation on Child Abuse Prevention. Geneva: World Health Organization.
(2010). A prospective examination of service use by abused and neglected children followed up into adulthood. Psychiatric Services, 61, 796 – 802.
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