Interventions for expectant and new parents designed to prevent child abuse and neglect in at-risk families: Systematic review and meta-analysis

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-02-01 DOI:10.1016/j.chiabu.2024.107154

Hiroki Tamon , Maiko Suto , Haruna Yoshitsugu , Naoko Maruyama , Kunio Ogawa , Kenji Takehara , Yoshiyuki Tachibana , Ryuta Kawashima

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引用次数: 0

Abstract

Background

Early intervention may prevent maltreatment during infancy. This study examined the effectiveness of interventions initiated during the perinatal period to prevent child abuse and neglect.

Methods

We searched the MEDLINE, PsycINFO, Embase, and Cochrane Central Register of Controlled Trials databases for articles published before February 2023. Randomized controlled trials of interventions that began during pregnancy or within the first year postpartum, aimed at preventing child abuse and neglect in at-risk families, were included. The risk of bias in each study was evaluated using RoB 2. Outcomes from each study were combined using random-effects meta-analysis. The certainty of the evidence was assessed using the GRADE approach.

Findings

A total of 1746 articles were assessed for eligibility; 56 reports from international sources met the inclusion criteria, and 32 reports were included in the meta-analysis. Nineteen intervention studies based on 25 reports provided results regarding child maltreatment, and the overall risk ratio of the meta-analysis at the time of final reporting (evaluation period: 4–225 months) was 0.92 (95 % confidence interval [CI]: 0.79–1.07). In subgroup analysis by intervention type, the risk ratio for comprehensive support was 1.74 (95 % CI: 1.05–2.87).

Interpretation

Few studies have demonstrated the overall effectiveness of abuse prevention interventions for pregnant women with psychosocial risks. The timing and severity of child maltreatment reports must be considered, as they may reflect the effectiveness of early detection in preventing more serious future abuse.

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旨在预防高危家庭中儿童虐待和忽视的准父母和新父母干预措施：系统回顾和荟萃分析。

背景：早期干预可以防止婴儿期的虐待。本研究考察了围产期干预措施的有效性，以防止虐待和忽视儿童。方法：检索MEDLINE、PsycINFO、Embase和Cochrane Central Register of Controlled Trials数据库中2023年2月前发表的文章。在怀孕期间或产后一年内开始的干预措施的随机对照试验，旨在防止有风险的家庭虐待和忽视儿童。每项研究的偏倚风险采用RoB 2进行评估。每个研究的结果采用随机效应荟萃分析进行合并。使用GRADE方法评估证据的确定性。结果：共有1746篇文章被评估为合格；56份来自国际来源的报告符合纳入标准，32份报告被纳入meta分析。基于25份报告的19项干预研究提供了有关儿童虐待的结果，最终报告时（评估期：4-225个月）meta分析的总风险比为0.92（95%置信区间[CI]: 0.79-1.07）。按干预类型进行亚组分析，综合支持风险比为1.74 （95% CI: 1.05-2.87）。解释：很少有研究证明了对有心理社会风险的孕妇进行虐待预防干预的总体有效性。必须考虑虐待儿童报告的时间和严重程度，因为它们可能反映早期发现在防止今后更严重虐待方面的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.