估计儿童虐待对青少年内化和外化行为问题的因果影响时的污染偏差

IF 6.5 1区 医学 Q1 PSYCHIATRY
John M. Felt, Ulziimaa Chimed-Ochir, Kenneth A. Shores, Anneke E. Olson, Yanling Li, Zachary F. Fisher, Nilam Ram, Chad E. Shenk
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引用次数: 0

摘要

背景儿童虐待研究中的污染问题如果不加以解决,就会使效应大小估计值的显著性和幅度向下偏移。本研究扩展了之前的污染研究,调查了检测和控制污染的双重测量策略如何影响儿童行为问题的因果效应大小估计值。方法本研究纳入了 LONGSCAN 研究中的 634 名儿童,其中 63 名儿童在 8 岁后证实受到虐待,571 名儿童未证实受到虐待。在儿童4至16岁期间,每两年记录一次经证实的虐待儿童行为以及内化和外化行为。通过在 12、14 和 16 岁时进行前瞻性自我报告评估,或在 18 岁时进行一次性回顾性自我报告评估,确定并控制未受虐待对比组中的污染情况。在未控制污染、通过前瞻性自我报告控制污染以及通过回顾性自我报告控制污染的情况下,采用合成控制法确定因果效应并量化污染的影响。在不控制污染的情况下,内化行为的因果效应估计值在统计上并不显著。只有在控制了前瞻性或回顾性报告中发现的污染后,因果效应才具有统计学意义,效应大小增加了 17% 至 54%。在使用前瞻性方法时,控制污染对外化行为效应大小增加的影响较小,但与忽略污染的模型相比,确实产生了具有统计学意义的总体效应。结论未经驯化的对比组中存在污染会低估因果效应大小估计的幅度和统计学意义,尤其是在调查内化行为问题时。解决污染问题有助于在不同研究中重复结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Contamination bias in the estimation of child maltreatment causal effects on adolescent internalizing and externalizing behavior problems

Contamination bias in the estimation of child maltreatment causal effects on adolescent internalizing and externalizing behavior problems

Background

When unaddressed, contamination in child maltreatment research, in which some proportion of children recruited for a nonmaltreated comparison group are exposed to maltreatment, downwardly biases the significance and magnitude of effect size estimates. This study extends previous contamination research by investigating how a dual-measurement strategy of detecting and controlling contamination impacts causal effect size estimates of child behavior problems.

Methods

This study included 634 children from the LONGSCAN study with 63 cases of confirmed child maltreatment after age 8 and 571 cases without confirmed child maltreatment. Confirmed child maltreatment and internalizing and externalizing behaviors were recorded every 2 years between ages 4 and 16. Contamination in the nonmaltreated comparison group was identified and controlled by either a prospective self-report assessment at ages 12, 14, and 16 or by a one-time retrospective self-report assessment at age 18. Synthetic control methods were used to establish causal effects and quantify the impact of contamination when it was not controlled, when it was controlled for by prospective self-reports, and when it was controlled for by retrospective self-reports.

Results

Rates of contamination ranged from 62% to 67%. Without controlling for contamination, causal effect size estimates for internalizing behaviors were not statistically significant. Causal effects only became statistically significant after controlling contamination identified from either prospective or retrospective reports and effect sizes increased by between 17% and 54%. Controlling contamination had a smaller impact on effect size increases for externalizing behaviors but did produce a statistically significant overall effect, relative to the model ignoring contamination, when prospective methods were used.

Conclusions

The presence of contamination in a nonmaltreated comparison group can underestimate the magnitude and statistical significance of causal effect size estimates, especially when investigating internalizing behavior problems. Addressing contamination can facilitate the replication of results across studies.

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来源期刊
CiteScore
13.80
自引率
5.30%
发文量
169
审稿时长
1 months
期刊介绍: The Journal of Child Psychology and Psychiatry (JCPP) is a highly regarded international publication that focuses on the fields of child and adolescent psychology and psychiatry. It is recognized for publishing top-tier, clinically relevant research across various disciplines related to these areas. JCPP has a broad global readership and covers a diverse range of topics, including: Epidemiology: Studies on the prevalence and distribution of mental health issues in children and adolescents. Diagnosis: Research on the identification and classification of childhood disorders. Treatments: Psychotherapeutic and psychopharmacological interventions for child and adolescent mental health. Behavior and Cognition: Studies on the behavioral and cognitive aspects of childhood disorders. Neuroscience and Neurobiology: Research on the neural and biological underpinnings of child mental health. Genetics: Genetic factors contributing to the development of childhood disorders. JCPP serves as a platform for integrating empirical research, clinical studies, and high-quality reviews from diverse perspectives, theoretical viewpoints, and disciplines. This interdisciplinary approach is a key feature of the journal, as it fosters a comprehensive understanding of child and adolescent mental health. The Journal of Child Psychology and Psychiatry is published 12 times a year and is affiliated with the Association for Child and Adolescent Mental Health (ACAMH), which supports the journal's mission to advance knowledge and practice in the field of child and adolescent mental health.
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