留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

虐待对儿童心理健康的影响及干预研究进展

周丹丹 李长玲

周丹丹, 李长玲. 虐待对儿童心理健康的影响及干预研究进展[J]. 中国学校卫生, 2025, 46(10): 1516-1520. doi: 10.16835/j.cnki.1000-9817.2025313
引用本文: 周丹丹, 李长玲. 虐待对儿童心理健康的影响及干预研究进展[J]. 中国学校卫生, 2025, 46(10): 1516-1520. doi: 10.16835/j.cnki.1000-9817.2025313
ZHOU Dandan, LI Changling. Research progress on the impact of abuse on mental health of children and interventions[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(10): 1516-1520. doi: 10.16835/j.cnki.1000-9817.2025313
Citation: ZHOU Dandan, LI Changling. Research progress on the impact of abuse on mental health of children and interventions[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(10): 1516-1520. doi: 10.16835/j.cnki.1000-9817.2025313

虐待对儿童心理健康的影响及干预研究进展

doi: 10.16835/j.cnki.1000-9817.2025313
基金项目: 

广东社科规划项目 GD25YJY38

深圳市教育科学规划课题 zdzz24001

深圳大学青年教师科研启动项目 纵20231846

详细信息
    作者简介:

    周丹丹(1987-),女,河南濮阳人,博士,助理教授,主要研究方向为儿童健康教育

    通讯作者:

    李长玲,E-mail: 2410189004@mails.szu.edu.cn

  • 利益冲突声明  所有作者声明无利益冲突。
  • 中图分类号: R179 B844.1

Research progress on the impact of abuse on mental health of children and interventions

  • 摘要: 虐待严重侵犯了儿童生存、发展和受保护的基本权利,是亟待解决的公共卫生问题。儿童因心理需求增加、表达受限及社会支持薄弱等因素,容易成为受虐的高危群体。文章系统梳理虐待对儿童心理健康的影响,并从预防性干预与治疗性干预2个维度,阐述当前干预措施的主要类型及其实施效果,通过强化顶层设计、开发适配性工具和推进适应性干预,助力构建科学高效的儿童虐待防治体系。
    1)  利益冲突声明  所有作者声明无利益冲突。
  • [1] WHO. The world health report: 1999: making a difference[EB/OL]. (1999)[2025-05-21]. https://iris.who.int/handle/10665/42167.
    [2] WHO. Global status report on violence prevention[EB/OL]. (2014-01-09)[2025-05-21]. https://www.who.int/publications/i/item/9789241564793.
    [3] 张桃娟, 刘爱书. 儿童期虐待对抑制控制功能的影响及其脑机制[J]. 中国特殊教育, 2016(3): 83-88.

    ZHANG T J, LIU A S. The effect of childhood maltreatment on inhibitory control and its neural mechanism[J]. Chin J Spec Educ, 2016(3): 83-88. (in Chinese)
    [4] WHO. World mental health report: transforming mental health for all. Executive summary[R/OL]. (2022-06-16)[2025-05-21]. https://www.who.int/publications/i/item/9789240050860.
    [5] MORENO-MANSO J M, DE LA ROSA M M, GARCÍA-BAAMONDE M A E, et al. Disorders in the executive performance of children suffering abuse[J]. Child Abuse Rev, 2021, 30(3): 239-250.
    [6] WINTER S M, DITTRICH K, DÖRR P, et al. Immediate impact of child maltreatment on mental, developmental, and physical health trajectories[J]. J Child Psychol Psychiatry, 2022, 63(9): 1027-1045.
    [7] JIMENEZ M E, WADE R J, LIN Y, et al. Adverse experiences in early childhood and kindergarten outcomes[J]. Pediatrics, 2016, 137(2): e20151839.
    [8] LANGEVIN R, COSSETTE L, HÉBERT M. Emotion regulation in sexually abused preschoolers[J]. Child Psychiatry Hum Dev, 2016, 47(1): 1-12.
    [9] BOURGEOIS C, LECOMTE T, MCDUFF P, et al. Mental health disorders as cooccuring and predictive factors of psychotic disorders in sexually abused children[J]. Child Abuse Negl, 2021, 111: 104819.
    [10] TURAN Ö, ALTIN I, ERDIM N K, et al. An examination of the relationship between psychopathology and the sociodemographic, clinical, and abuse characteristics in children who have experienced sexual abuse[J]. Child Abuse Negl, 2025, 169: 107620.
    [11] AVIAD M, KLEBANOV B, KATZ C. Unveiling the shadows: parental perceptions and familial impact of daycare abuse of preschool children[J]. Child Abuse Negl, 2024, 151: 106755.
    [12] CYR C, EUSER E M, BAKERMANS-KRANENBURG M J, et al. Attachment security and disorganization in maltreating and high-risk families: a series of Meta-analyses[J]. Dev Psychopathol, 2010, 22(1): 87-108.
    [13] 李薇, 郭睿. 儿童心理虐待和忽视的现状及其不良影响[J]. 中国妇幼卫生杂志, 2017, 8(3): 1-3, 11.

    LI W, GUO R. Current status of psychological abuse and neglect of children and its adverse impacts[J]. Chin J Women Child Health, 2017, 8(3): 1-3, 11. (in Chinese)
    [14] CAOUETTE J, COSSETTE L, HÉBERT M. Do you see what Ⅰ see? Emotion recognition competencies in sexually abused school-aged children and non-abused children[J]. J Child Sex Abus, 2023, 32(7): 813-828.
    [15] EUTENEUER F, LASS-HENNEMANN J, PFUNDMAIR M, et al. Childhood emotional maltreatment and sensitivity to social rejection in emerging adults[J]. Child Abuse Negl, 2024, 149: 106604.
    [16] BENGWASAN P, BANCUAL M E J F. The developmental status of abused and neglected children in the Philippines[J]. Child Youth Serv Rev, 2020, 110: 104756.
    [17] ÖZÇEVIK S D, ŞIMŞEK E, AKÇA S A, et al. Nurses' intention to report child abuse and related factors in Türkiye[J]. Child Abuse Negl, 2025, 167: 107575.
    [18] WAMSER-NANNEY R, CAMPBELL C L. Childhood sexual abuse characteristics, abuse stress, and PTSS: ties to sexual behavior problems[J]. Child Abuse Negl, 2020, 105: 104290.
    [19] HERRENKOHL T I, FEDINA L, ROBERTO K A, et al. Child maltreatment, youth violence, intimate partner violence, and elder mistreatment: a review and theoretical analysis of research on violence across the life course[J]. Trauma Violence Abuse, 2022, 23(1): 314-328.
    [20] BOGAERTS S, TRESSOVÁ D, FEIJEN E, et al. Unraveling the association: how identity mediates the impact of childhood trauma on criminal behavior[J]. Behav Sci, 2025, 15(1): 56.
    [21] UPENIEKS L, FORD-ROBERTSON J. Childhood abuse, goal-striving stress and self-esteem: an explanatory role for perceptions of divine control?[J]. J Relig Health, 2023, 62(2): 906-931.
    [22] OCHOA M K, CONSTANTIN K. Impacts of child sexual abuse: the mediating role of future orientation on academic outcomes[J]. Child Abuse Negl, 2023, 145: 106437.
    [23] U.S. Children's Bureau, Office on Child Abuse and Neglect. Child abuse prevention and treatment act: 40 years of safeguarding America's children[EB/OL]. (2015-03-11)[2025-05-21]. https://acf.gov/cb/training-technical-assistance/child-abuse-prevention-and-treatment-act-40-years-safeguarding.
    [24] Department for Education and Skills. Every child matters[EB/OL]. (2003-09-08)[2025-05-21]. https://www.gov.uk/government/publications/every-child-matters.
    [25] 全国人民代表大会常务委员会. 中华人民共和国未成年人保护法[EB/OL]. (2020-10-23)[2025-05-21]. https://www.moj.gov.cn/pub/sfbgw/jgsz/jgszzsdw/zsdwflyzzx/flyzzxzcxx/zcxxzcfg/zcfgfl/202010/t20201023_188560.html.
    [26] 最高人民检察院, 国家监察委员会, 中华人民共和国教育部, 等. 关于建立侵害未成年人案件强制报告制度的意见(试行)[EB/OL]. (2020-05-29)[2025-05-21]. https://www.spp.gov.cn/xwfbh/wsfbt/202005/t20200529_463482.shtml#1.
    [27] 李永珍, 谢丽, 王文超, 等. 儿童虐待危险因素及识别方法研究进展[J]. 中国学校卫生, 2023, 44(7): 1116-1120.

    LI Y Z, XIE L, WANG W C, et al. Research progress on risk factors and identification tools for child abuse[J]. Chin J Sch Health, 2023, 44(7): 1116-1120. (in Chinese)
    [28] PONTICELLI S, MARTIN P, SLEED M. A systematic review and critical appraisal of the psychometric properties of the child abuse potential inventory (CAPI)[J]. Child Maltreat, 2025, 4: 1-20.
    [29] ZELVIENE P, DANIUNAITE I, ELKLIT A, et al. Recognizing traumatization in children aged 4 to 8: a pilot validation study of the Odense Child Trauma Screening (OCTS) measure in Lithuania[J]. J Aggress Maltreatment Trauma, 2024, 33(6): 743-757.
    [30] OLDS D L, KITZMAN H, ANSON E, et al. Prenatal and infancy nurse home visiting effects on mothers: 18-year follow-up of a randomized trial[J]. Pediatrics, 2019, 144(6): e20183889.
    [31] HERBERT J, GHAN N, SALVERON M, et al. Possible factors supporting cross-agency collaboration in child abuse cases: a scoping review[J]. J Child Sex Abus, 2021, 30(2): 167-191.
    [32] CITAK TUNC G, GORAK G, OZYAZICIOGLU N, et al. Preventing child sexual abuse: body safety training for young children in Turkey[J]. J Child Sex Abus, 2018, 27(4): 347-364.
    [33] PULIDO M L, DAUBER S, TULLY B A, et al. Knowledge gains following a child sexual abuse prevention program among urban students: a cluster-randomized evaluation[J]. Am J Public Health, 2015, 105(7): 1344-1350.
    [34] GUASTAFERRO K, HOLLOWAY J L, TRUDEAU J, et al. Virtual delivery of a school-based child sexual abuse prevention program: a pilot study[J]. J Child Sex Abus, 2022, 31(5): 577-592.
    [35] CITAK TUNC G, YAVAS H. The impact of using creative drama in the delivery of Body Safety Training Programs for preschool children on preventing sexual abuse in Turkey[J]. Psychol Sch, 2022, 59(5): 915-931.
    [36] KEMER D, ÍŞLER DALGIÇ A. Effectiveness of sexual abuse prevention training program developed by creative drama for preschoolers: an experimental study[J]. J Child Sex Abus, 2022, 31(1): 9-32.
    [37] KENNY M C, LONG H, BILLINGS D, et al. School-based abuse prevention programming: implementation of child safety matters with minority youth[J]. Child Abuse Rev, 2022, 31(3): e2742.
    [38] JONES C, SCHOLES L, ROLFE B, et al. A serious-game for child sexual abuse prevention: an evaluation of Orbit[J]. Child Abuse Negl, 2020, 107: 104569.
    [39] HÉBERT M, AMÉDÉE L M. Latent class analysis of post-traumatic stress symptoms and complex PTSD in child victims of sexual abuse and their response to Trauma-focused Cognitive Behavioural Therapy[J]. Eur J Psychotraumatol, 2020, 11(1): 1807171.
    [40] UNTERHITZENBERGER J, SACHSER C, ROSNER R. Posttraumatic stress disorder and childhood traumatic loss: a secondary analysis of symptom severity and treatment outcome[J]. J Trauma Stress, 2020, 33(3): 208-217.
    [41] ROSNER R, BARKE A, ALBRECHT B, et al. BEST FOR CAN - bringing empirically supported treatments to children and adolescents after child abuse and neglect: study protocol[J]. Eur J Psychotraumatol, 2020, 11(1): 1837531.
    [42] MCGUIRE A, STEELE R G, SINGH A. Systematic review on the application of trauma-focused cognitive behavioral therapy (TF-CBT) for preschool-aged children[J]. Clin Child Fam Psychol Rev, 2021, 24(1): 20-37.
    [43] OLIVIER E, DE ROOS C, BEXKENS A. Eye movement desensitization and reprocessing in young children (ages 4-8) with posttraumatic stress disorder: a multiple-baseline evaluation[J]. Child Psychiatry Hum Dev, 2022, 53(6): 1391-1404.
    [44] RACHAMIM L, MIROCHNIC I, ELAZAR M, et al. A pilot and feasibility randomized controlled trial of dyadic exposure therapy and dyadic client-centered therapy for posttraumatic preschool children and their caregivers[J]. Int J Cogn Ther, 2021, 14(2): 362-379.
    [45] GOLDNER L, LEV-WIESEL R, BINSON B. Perceptions of child abuse as manifested in drawings and narratives by children and adolescents[J]. Front Psychol, 2020, 11: 562972.
    [46] JIANG Z, XU H, WANG S, et al. Parent-child relationship quality, childhood maltreatment, and psychological symptoms in Chinese adolescent[J]. J Interpers Violence, 2022, 37(19/20): NP18130-NP18151.
    [47] WARREN J M, HALPIN S A, HANSTOCK T L, et al. Outcomes of Parent-Child Interaction Therapy (PCIT) for families presenting with child maltreatment: a systematic review[J]. Child Abuse Negl, 2022, 134: 105942.
    [48] VAN LEUVEN L, LALOUNI M, ENEBRINK P, et al. Feasibility and implementation of Safer Kids: a parenting program to reduce child abuse[J]. Child Abuse Negl, 2022, 123: 105434.
    [49] GUASTAFERRO K, FELT J M, FONT S A, et al. Parent-focused sexual abuse prevention: results from a cluster randomized trial[J]. Child Maltreat, 2022, 27(1): 114-125.
    [50] SAINZ V, GONZÁLEZ-SÁNCHEZ M, RUIZ-ALBERDI C. Knowledge of child abuse among trainee teachers and teachers in service in Spain[J]. Sustainability, 2020, 12(19): 8040.
    [51] DOLUNAYG-CUG F, YILMAZ-AKDOGAN G, DERMAN O, et al. The TSPCAN project: a qualitative evaluation with undergraduate students trained in child abuse prevention in Turkey[J]. Child Abuse Rev, 2023, 32(4): e2813.
    [52] DUDLEY M J, NICKERSON A B, KIM S, et al. School-based child abuse prevention: the role of school climate in intervention outcomes for teachers[J]. Psychol Sch, 2022, 59(6): 1158-1174.
    [53] FREDRICKSON R. Trauma-informed care for infant and early childhood abuse[J]. J Aggress Maltreatment Trauma, 2019, 28(4): 389-406.
    [54] HOLMES C, LEVY M, SMITH A, et al. A model for creating a supportive trauma-informed culture for children in preschool settings[J]. J Child Fam Stud, 2015, 24(6): 1650-1659.
    [55] CHEN L, FAN Y, WANG Y, et al. Self-justification in decision-making: Chinese child welfare workers' inconsistency of perceptions and experiences matters in reporting child abuse[J]. Child Fam Soc Work, 2023, 28(4): 919-931.
    [56] 李晓娇, 高万红, 林敏, 等. 社会工作参与未成年被害人"一站式"综合保护的作用研究[J]. 中国社会工作, 2023(31): 31-32.

    LI X J, GAO W H, LIN M, et al. Study on the role of social work in "one-stop" comprehensive protection of juvenile victims[J]. China Soc Work, 2023(31): 31-32. (in Chinese)
    [57] FONTES L A, PLUMMER C. Cultural issues in disclosures of child sexual abuse[J]. J Child Sex Abus, 2010, 19(5): 491-518.
    [58] CHEN C, CHEN N, QIN J. Profiles and predictors of physical abuse and behavior problems in Chinese preschool-aged children[J]. Early Educ Dev, 2024, 35(3): 500-510.
  • 加载中
计量
  • 文章访问数:  6
  • HTML全文浏览量:  6
  • PDF下载量:  0
  • 被引次数: 0
出版历程
  • 收稿日期:  2025-07-03
  • 修回日期:  2025-09-24
  • 刊出日期:  2025-10-25

目录

    /

    返回文章
    返回