The Child Abuse Potential inventory and pregnancy outcome in expectant adolescent mothers

被引:19
|
作者
Zelenko, MA
Huffman, LC
Brown, BW
Daniels, K
Lock, J
Kennedy, Q
Steiner, H
机构
[1] Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Div Child Psychiat, Stanford, CA 94305 USA
[2] Stanford Univ, Sch Med, Dept Pediat, Stanford, CA 94305 USA
[3] Stanford Univ, Sch Med, Dept Hlth Res & Policy, Stanford, CA 94305 USA
[4] Stanford Univ, Sch Med, Dept Obstet & Gynecol, Stanford, CA 94305 USA
[5] Stanford Univ, Dept Psychol, Stanford, CA 94305 USA
关键词
CAPI; adolescent pregnancy;
D O I
10.1016/S0145-2134(01)00284-8
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
Objective: The study explores the prenatal Child Abuse Potential (pCAP) scores derived from the Child Abuse Potential Inventory administered to expectant adolescent mothers. The aim of the study was to assess the association of the pCAP scores with maternal negative prenatal behaviors, and evaluate the contribution of the pCAP scores to neonatal morbidity. Method: The pCAP scores, demographic data, and self-report on prenatal behaviors were obtained during the second half of the pregnancy in a sample of 45 poor single adolescent mothers. A pediatrician blind to the prenatal data reviewed the neonatal records to assess neonatal morbidity. Maternal prenatal records were reviewed for obstetric risk assessment by an obstetrician who was blind to the rest of the data. The relations among the pCAP scores, prenatal behaviors, and neonatal morbidity were analyzed. Results: In the prenatal period, the pCAP scores were positively correlated with self-reported prenatal smoking and substance use. The multiple linear regression analysis showed that the pCAP scores significantly contributed to neonatal morbidity independently of obstetric risk factors. Conclusions: The Child Abuse Potential scores obtained during pregnancy in poor single adolescent mothers reflect domains of maternal functioning that are associated with negative prenatal behaviors and appear to be important for predicting neonatal morbidity. Further studies are warranted to validate the prenatal use of the Child Abuse Potential Inventory. (C) 2001 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:1481 / 1495
页数:15
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