Experience of child welfare services and long-term adult mental health outcomes: a scoping review.
Experience of child welfare services and long-term adult mental health outcomes: a scoping review.
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DOI：
10.1007/s00127-021-02069-x
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发表时间：
2021-07
影响因子：
4.4
通讯作者：
Maguire A
中科院分区：
文献类型：
--
作者：
McKenna S;Donnelly M;Onyeka IN;O'Reilly D;Maguire A
这是第一次全面审查的实证研究，调查儿童福利服务的接受和成人心理健康结果之间的关联。该综述总结了有关有儿童福利参与史的成年人心理健康结果的研究结果。范围审查方法被用来搜索五个电子数据库（MEDLINE，EMBASE，PsychINFO，IBSS，社会政策和实践）。如果研究检查了任何儿童福利暴露（包括留在家中/被安置在护理中时接受服务）和成人心理健康状况，则纳入研究。共检索到4591条记录，其中55条符合合格标准。总体而言，接受儿童福利服务与成人精神疾病、自杀未遂和自杀未遂的风险增加有关。关于潜在的调节因素，如性别和护理相关的经验，结果喜忧参半。相对而言，很少有研究调查需要儿童福利服务的原因、虐待或忽视的经历或留在自己家中的儿童福利服务使用者的成人结果。精神不健康的定义和衡量异质性和福利服务利用的性质和类型的细节缺乏。有必要进行详细的纵向研究，以更好地了解预先存在的逆境与经验期间和之后暴露于儿童福利服务对成人心理健康结果的相对贡献。还需要对精神疾病进行更标准化的测量，并从作者那里获得关于特定护理暴露的更多细节。在线版本包含补充材料，可通过10.1007/s 00127 -021-02069-x获得。
This is the first comprehensive review of empirical research that investigated the association between receipt of child welfare services and adult mental health outcomes. The review summarised the results of studies about mental health outcomes of adults with a history of child welfare involvement. A scoping review methodology was used to search five electronic databases (MEDLINE, EMBASE, PsychINFO, IBSS, Social Policy and Practice). Studies were included if they examined any child welfare exposure (including receipt of services while remaining at home/being placed in care) and adult mental health status. In total 4591 records were retrieved, of which 55 met the eligibility criteria. Overall, receipt of child welfare services was associated with an increased risk of adult mental ill-health, suicide attempt and completed suicide. Results regarding potential moderating factors, such as gender and care-related experiences, were mixed. Relatively few studies investigated the reasons for requiring child welfare services, the experience of abuse or neglect or the adult outcomes of child welfare service users who remained in their own homes. Mental ill-health was defined and measured heterogeneously and details about the nature and type of welfare service utilisation were lacking. There is a need for detailed, longitudinal studies to better understand the relative contribution of pre-existing adversity versus experiences during and after exposure to child welfare services on adult mental health outcomes. More standardised measures of mental ill-health and greater detail from authors on specific care exposure are also needed. The online version contains supplementary material available at 10.1007/s00127-021-02069-x.
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影响因子：
3.3
作者：
Conn, Anne-Marie;Szilagyi, Moira A.;Szilagyi, Peter G.
通讯作者：
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