Adult outcome of children reared for long-term periods in foster families
Adult outcome of children reared for long-term periods in foster families
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DOI：
10.1016/s0145-2134(97)00053-7
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发表时间：
1997-10-01
影响因子：
4.8
通讯作者：
Couraud, S
中科院分区：
文献类型：
--
作者：
Dumaret, AC;CoppelBatsch, M;Couraud, S
目的：研究家庭破裂和稳定的护理环境对儿童不良经历的长期影响。另一个目的是确定成年后适应不良的心理-社会融合的预测因素。方法：63名来自严重心理障碍家庭的儿童从机构中接受过护理的家庭中挑选出来：所有儿童都由寄养家庭抚养了至少5年，离开护理超过5年，调查时至少23岁。结果：94%的研究对象(n=59)，71%的人通过直接访谈(n=45)获得数据。大多数人成功地克服了童年的逆境：56%的人很好地融入了社会，12%的人融入了一般的社会，20%的人部分融入了社会，10%的人处于失败的境地。这些困难与儿童时期的多重家庭骚乱和反复的创伤经历有关(p<；0.05)。多元回归分析表明，这些危险因素解释了社会融合得分的28%的方差(p<；.0001)。长期的严重情绪剥夺是导致临床障碍的一个因素。结论：在研究期间，在上一代人中显著的代际重复的“儿童安置”行为实际上已经消失。调查结果还突出了寄养机构工作人员提供的大量心理治疗和育儿援助。(C)1997年爱思唯尔科学有限公司。
Objective: To study the long term impact of adverse childhood experiences resulting from family breakdowns combined with a stable care environment. Another aim was to determine predictive factors for maladjusted psyche-social integration in adulthood.Method: Sixty-three children from severely psychosocially dysfunctioning families selected from among those having been in care in an institutional setting: All had been reared for at least 5 years by foster families, had been out of care for more than 5 years and were at least 23 years old at the time of the survey. Semi-structured interviews were used in a follow-up study to assess adult outcome, essentially in terms of professional status, social, and family relationships.Results: Data was obtained for 94% of the study population (n = 59), 71% via direct interviews (n = 45). The majority had managed to overcome their childhood adversities: 56% were well-integrated socially, 12% had average integration results, 20% were partially integrated and 10% were in situations of failure. These difficulties were linked to multiple family disturbances and repeated traumatic experiences during childhood (p < .05). Multiple regression analyses indicated that these risk factors accounted for 28% of the variance in the social integration score (p < .0001). Severe emotional deprivation over a prolonged period was a contributing factor to clinical disorders.Conclusion: At the study period, intergenerational repetition of ''child placement'' behaviors, significant in the previous generation, had practically disappeared. The results also highlighted the substantial psychotherapeutic and child-rearing assistance provided by the staff of the foster care agency. (C) 1997 Elsevier Science Ltd.