Children of mothers diagnosed with serious mental illness: patterns and predictors of service use.
Children of mothers diagnosed with serious mental illness: patterns and predictors of service use.
复制标题
被诊断患有严重精神疾病的母亲的孩子：服务使用的模式和预测因素。
DOI：
10.1023/b:mhsr.0000036490.10086.95
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Oyserman,Daphna
中科院分区：
文献类型：
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作者：
Mowbray,CarolT;Lewandowski,Lisa;Bybee,Deborah;Oyserman,Daphna
父母一方被诊断患有精神疾病的儿童有可能出现精神和行为问题;然而，这些儿童不一定得到所需的服务。研究调查了儿童心理健康服务使用的相关性，但不是针对这些高危儿童。本研究是NIMH资助的纵向调查的一部分，描述了儿童问题，服务使用，和服务使用的预测因子为506名儿童的252名母亲被诊断患有严重精神疾病。母亲主要是来自城市地区的贫穷少数民族妇女。多层次模型的方法是用来检查服务使用多个兄弟姐妹在一个家庭。超过三分之一的儿童在一生中接受过服务（来自学校或心理健康机构）。儿童的人口统计学特征（男性，非非洲裔美国人，和老年人），社会背景变量（更多的负面生活事件，更少的经济满意度，更多的养育不满），和产妇的精神变量（积极的高水平的情况下管理接收和情感诊断，消极的产妇药物滥用史）预测服务的使用。在“目标儿童”的子样本中，母亲对儿童行为问题的评级还预测了服务的使用。研究和干预的结果的影响进行了讨论。
Children who have a parent diagnosed with a mental illness are at risk of psychiatric and behavioral problems; yet, these children do not necessarily receive needed services. Research has investigated correlates of child mental health service use, but not for these high-risk children. This study is part of an NIMH-funded, longitudinal investigation and describes child problems, service use, and predictors of service use for 506 children of 252 mothers diagnosed with serious mental illness. Mothers are primarily poor, minority women from urban areas. A multilevel-model approach is used to examine service use for multiple siblings in a family. More than one third of children had received services (from school or mental health agencies) in their lifetimes. Service use was predicted by child demographic characteristics (being male, non–African American, and older), social context variables (more negative life events, less financial satisfaction, and more parenting dissatisfaction), and maternal psychiatric variables (positively by high levels of case management receipt and affective diagnoses, negatively by maternal substance abuse history). In a subsample of “target children,” mothers' rating of child behavior problems additionally predicted service use. Implications of results for research and intervention are discussed.