Mental disorders in foster children: a study of prevalence, comorbidity and risk factors.
Mental disorders in foster children: a study of prevalence, comorbidity and risk factors.
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DOI：
10.1186/1753-2000-7-39
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发表时间：
2013-11-21
影响因子：
5.6
通讯作者：
Heiervang ER
中科院分区：
文献类型：
--
作者：
Lehmann S;Havik OE;Havik T;Heiervang ER
本研究的目的是调查 6 至 12 岁寄养儿童精神障碍的患病率，并评估共病和危险因素。使用发展和幸福评估（DAWBA）基于网络的诊断访谈从养父母和教师那里收集心理健康信息。儿童福利服务机构提供了有关安置前的护理条件以及儿童安置历史的信息。 396 名符合条件的寄养儿童中，有 279 名（70.5%）获得了诊断信息。总共有 50.9% 的儿童符合一种或多种 DSM-IV 疾病的标准。最常见的疾病分为 3 个主要诊断组：情绪障碍 (24.0%)、多动症 (19.0%) 和行为障碍 (21.5%)。这 3 个主要组的合并症率很高：30.4% 在这 3 个诊断组中的 2 个组中患有疾病，13.0% 在所有 3 个组中都患有疾病。此外，19.4%的儿童被诊断出反应性依恋障碍（RAD），其中58.5%的儿童在主要诊断组中患有合并症。遭受暴力、严重忽视以及之前的安置次数会增加患精神障碍的风险。与挪威和其他社会的一般儿童人口相比，挪威的寄养儿童精神障碍的患病率很高。研究结果表明，二分之一的寄养儿童患有精神障碍，且合并症发生率很高，这一发现凸显了为寄养儿童和家庭提供熟练评估和合格服务的必要性。
The aim of this study is to examine the prevalence of mental disorders in 6- to 12-year-old foster children and assess comorbidity and risk factors. Information on mental health was collected from foster parents and from teachers using Developmental and Well-Being Assessment (DAWBA) Web-based diagnostic interview. Child welfare services provided information about care conditions prior to placement and about the child’s placement history. Diagnostic information was obtained about 279 (70.5%) of 396 eligible foster children. In total, 50.9% of the children met the criteria for one or more DSM-IV disorders. The most common disorders were grouped into 3 main diagnostic groups: Emotional disorders (24.0%), ADHD (19.0%), and Behavioural disorders (21.5%). The comorbidity rates among these 3 main groups were high: 30.4% had disorders in 2 of these 3 diagnostic groups, and 13.0% had disorders in all 3 groups. In addition, Reactive attachment disorder (RAD) was diagnosed in 19.4% of the children, of whom 58.5% had comorbid disorders in the main diagnostic groups. Exposure to violence, serious neglect, and the number of prior placements increased the risk for mental disorders. Foster children in Norway have a high prevalence of mental disorders, compared to the general child population in Norway and to other societies. The finding that 1 in 2 foster children presented with a mental disorder with high rates of comorbidity highlight the need for skilled assessment and qualified service provision for foster children and families.
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