Risk of psychological difficulties among children raised by custodial grandparents.
Risk of psychological difficulties among children raised by custodial grandparents.
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由监护祖父母抚养的儿童存在心理困难的风险。
DOI：
10.1176/ps.2007.58.10.1303
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Palmieri,PatrickA
中科院分区：
文献类型：
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作者：
Smith,GregoryC;Palmieri,PatrickA
目的：虽然被监护的孙辈被认为比一般儿童更容易出现情绪和行为问题，但很少有研究探讨这一重要的公共卫生问题。这项研究涉及733名监护祖母的数据，这些祖母参与了由美国国家精神卫生研究所资助的一项关于监护祖父母的研究，来自2001年全国健康访谈调查（NHIS）的878名照顾者完成了关于4至17岁目标儿童的优势和困难问卷（SDQ）。这两个数据集被用来确定是否监护祖母报告更大的情感和行为的困难，SDQ测量，监护孙子比照顾者的NHIS规范样本的儿童。结果如下：监护孙子表现差于儿童从NHIS样本在所有领域测量的SDQ分量表，无论孩子的性别和记者是否被招募populationbased或方便的抽样方法。对733名监护祖母的样本进行的比较表明，祖母照顾男孩时遇到的困难程度更高，祖母是通过方便与基于人口的抽样招募的，并且是白色。带状分数计算每个SDQ分量表的比较表明，监护孙子有不同的截止点比儿童在一般人群中的精神疾病的可能诊断。结论：与亲属照顾安排中的其他儿童类似，他们的照顾者报告说，监护孙辈的行为和情绪障碍水平高于美国总人口中的儿童。（精神病学服务58：1303-1310，2007）
Objective: Although custodial grandchildren are believed to be at greater risk of emotional and behavioral problems than children in general, scant research has examined this important public health issue.Methods: This study involves data from 733 custodial grandmothers par-ticipating in a study funded by the National Institute of Mental Health on custodial grandparenting and 9,878 caregivers from the 2001 National Health Interview Survey (NHIS) who completed the Strengths and Difficulties Questionnaire (SDQ) in reference to target children between ages four and 17. These two data sets were used to determine if custodial grandmothers report greater emotional and behavioral difficulties, as measured by the SDQ, for custodial grandchildren than do caregivers of children from the NHIS normative sample. Results: Custodial grandchildren fared worse than children from the NHIS sample across all domains measured by the SDQ subscales, regardless of the child’s gender and whether reporters were recruited by populationbased or convenience sampling methods. Comparisons within the sample of 733 custodial grandmothers showed that higher levels of difficulties were reported when grandmothers were caring for boys, were recruited by convenience versus population-based sampling, and were white. Comparisons of the banded scores computed for each SDQ subscale suggested that custodial grandchildren have different cutoff points than children in the general population for a likely diagnosis of a psychiatric disorder. Conclusions: Similar to other children in kinship care arrangements, custodial grandchildren are reported by their caregivers to have higher levels of behavioral and emotional disturbances than children in the overall US population.(Psychiatric Services 58: 1303–1310, 2007)