Changes in parental depression symptoms during family preservation services.
Changes in parental depression symptoms during family preservation services.
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DOI：
10.1016/j.chiabu.2011.02.005
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发表时间：
2011-06
影响因子：
4.8
通讯作者：
Bard D
中科院分区：
文献类型：
--
作者：
Chaffin M;Bard D
在儿童福利、家庭保护和育儿服务的过程中，父母抑郁症状往往会发生变化。这就提出了一个问题，即家庭保存服务中的某些过程是否可能与抑郁症状的改变有关。本研究测试了家庭保存服务参与者之间变化的三种相关模型：a)抑郁症状的变化是幸福感普遍变化的一个方面；B)家访客户关系质量与抑郁症状变化相关；c)将父母与辅助服务联系起来与症状变化有关。参与者是2175名家庭保护服务的父母，主要是儿童忽视，他们在治疗前，治疗后和6个月的随访中使用标准措施进行调查。变化模式评估使用增长模型，包括二元平行和多元二阶模型。在抑郁症状和社会、经济、家庭和养育子女领域的变化之间发现了平行增长。假设全球变化模式的二阶变化模型很好地拟合了数据。工作联盟与改善有一定的联系，但与外部心理健康服务的成功联系与改善无关。各种福利指标的变化遵循全球模式，这可能支持使用不那么复杂的服务计划，而不是更全面的服务计划。辅助常规护理心理健康服务效益的缺乏可能与非受控因素有关，这是一个需要进一步研究的课题。
Parental depression symptoms often change over the course of child welfare family preservation and parenting services. This raises the question of whether certain processes in family preservation services might be associated with depression symptom change. This study tests three correlational models of change among family preservation service participants: a) changes in depression symptoms are one facet of broad general changes in wellbeing; b) the quality of the home visitor-client relationship is associated depression symptom changes; and c) linking parents to adjunctive services is associated with symptom changes. Participants were 2,175 parents in family preservation services, largely for child neglect, who were surveyed using standard measures at pre-treatment, post-treatment and 6 month follow-up. Change patterns were evaluated using growth models, including bivariate parallel and multivariate second-order models. Parallel growth was noted among depression symptoms and changes in social, economic, familial, and parenting domains. A second order change model positing a global change pattern fit the data well. Working alliance had a modest association with improvement, but successful linkage to outside mental health services was not associated with improvement. Changes in diverse indicators of wellbeing follow a global pattern which might support use of less complex rather than more fully comprehensive service plans. Findings about lack of adjunctive usual care mental health service benefit may be related to uncontrolled factors and this is a topic in need of additional study.
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影响因子：
5.1
作者：
DePanfilis, D;Dubowitz, H
通讯作者：
Dubowitz, H
影响因子：
4.8
作者：
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作者：
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CUTRONA, CE
影响因子：
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作者：
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