Psychiatric disorder among British children looked after by local authorities: comparison with children living in private households
Psychiatric disorder among British children looked after by local authorities: comparison with children living in private households
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DOI：
10.1192/bjp.bp.106.025023
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发表时间：
2007-04-01
影响因子：
10.5
通讯作者：
Goodman, Robert
中科院分区：
文献类型：
--
作者：
Ford, Tamsin;Vostanis, Panos;Goodman, Robert
背景 与生活在私人家庭中的儿童相比，由地方当局照顾的儿童出现不良社会心理结果的风险更高，但以前没有对两组儿童的全国代表性和随机样本进行比较。目的 寻找地方当局照顾的儿童精神疾病患病率增加的解释。方法 我们按地方当局照顾的英国儿童的安置类型检查了社会人口特征和精神病理学 (n=1453)，并将这些儿童与生活在私人家庭中的贫困和非贫困儿童 (n=10 428) 进行比较。结果 由当地当局照顾的儿童具有较高水平的精神病理学、教育困难和神经发育障碍，并且在调整这些教育和身体因素后，照顾状况与几乎所有类型的精神疾病独立相关。在居住在寄宿护理机构以及最近安置地点发生多次变化的儿童中，精神疾病的患病率特别高。 结论 我们的研究结果表明，需要为这一弱势儿童群体提供更多支持。
Background Children looked after by local authorities are at higher risk of poor psychosocial outcomes than children living in private households, but nationally representative and random samples of the two groups of children have not previously been compared.Aims To find explanations for the increased prevalence of psychiatric disorder in children looked after by local authorities.Method We examined socio-demographic characteristics and psychopathology by type of placement among children looked after in Britain by local authorities (n=1453), and compared these children with deprived and non-deprived children living in private households (n=10 428).Results Children looked after by local,authorities had higher levels of psychopathology, educational difficulties and neurodevelopmental disorders, and looked after' status was independently associated with nearly all types of psychiatric disorder after adjusting for these educational and physical factors. The prevalence of psychiatric disorder was particularly high among those living in residential care and with many recent changes of placement.Conclusions Our findings indicate a need for greater support of this vulnerable group of children.