Mothers of children and adolescents with intellectual disability: social and economic situation, mental health status, and the self-assessed social and psychological impact of the child's difficulties
Mothers of children and adolescents with intellectual disability: social and economic situation, mental health status, and the self-assessed social and psychological impact of the child's difficulties
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DOI：
10.1046/j.1365-2788.2003.00498.x
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发表时间：
2003-05-01
影响因子：
3.6
通讯作者：
Emerson, E
中科院分区：
文献类型：
--
作者：
Emerson, E
背景很少有具有精心构建的样本的大规模研究比较了抚养智障儿童的社会经济环境和社会影响。本论文的目的是：（1）比较抚养智障儿童的母亲与非智障儿童的母亲的社会经济状况;（2）评估抚养智障儿童对母亲负面心理后果的影响;以及（3）确定与ID儿童的母亲的负面心理结果相关的变量。方法1999年国家统计局调查，《1999年大不列颠儿童和青少年心理健康》收集了英格兰、苏格兰和威尔士475个邮政编码区的10 438名5至15岁儿童的多阶段分层随机抽样资料。对245名ID儿童的母亲和9481名非ID儿童的母亲的社会经济状况和压力进行了二次分析。结果：（1）与非ID儿童的家庭相比，ID儿童的家庭经济状况明显较差;（2）与未患有ID的抽样儿童的母亲相比，患有ID的抽样儿童的母亲报告说，他们的孩子的困难导致更大的社会和心理影响;（3）患有ID的儿童略微降低了母亲对精神健康问题的筛查呈阳性的几率（一旦考虑到所有其他变量）;（4）在ID儿童的母亲中，心理健康问题与儿童的困难有较大的社会影响，有一个男孩，儿童经历一个以上的潜在压力生活事件，贫困，接受经济状况调查的福利津贴和“不健康”的家庭functioning.Conclusions这些结果突出了打击贫困儿童ID和他们的家庭的重要性，需要开发更复杂的模型的理解和干预。
Background Few large-scale studies with well-constructed samples have compared the socio-economic circumstances and social impact of raising a child with intellectual disability (ID). The aims of the present paper were to: (1) compare the socio-economic situation of mothers raising a child with ID to that of mothers of non-ID children; (2) assess the contribution of raising a child with ID to negative psychological outcomes for mothers; and (3) identify variables associated with negative psychological outcomes among mothers of children with ID.Methods The 1999 Office for National Statistics survey, Mental Health of Children and Adolescents in Great Britain, 1999 , collected information on a multistage stratified random sample of 10 438 children between 5 and 15 years of age across 475 postal code sectors in England, Scotland and Wales. Secondary analysis was undertaken of the social and economic circumstances, and stress reported by 245 mothers of sampled children with ID and a comparison group of 9 481 mothers of sampled children who did not have ID.Results The results indicate that: (1) families supporting a child with ID were significantly economically disadvantaged when compared with families supporting a child who did not have ID; (2) when compared with mothers of sampled children who did not have ID, mothers of sampled children with ID reported that their child's difficulties resulted in greater social and psychological impact; (3) having a child with ID marginally reduced the odds of mothers screening positive for having mental health problems (once all other variables were taken into account); and (4) among mothers of children with ID, mental health problems were associated with the child's difficulties having a greater social impact, having a boy, the child experiencing more than one potentially stressful life event, poverty, receipt of means-tested welfare benefits and 'unhealthy' family functioning.Conclusions These results highlight the importance of combating poverty among children with ID and their families, and the need to develop more complex models of understanding and intervention.