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The Lived Experience of Youth in Congregate Care: Youth Perceptions of Safety, Relationships, and Support Through Qualitative Inquiry with 10 Young Adults 集中托养青少年的生活体验:通过对 10 名青少年进行定性调查,了解他们对安全、关系和支持的看法
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-07-05 DOI: 10.1007/s10560-024-00969-w
Sarah Parmenter, Karla Shockley McCarthy, Juan Lorenzo Benavides, Öznur Bayar, Kathryn Maguire Jack, Susan Yoon

This study explores the reported experiences of youth in congregate care facilities, focusing on their perceptions of support, relationships, and safety during their time in care. In-depth interviews were conducted with 10 young adults, previously placed in group homes or residential facilities in Ohio, to identify themes related to their experiences. Three main themes resulted from the analysis: (1) lack of agency, (2) importance of relationships, and (3) coping and transitioning in congregate care. The findings revealed that participants felt a total lack of control over the decisions made on their behalf, and they felt powerless to advocate for their needs. Furthermore, participants reported a lack of support from facility staff, and they faced barriers in maintaining connections with their families. Despite these challenges, many participants demonstrated resilience and gained positive insights from their experiences in congregate care. This study highlights the need for improved support systems, increased focus on youth self-advocacy, and a better understanding of the complex experiences faced by youth in congregate care settings.

本研究探讨了青少年在集中看护机构中的经历,重点关注他们在看护期间对支持、人际关系和安全的看法。研究人员对俄亥俄州曾被安置在集体之家或寄宿机构的 10 名青少年进行了深入访谈,以确定与他们的经历有关的主题。分析得出三大主题:(1) 缺乏代理权;(2) 人际关系的重要性;(3) 在集中照料中的应对和过渡。研究结果表明,参与者对代表他们做出的决定完全没有控制权,他们感到无力为自己的需 求代言。此外,参与者还表示缺乏机构工作人员的支持,在与家人保持联系方面也面临障碍。尽管面临这些挑战,许多参与者仍表现出了坚韧不拔的精神,并从他们在集中照料机构的经历中获得了积极的启示。这项研究强调了改善支持系统、更加关注青少年自我倡导以及更好地了解青少年在集中照料环境中所面临的复杂经历的必要性。
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引用次数: 0
Depression, Self-Esteem, and Disordered Eating among Pakistani Adolescent Girls: The Mediating Role of Appearance Comparison and Internalization of Appearance Ideals 巴基斯坦少女的抑郁、自尊和饮食失调:外貌比较和外貌理想内化的中介作用
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-06-09 DOI: 10.1007/s10560-024-00972-1
Ramla Zaid Malik, Sumara Masood Ul Hassan, Iraj Tariq

Although the link of depression and self-esteem with disordered eating is well reported in literature, there is insufficient insight into the underlying processes that inform the relationship. The present study examined the mediating effects of comparison of appearance and internalization of appearance ideals in the relationship of depression and self-esteem with disordered eating. The study sample comprised of 381 school-going adolescent girls, aged 13 to 18, from Islamabad, Pakistan. As part of the study, participants were required to complete several measures, including the Eating Disorder Examination Questionnaire—Short Form, Depression Anxiety Stress Scale 21, Rosenberg Self-Esteem Scale, Physical Appearance Comparison Scale—Revised, and Sociocultural Attitudes Toward Appearance Questionnaire—4. Findings revealed significant relationships between depression, self-esteem, comparison of appearance, internalization of appearance ideals, and disordered eating. Path analyses indicated that comparison of appearance and internalization of appearance ideals partially serially mediated the relationship between depression and disordered eating. Additionally, these two mediators were found to fully serially mediate the relationship between self-esteem and disordered eating. This study implicates the importance of considering depression and self-esteem in predicting disordered eating. Furthermore, findings posited that comparison of appearance and internalization of appearance ideals posed as potential risk factors in aggravating disordered eating. This study extends an opportunity for clinicians and community workers to initiate projects of social welfare such as awareness programs to address eating-related pathologies in educational as well as community settings, specifically amongst the adolescent population.

尽管抑郁和自尊与饮食失调之间的关系在文献中已有大量报道,但对这种关系的内在过程却缺乏足够的了解。本研究探讨了外貌比较和外貌理想内化在抑郁和自尊与饮食失调关系中的中介效应。研究样本包括来自巴基斯坦伊斯兰堡的 381 名 13 至 18 岁在校少女。研究结果显示,抑郁、自尊、外貌比较、外貌理想内化与饮食失调之间存在显著关系。路径分析表明,外貌比较和外貌理想的内在化在一定程度上调解了抑郁和饮食失调之间的关系。此外,研究还发现这两个中介因素对自尊和饮食失调之间的关系起着完全串联的中介作用。这项研究表明,在预测饮食失调时,考虑抑郁和自尊非常重要。此外,研究结果还认为,外貌比较和外貌理想的内化是加重饮食失调的潜在风险因素。这项研究为临床医生和社区工作者提供了一个机会,以启动社会福利项目,如提高认识计划,在教育和社区环境中解决与饮食有关的病理问题,特别是在青少年群体中。
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引用次数: 0
Social Determinants of Youth Cigarette Use Over Time: Findings from the Arizona Youth Survey 2010–2018 青少年长期吸烟的社会决定因素:2010-2018 年亚利桑那州青少年调查的结果
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-06-02 DOI: 10.1007/s10560-024-00973-0
Grant Yoder, Shiyou Wu, Flavio F. Marsiglia

This study utilizes a large sample of 8th, 10th, and 12th-grade youth in Arizona (n = 34,373). Five cycles of this biannual survey were used to examine the longitudinal trends. Multivariate logistic regressions were used to identify the key risk factors for past 30-day and lifetime cigarette use. Across all survey cycles, peers played a consistently significant role in smoking behaviors. Those youth with drug-free friends and friends who disapproved of substance use were less likely to engage in smoking behaviors. Further, various community, school, and familial factors were predictive of smoking behavior, though less consistently than peer-level determinants. This study demonstrates that peers consistently play a critical role in cigarette smoking behavior. As such, interventions and future research need to examine further how prosocial peers can be leveraged to reduce smoking behaviors and the associated health outcomes.

本研究使用了亚利桑那州八年级、十年级和十二年级青少年的大量样本(n = 34,373)。这项一年两次的调查共进行了五个周期,用于研究纵向趋势。我们使用多元逻辑回归来确定过去 30 天和终生吸烟的主要风险因素。在所有调查周期中,同伴在吸烟行为中一直扮演着重要角色。与不吸毒的朋友和不赞成使用毒品的朋友交往的青少年吸烟的可能性较低。此外,各种社区、学校和家庭因素对吸烟行为也有预测作用,但不如同伴层面的决定因素那么一致。这项研究表明,同伴在吸烟行为中一直扮演着至关重要的角色。因此,干预措施和未来研究需要进一步研究如何利用亲社会同伴来减少吸烟行为和相关的健康后果。
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引用次数: 0
Findings from the Michigan EITC Access Project: ACEs Prevention Through Economic Intervention 密歇根州 EITC 获取项目的研究结果:通过经济干预预防 ACEs
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-05-21 DOI: 10.1007/s10560-024-00971-2
Kathryn Maguire-Jack, Yanghyun Park, Olivia D. Chang, Atticus Solomon, Jenna Quinn, Suzanne Greenberg, Heidi Coggins, Jacquetta Hinton

Earned Income Tax Credit (EITC) is a promising anti-poverty strategy in the United States (Hoynes & Patel, 2018). It has protective effects against adverse childhood experiences including child maltreatment (Berger et al., 2017; Biehl & Hill, 2018; Klevens et al., 2017; Rostad et al., 2020), intimate partner violence (Spencer et al., 2020), and parental mental health problems (Boyd-Swan et al., 2016; Evans & Garthwaite, 2014). Despite these positive impacts, approximately one in five families eligible for EITC does not receive it (Internal Revenue Service, 2019). The EITC Access Project involves intensive, one-on-one home visiting (delivered in conjunction with Parents As Teachers) that includes financial empowerment and education surrounding EITC across nine counties in the State of Michigan. Using paired t-tests, this study examines the outcomes of the EITC Access Project including knowledge of, application for, receipt of, and barriers to applying the EITC, and finds initial evidence that it may increase knowledge and uptake of EITC while decreasing neglect.

挣得收入税收抵免(EITC)是美国一项很有前景的反贫困战略(Hoynes & Patel, 2018)。它对不良童年经历具有保护作用,包括儿童虐待(Berger 等人,2017 年;Biehl & Hill,2018 年;Klevens 等人,2017 年;Rostad 等人,2020 年)、亲密伴侣暴力(Spencer 等人,2020 年)和父母心理健康问题(Boyd-Swan 等人,2016 年;Evans & Garthwaite,2014 年)。尽管有这些积极影响,但约有五分之一有资格领取 EITC 的家庭并没有获得 EITC(国内税收署,2019 年)。EITC 获取项目涉及密集的一对一家访(与 "父母为师 "组织联合开展),包括在密歇根州的九个县开展围绕 EITC 的财务赋权和教育活动。本研究采用配对 t 检验法,考察了 EITC 普及项目的成果,包括对 EITC 的了解、申请、接受情况以及申请 EITC 的障碍,并发现初步证据表明,该项目可能会增加对 EITC 的了解和接受程度,同时减少对 EITC 的忽视。
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引用次数: 0
Intervening in Suspected Child Maltreatment: Parents’ Responses to and Perceptions of Maltreatment in a Rural Midwestern County 干预疑似虐待儿童事件:中西部农村地区家长对虐待的反应和看法
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-05-18 DOI: 10.1007/s10560-024-00970-3
Olivia D. Chang, Yujeong Chang, Kathryn Maguire-Jack

Risks for child maltreatment have been found to be elevated in rural (cf. urban) areas. While previous research indicates that neighborhood processes can protect against child maltreatment, how such processes may uniquely operate in rural settings remains unclear. The vast majority of research on informal social control processes has focused on urban areas with very few studies examining how such processes in rural areas may uniquely influence responses to child maltreatment. To address knowledge gaps in this area, the present qualitative study examined the perceptions of parents living in a rural Midwestern county. Semi-structured interviews were conducted with 26 caregivers from Livingston County, Michigan, U.S. Regarding informal social control, participants were asked a series of questions regarding how they would intervene in an instance of suspected child maltreatment in their community. Thematic analysis revealed several strengths and barriers to perceiving and intervening in child maltreatment in rural settings, including close social ties, a culture of silence, maltreatment severity, and ecological challenges. These findings highlight potential reasons for which informal social control processes may differ in rural settings. Social workers may bolster child maltreatment prevention efforts in rural areas by acknowledging unique barriers and potential strengths to leverage in such communities. The current study adds to the body of work to understand rural child maltreatment, by exploring the responses to maltreatment within rural contexts; an area that has not yet been examined.

研究发现,农村(与城市相比)地区儿童遭受虐待的风险较高。虽然以往的研究表明邻里关系可以防止儿童遭受虐待,但这些邻里关系如何在农村环境中独特地发挥作用仍不清楚。绝大多数关于非正式社会控制过程的研究都集中在城市地区,很少有研究探讨农村地区的此类过程可能如何独特地影响对儿童虐待的反应。为了填补这方面的知识空白,本定性研究考察了生活在中西部农村地区的父母的看法。在非正式社会控制方面,研究人员向参与者提出了一系列问题,询问他们在社区发生疑似虐待儿童事件时将如何进行干预。主题分析揭示了在农村环境中感知和干预儿童虐待的优势和障碍,包括密切的社会关系、沉默文化、虐待的严重程度以及生态挑战。这些发现强调了非正式社会控制过程在农村环境中可能有所不同的潜在原因。社会工作者可以通过认识到农村地区独特的障碍和潜在的优势来加强农村地区的儿童虐待预防工作。目前的研究通过探索农村环境中对虐待的反应,为了解农村儿童虐待问题的研究工作增添了新的内容;这是一个尚未研究过的领域。
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引用次数: 0
Formal and Informal Support among Mothers Aging out of Foster Care and Maternity Group Homes: Who Steps in When Mothers Age Out? 走出寄养家庭和产科集体之家的母亲的正式和非正式支持:当母亲年老时,谁会介入?
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-05-05 DOI: 10.1007/s10560-024-00966-z
Esaa Mohammad Sabti Samarah, Melissa Radey, Shamra Boel-Studt

Young mothers in foster care and their children face educational, financial, and social challenges. Maternity group homes (MGHs) offer one intervention to mitigate poor outcomes. Yet, information about the experiences of mothers transitioning from MGHs is limited. Using Kool’s Theory of Adolescent Identity Development, this study examines mothers’ transitions out of MGHs and the role of formal and informal support in helping meet their family’s needs. Mothers with experience living in an MGH (n = 25) participated in telephone interviews describing their experiences in MGHs and transitions to independence. Data were analyzed using thematic analysis to understand mothers’ use of formal and informal supports after MGH exit. Analysis revealed that although mothers perceived “doing it alone,” they relied on informal and formal supports. This paradox makes sense in the context of mothers’ lives. Complicated, unpredictable, and friction-laden relationships with family, friends, and acquaintances constitute mothers’ informal supports. Although mothers felt they could count on family, they described periods of homelessness, family violence, and hopelessness. Similarly, formal relationships with child welfare professionals varied and often dissipated without warning. Mothers held mixed views on government assistance although these resources consistently provided critical means for survival. Implications: Consistent with Kool’s theory, study findings suggest mothers lacked supportive relationships and critical resources that shaped identity development. Implications for assisting mothers transitioning include supporting mothers through public assistance benefits before and after MGH exit; universal basic income as they gain independence, and guidance in establishing healthy relationships.

寄养家庭中的年轻母亲及其子女面临着教育、经济和社会方面的挑战。孕产妇集体之家(MGHs)是缓解不良后果的一种干预措施。然而,有关从寄养家庭过渡出来的母亲的经历的信息却很有限。本研究采用库尔的青少年身份发展理论,探讨了母亲从集体之家过渡的情况,以及正式和非正式支持在帮助满足其家庭需求方面所起的作用。曾在儿童之家生活过的母亲(n = 25)参加了电话访谈,讲述了她们在儿童之家的经历以及向独立过渡的情况。我们使用主题分析法对数据进行了分析,以了解母亲们在退出多功能之家后使用正式和非正式支持的情况。分析结果显示,尽管母亲们认为自己 "单枪匹马",但她们依赖于非正式和正式的支持。从母亲们的生活背景来看,这种矛盾是有道理的。与家人、朋友和熟人之间复杂、不可预测、充满摩擦的关系构成了母亲们的非正式支持。尽管母亲们认为她们可以依靠家人,但她们也描述了无家可归、家庭暴力和绝望的时期。同样,与儿童福利专业人员的正式关系也不尽相同,而且常常在毫无征兆的情况下消失。母亲们对政府援助的看法不一,尽管这些资源始终是她们生存的重要手段。影响:与库尔的理论一致,研究结果表明,母亲们缺乏支持性关系和影响身份发展的关键资源。对帮助母亲过渡的启示包括:在离开 MGH 之前和之后,通过公共援助福利为母亲提供支持;在她们获得独立时提供全民基本收入,并指导她们建立健康的人际关系。
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引用次数: 0
Development of a Child-Informed Measure of Subjective Well-Being for Research on Residential Care Institutions and Their Alternatives in Low- and Middle-Income Countries 为研究中低收入国家寄宿式保育机构及其替代方案开发儿童主观幸福感测量方法
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-04-14 DOI: 10.1007/s10560-024-00968-x
Sarah Elizabeth Neville, Joanna Wakia, John Hembling, Beth Bradford, Indrani Saran, Margaret Lombe, Thomas M. Crea

10% of children worldwide live in households without a biological parent, and 5.4 million children live in residential care institutions. This study describes a participatory, child-informed process of developing a multidimensional measure of child subjective well-being tailored towards the priorities of children who have lived in residential care. Eight focus groups were held with n = 49 adolescents reunified with family after living in residential care in Kenya and Guatemala and six focus groups were held with n = 29 young adults who had lived in residential care during childhood. After analysis of the focus groups, and using the Orphans and Vulnerable Children Wellbeing Tool as a foundation, the resulting tool contained 43 survey questions. Member checking, translation, and cognitive interviewing were conducted. The survey was administered to N = 180 young people in Kenya and Guatemala who were reunified with family after living in residential care or at risk of entering residential care. Exploratory factor analysis indicated that the measure had three salient factors with good convergent validity and internal consistency: care and safety (12 items), basic needs (13 items), and leisure and freedom (7 items). This study contributes a new, psychometrically validated survey measure that can be used to assess the well-being of children connected to residential care, as well as a replicable model for creating contextualized quantitative measures via child participation that can inform policymaking on children’s care in low- and middle-income countries.

全世界有 10% 的儿童生活在没有亲生父母的家庭中,有 540 万儿童生活在寄宿照料机构中。本研究介绍了一个以儿童为知情者的参与式过程,该过程针对寄宿照料儿童的优先事项,制定了多维度的儿童主观幸福感测量方法。在肯尼亚和危地马拉,与 49 名在寄宿照料机构生活后与家人团聚的青少年举行了八次焦点小组讨论,并与 29 名在童年时期曾在寄宿照料机构生活过的年轻人举行了六次焦点小组讨论。在对焦点小组进行分析后,以 "孤儿和弱势儿童福祉工具 "为基础,最终形成了包含 43 个调查问题的工具。进行了成员核对、翻译和认知访谈。调查对象为肯尼亚和危地马拉的 N = 180 名青少年,他们在接受寄宿照料后与家人团聚,或有可能接受寄宿照料。探索性因素分析表明,该量表有三个显著因素,具有良好的聚合效度和内部一致性:关爱和安全(12 个项目)、基本需求(13 个项目)以及休闲和自由(7 个项目)。这项研究提供了一种新的、经过心理测量学验证的调查方法,可用于评估与寄宿照料相关的儿童的福祉,同时还提供了一种可复制的模式,通过儿童参与来创建符合国情的量化测量方法,为中低收入国家的儿童照料决策提供参考。
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引用次数: 0
Linking Perceived Family and Peer Support to Hope in Syrian Refugee Adolescents: The Mediating Role of Academic Self-Efficacy 将叙利亚难民青少年感知到的家庭和同伴支持与希望联系起来:学业自我效能感的中介作用
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-04-06 DOI: 10.1007/s10560-024-00967-y
Esra Asici, Ayse N. Katmer, Muhammed A. Agca

This study aimed to explore the impacts of family and peer support on hope of Syrian refugee adolescents. The study also examined the mediating role of academic self-efficacy in this relationship. The participants consisted of 378 (164 females, 214 males) Syrian refugee high school students. The data were collected through the Dispositional Hope Scale, the Multidimensional Social Support Scale, the Academic Self-efficacy Scale, and a demographic information form. A structural equation modeling and a mediation analysis based on bootstrapping technique were performed. Findings showed that family support had a significant direct effect on hope of Syrian refugee adolescents. In addition, family support indirectly affected hope of Syrian refugee adolescents via academic self-efficacy. Increase in family support led to an increase in academic self-efficacy, and high academic self-efficacy contributed to higher hope. On the other hand, the direct effect of peer support on hope and academic self-efficacy of Syrian refugee adolescents were not significant. This study pointed out that family support is more critical than peer support to improve academic self-efficacy beliefs and hope in refugee adolescents. Social workers may benefit from these findings in their practices with refugee adolescents who feel hopeless because they play critical roles in facilitating the adaptation process, improving the well-being, and addressing social or educational problems of refugees.

本研究旨在探讨家庭和同伴支持对叙利亚难民青少年希望的影响。研究还探讨了学业自我效能感在这一关系中的中介作用。研究对象包括378名叙利亚难民高中生(164名女生,214名男生)。数据通过 "倾向性希望量表"、"多维社会支持量表"、"学业自我效能感量表 "和人口信息表收集。研究采用了结构方程模型和基于引导技术的中介分析。研究结果表明,家庭支持对叙利亚难民青少年的希望有显著的直接影响。此外,家庭支持还通过学业自我效能间接影响了叙利亚难民青少年的希望。家庭支持的增加会导致学业自我效能感的提高,而高学业自我效能感会促进更高的希望。另一方面,同伴支持对叙利亚难民青少年的希望和学业自我效能感的直接影响并不显著。本研究指出,家庭支持比同伴支持对提高难民青少年的学业自我效能感和希望更为重要。社会工作者在处理感到绝望的青少年难民时可能会受益于这些研究结果,因为他们在促进难民的适应过程、改善难民的福祉以及解决难民的社会或教育问题方面发挥着关键作用。
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引用次数: 0
Contact with Foster Care and the Juvenile Delinquency Court: A Prospective Examination from Birth through Age 18 与寄养家庭和青少年犯罪法庭的接触:从出生到 18 岁的前瞻性研究
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-03-12 DOI: 10.1007/s10560-024-00964-1
Andrea Lane Eastman, Keunhye Park, Denise Herz, Carly B. Dierkhising, Jacquelyn McCroskey, Lillie Guo

Purpose

Research has demonstrated a link between out-of-home foster care and subsequent juvenile justice involvement. Understanding factors that may contribute to dual system involvement for young people who entered foster care is essential for disrupting this relationship.

Method

We used population-based linked administrative records to examine the prevalence of juvenile delinquency court petitions among individuals placed in out-of-home foster care in Los Angeles County from birth to age 18. By integrating records from child welfare and probation, this analysis of individuals born between 1998 and 2001 and who lived in the county’s out-of-home foster care system (N = 29,434) showed that 2,554 (8.7%) had encountered a juvenile delinquency court petition prior to turning 18.

Results

Regression results showed an increased rate of dual system involvement among young people in foster care who experienced unstable living conditions, periods of absence from care, commercial sexual exploitation, or group homes. Instability in living situations (staying in care for more than a year, with three or more homes or placements; RR = 1.31; CI = 1.16, 1.48) and history of group home care (RR = 1.43; CI = 1.25, 1.64) were significantly associated with a heightened rate of dual system involvement. As shown in the gender-stratified models, the magnitude of associations between dual system involvement and foster care experiences differed by gender.

Discussion

The current study aligns with prior studies showing a relationship between residential instability and group homes to subsequent delinquency court involvement. Findings set a baseline so future work can explore if policies aiming to reduce reliance on group care are associated with changes in the likelihood of dual system involvement.

研究表明,家庭外寄养与随后的青少年司法参与之间存在联系。我们利用基于人口的关联行政记录,研究了洛杉矶县从出生到 18 岁期间被置于家庭外寄养的个人中青少年犯罪法庭申请的普遍性。通过整合儿童福利机构和缓刑机构的记录,这项针对 1998 年至 2001 年期间出生并生活在该县家庭外寄养系统中的人员(N = 29,434 人)的分析表明,有 2,554 人(8.7%)在 18 岁之前曾向青少年犯罪法庭提出过申诉。结果回归结果显示,在寄养青少年中,如果他们的生活条件不稳定、有一段时间不在寄养机构、受到商业性剥削或住在集体之家,那么他们卷入双重系统的比例就会增加。生活状况不稳定(寄养时间超过一年,寄养家庭或寄养地点达到三个或三个以上;RR = 1.31;CI = 1.16,1.48)和曾在集体之家寄养(RR = 1.43;CI = 1.25,1.64)与双重体制参与率的增加有显著关联。正如性别分层模型所示,双重系统参与和寄养经历之间的关联程度因性别而异。 讨论本研究与之前的研究结果一致,都显示了居住不稳定和集体之家与随后的犯罪法庭参与之间的关系。研究结果设定了一个基线,因此未来的工作可以探索旨在减少对集体看护依赖的政策是否与双轨制参与可能性的变化相关。
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引用次数: 0
Does Duration of Dialectical Behavioral Therapy for Adolescents (DBT-A) Skills Groups Affect Outcomes: A Rapid Review 青少年辩证行为疗法 (DBT-A) 技能小组的持续时间是否会影响疗效:快速回顾
IF 1.7 4区 医学 Q2 SOCIAL WORK Pub Date : 2024-03-09 DOI: 10.1007/s10560-024-00961-4

Abstract

Dialectical behavioral therapy (DBT) is an established therapy known for its clinical utility for individuals with a current or history of suicidal behaviors, nonsuicidal self-injury (NSSI), borderline personality disorder, and other disorders. Modification to serve adolescents and their families/caregivers (DBT-A) has similarly produced positive outcomes. This review explores the impact on treatment outcomes from time-modified DBT-A, which are still largely understudied. Utilizing PRISMA methodology, the review covers research from January 2000-July 2022, when the review was initially conducted, and examines 23 eligible studies. Findings review indicate that time modified DBT-A skills groups yield positive outcomes for adolescents when deemed clinically appropriate, alleviating common barriers youth face (e.g., time restraints, attention/engagement).

摘要 辩证行为疗法(DBT)是一种成熟的疗法,因其对当前或历史上有自杀行为、非自杀性自伤(NSSI)、边缘型人格障碍和其他障碍的人的临床实用性而闻名。针对青少年及其家庭/照顾者的改良疗法(DBT-A)也同样产生了积极的效果。本综述探讨了经过时间修改的 DBT-A 对治疗效果的影响,目前对这一问题的研究在很大程度上仍然不足。利用 PRISMA 方法,该综述涵盖了 2000 年 1 月至 2022 年 7 月期间的研究,并对 23 项符合条件的研究进行了审查。综述结果表明,在临床上被认为合适的情况下,时间调整后的 DBT-A 技能小组能为青少年带来积极的结果,缓解青少年面临的常见障碍(如时间限制、注意力/参与度)。
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引用次数: 0
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Child and Adolescent Social Work Journal
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