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Suicidal Ideation and Its Correlates Among Adolescents in Trinidad and Tobago 特立尼达和多巴哥青少年的自杀意念及其相关因素
IF 1.7 4区 医学 Q1 Social Sciences Pub Date : 2023-12-08 DOI: 10.1007/s10560-023-00953-w
Akeem Modeste-James, Camille Huggins, Stacey Freedenthal, Jennifer L. Bellamy
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引用次数: 0
Resilience in Adolescent Girls in Child Welfare: Reliability and Validity of the RS-14 青少年女孩在儿童福利中的心理弹性:RS-14量表的信度和效度
IF 1.7 4区 医学 Q1 Social Sciences Pub Date : 2023-11-28 DOI: 10.1007/s10560-023-00952-x
Wendy Auslander, Shih-Ying Cheng, Tonya E. Edmond

Adverse childhood experiences, such as abuse and neglect, have been shown to have longstanding negative consequences on a child’s development and outcomes. Studies have noted that there is variation in how youth in child welfare respond to adversity, yet few studies have examined the psychometrics of measures of resilience in this population. In particular, the 14-item Resilience Scale (RS-14) is a widely used instrument yet has not been evaluated for use with adolescents in child welfare populations. The purpose of the study was to describe the levels of resilience reported by adolescent girls involved in the child welfare system and to evaluate the reliability, validity, and factor structure of this scale in this population. Participants were 249 adolescent girls, ages 12–19, who were involved in the child welfare system. Interviews assessed resilience, symptoms of post-traumatic stress, depression, social problem-solving, and demographic variables. Results indicated that levels of resilience among the participants were in the moderate range. The RS-14 demonstrated evidence of good internal consistency and test–retest reliability. Convergent and discriminant validity were established. Confirmatory factor analysis testing a single-factor solution resulted in a weak model fit. A follow-up exploratory factor analysis supported a two-factor solution. Findings suggest this instrument is an appropriate tool for use in child welfare populations.

不良的童年经历,如虐待和忽视,已被证明对儿童的发展和结果有长期的负面影响。研究指出,儿童福利中的青少年对逆境的反应存在差异,但很少有研究检验了这一人群中恢复力测量的心理测量学。特别是,14项弹性量表(RS-14)是一种广泛使用的工具,但尚未对儿童福利人群中青少年的使用进行评估。本研究的目的是描述参与儿童福利系统的青春期女孩报告的弹性水平,并评估该量表在该人群中的信度、效度和因素结构。参与者是249名年龄在12-19岁的青春期女孩,她们参与了儿童福利系统。访谈评估了复原力、创伤后应激症状、抑郁、社会问题解决能力和人口统计学变量。结果表明,被试的心理弹性水平处于中等水平。RS-14具有良好的内部一致性和重测信度。建立了收敛效度和判别效度。验证性因子分析测试单因素解决方案导致弱模型拟合。后续探索性因素分析支持双因素解决方案。调查结果表明,这一工具是在儿童福利人群中使用的适当工具。
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引用次数: 0
Neighborhood Environment, Cultural Orientation, and Parenting: Understanding the Intergenerational Conflict in Asian Immigrant Families 邻里环境、文化取向与教养:了解亚裔移民家庭的代际冲突
IF 1.7 4区 医学 Q1 Social Sciences Pub Date : 2023-11-22 DOI: 10.1007/s10560-023-00949-6
Fei Pei, Yixuan Wang, Nancy R. Mudrick, Christine Harris, Fuhua Zhai, Qin Gao

Intergenerational conflict is endemic and has substantial individual, familial, and societal consequences. However, few studies discussed the influences of the neighborhood environment on intergenerational conflicts among Asian immigrant families. To fill this research gap, the proposed study examined links among neighborhood environment, cultural orientation, parenting stress, social support, and intergenerational conflicts. Two datasets were used in this secondary data analysis: 2011–2017 Study of Asian American Families (SAAF) and the 2016 American Community Survey (ACS) 5-year estimates (N = 849). Structural equation model was conducted. Findings suggested that cultural orientation, social support, and parenting stress fully mediated the influences from the neighborhood environment on Intergenerational conflict in Asian immigrant families.

代际冲突是一种地方性冲突,对个人、家庭和社会都有重大影响。然而,很少有研究探讨邻里环境对亚洲移民家庭代际冲突的影响。为了填补这一研究空白,本研究考察了社区环境、文化取向、养育压力、社会支持和代际冲突之间的联系。二级数据分析使用了两个数据集:2011-2017年亚裔美国家庭研究(SAAF)和2016年美国社区调查(ACS) 5年估计(N = 849)。建立了结构方程模型。研究发现,文化取向、社会支持和父母压力在邻里环境对亚裔移民家庭代际冲突的影响中起完全中介作用。
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引用次数: 0
A Study of the Closed Childcare Institution Service in Estonia 爱沙尼亚封闭式托儿机构服务研究
IF 1.7 4区 医学 Q1 Social Sciences Pub Date : 2023-11-11 DOI: 10.1007/s10560-023-00951-y
Karmen Toros, Ingrid Sindi, Rafaela Lehtme, Astra Schults, Kadi Liik, Koidu Saia

This article presents empirical findings about children’s experiences in the closed childcare institution service (CCIS) in Estonia and the assistance children receive from their own perspectives and those of parents and practitioners. The study draws on the lived experiences of 12 children/young people, four parents, and 26 practitioners working with children in need in the CCIS system through interviews conducted May–August 2022. Four main themes emerged from the data analysis: negative factors arising from the child’s development environment, inadequate early identification and inefficient networking as risk factors in aggravating the need for assistance, shortcomings in the organisation of services, suitability and unsuitability of the service. The results of this study indicate that most of the children’s problems and difficulties originated in the home environment, the family’s inability to cope, and a lack of parental ability. The ‘journey’ toward the CCIS began, in part, because timely services and support were unavailable. On the one hand, the children’s relationship – more precisely, the supporting relationship – with their child protective worker was inadequate, but on the other, it turned out that there were no suitable services available before referral to the CCIS, and the children’s and families’ difficulties were therefore not identified at an early stage. Negative experiences among families and children in need reduce their openness to assistance, which makes further intervention difficult. Systemic support, including quality of relationships, interagency collaboration, and practical support by practitioners, is the basis for improving permanence, positive navigation of difficulties, and stability as well as promoting resilience.

本文提出了关于儿童在爱沙尼亚封闭托儿机构服务(CCIS)的经验,以及儿童从他们自己和父母和从业人员的角度获得的援助的实证研究结果。该研究通过对CCIS系统中12名儿童/青少年、4名家长和26名从事有需要儿童工作的从业人员的访谈,总结了他们的生活经历。数据分析产生了四个主要主题:儿童发展环境产生的消极因素、早期识别不足和网络效率低下是加剧援助需求的风险因素、服务组织的缺陷、服务的适宜性和不适宜性。本研究结果显示,大多数儿童的问题和困难源自家庭环境,家庭无法应对,缺乏父母的能力。走向CCIS的“旅程”开始的部分原因是无法获得及时的服务和支持。一方面,儿童与儿童保护工作者的关系-更确切地说,是支持关系-是不充分的,但另一方面,在转介到儿童保护中心之前,发现没有合适的服务,因此儿童和家庭的困难没有在早期发现。有需要的家庭和儿童的消极经历减少了他们对援助的开放态度,这使进一步的干预变得困难。系统支持,包括关系质量、机构间协作和实践者的实际支持,是提高持久性、积极应对困难和稳定性以及促进复原力的基础。
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引用次数: 0
The Transition to Adulthood of Dual-System Youth in Quebec: A Focus on High School Graduation and Housing Situation 魁北克双体制青年的成年转型:以高中毕业和住房状况为中心
IF 1.7 4区 医学 Q1 Social Sciences Pub Date : 2023-10-17 DOI: 10.1007/s10560-023-00944-x
Marie Dumollard, Christophe Gauthier-Davies, Martin Goyette, Alexandre Blanchet

This article examines two outcomes of the transition to adulthood for youth who are involved with both the child protection and juvenile justice systems, known as dual-system youth. Data from a longitudinal study conducted in Quebec between 2017 and 2021 with 1136 youth in care suggest that dual-system youth are less likely to graduate from high school and more likely to experience housing instability and homelessness than are youth who have been in child protection alone. The article demonstrates that the differences between the two groups are far from anecdotal. The potential interactions of these results with the youth’s interpersonal support network are also examined. Finally, this article paints a bleaker picture of the situations dual-system youth experience during the transition to adulthood. It emphasizes the importance of focusing on the outcomes of the transition to adulthood to design socio-legal actions that can better prepare dual-system youth for this stage of their lives.

本文考察了同时参与儿童保护和少年司法系统的青年向成年过渡的两种结果,即所谓的双系统青年。2017年至2021年期间在魁北克对1136名青少年进行的一项纵向研究的数据表明,与单独接受儿童保护的青少年相比,双系统青年从高中毕业的可能性更小,更有可能经历住房不稳定和无家可归。这篇文章表明,两组人之间的差异远非道听途说。这些结果与青年的人际支持网络的潜在相互作用也进行了检查。最后,本文对双体制青年在向成年过渡过程中所经历的情况进行了较为凄凉的描绘。它强调必须注重向成年过渡的结果,以设计社会法律行动,使双重制度的青年更好地为其人生的这一阶段做好准备。
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引用次数: 0
Does Multidimensional Self-Concept Mediate the Relationship of Childhood Sexual Abuse and Bullying Victimization on Deliberate Self-Harm and Suicidal Ideation Among Adolescent Girls? 多维自我概念是否介导儿童期性虐待和欺凌受害对少女故意自残和自杀意念的影响?
IF 1.7 4区 医学 Q1 Social Sciences Pub Date : 2023-10-04 DOI: 10.1007/s10560-023-00947-8
Reeve S. Kennedy, Carlomango C. Panlilio, Casey A. Mullins, Charles Alvarado, Sarah A. Font, Ann-Christin Haag, Jennie G. Noll

Childhood sexual abuse (CSA) and bullying victimization are well-established risk factors for deliberate self-harm (DSH) and suicidal ideation (SI). Research ties aspects of self-concept, such as self-esteem, with victimization and self-harm. Yet, there is limited evidence of the role of multidimensional self-concept in the victimization-self-harm association. Using a longitudinal sample of 422 adolescent girls from a large midwestern city, 35% with recently substantiated CSA-exposure and 51% with recent bullying victimization at baseline, we examined pathways from CSA-exposure and bullying victimization to subsequent DSH and SI, with global self-worth and five subscales of self-concept as mediators (social competence, close friendships, physical appearance, scholastic competence, and behavioral conduct). Data was collected from 2012 to 2015. CSA-exposure directly increased the risk of both SI (B .50, SE .23, p < .05) and DSH (B .53, SE .22, p < 5), while global self-worth fully mediated the relationship between bullying victimization, SI (B .21, SE .07, 95% BCB-CI 1.17–1.95, p < .01), and DSH (B .15, SE .06, 95% BCB-CI 1.10–1.69, p < .05), We found no evidence of mediation for the subscales model. Both CSA-exposure and bullying victimization directly reduced specific subscales of self-concept, while behavioral conduct increased the risk of DSH. The role of self-concept in the bullying/self-harm association and the direct effects of CSA-exposure on self-harm highlight areas of need in social work practice, specifically the need to incorporate an emphasis on trusting relationships, overall well-being, and the reduction of shame into trauma-informed therapy and bullying prevention efforts.

儿童期性虐待(CSA)和欺凌受害是公认的故意自残(DSH)和自杀意念(SI)的危险因素。研究将自我概念的各个方面,如自尊,与受害和自残联系起来。然而,关于多维自我概念在受害-自我伤害关联中的作用的证据有限。我们使用来自中西部一个大城市的422名青春期女孩的纵向样本,其中35%的女孩最近被证实有csa暴露,51%的女孩在基线时有欺凌受害者,我们研究了从csa暴露和欺凌受害者到随后的DSH和SI的途径,以整体自我价值和自我概念的五个子量表为中介(社会能力、亲密友谊、外表、学业能力和行为行为)。数据收集于2012年至2015年。csa暴露直接增加了欺凌受害、SI (b21, SE .07, 95% BCB-CI 1.17-1.95, p < 01)和DSH (b15, SE .06, 95% BCB-CI 1.10-1.69, p < 05)的风险,而整体自我价值感完全介导了欺凌受害、SI (b21, SE .07, p < 05)和DSH (b15, SE .06, 95% BCB-CI 1.10-1.69, p < 05)。csa暴露和欺凌受害均直接降低了自我概念的特定子量表,而行为行为增加了DSH的风险。自我概念在欺凌/自残关联中的作用以及csa暴露对自残的直接影响突出了社会工作实践中需要的领域,特别是需要将强调信任关系、整体幸福感和减少羞耻感纳入创伤告知治疗和欺凌预防工作中。
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引用次数: 0
Mixed Methods Evaluation of Two Georgia College Campus Support Programs for Students with Experience in Foster Care 佐治亚大学两个针对有寄养经验学生的校园支持计划的混合方法评估
IF 1.7 4区 医学 Q1 Social Sciences Pub Date : 2023-09-26 DOI: 10.1007/s10560-023-00941-0
Ciara M. Collins, Amy M. Salazar, Angela Hoffman-Cooper, Royel M. Johnson, Linda Schmidt, Lori Tiller, Sarah Young

A large and growing number of colleges and universities have invested in the development of campus support programs (CSPs) that specifically aim to support students with experience in foster care (SEFC). However, the evidence base for CSPs remains quite limited. The current study seeks to contribute to the literature with a mixed methods evaluation of two CSPs in Georgia, one at a 2-year technical college and one at a 4-year university. Qualitative data were collected by the study team via student and staff interviews. Quantitative data were provided by CSP program staff and included program implementation and administrative outcome data (i.e., grade-point average, course credit completion) for SEFC who participated in the CSP. Outcome data were also provided for comparison student groups: (a) all undergraduate students, (b) all first-generation undergraduate students, and (c) all undergraduate students who checked “Ward of the court” on the Free Application for Federal Student Aid. Analyses revealed that the two CSPs in this study offer important supports to SEFC, but many barriers stand in the way of services reaching their full potential. Most of the university students interviewed shared positive experiences of the CSP, but many suggested improvements were offered as well. Administrative data showed the promise of CSPs, with SEFC performing similar to or better than some of their peers academically; however, the study design and data limitations prevent this study from making efficacy claims. Policy and practice recommendations are provided, as well as how researchers can work alongside CSPs to conduct program evaluations.

越来越多的学院和大学投资开发了校园支持计划,专门旨在支持有寄养经验的学生。然而,CSP的证据基础仍然相当有限。目前的研究试图通过对佐治亚州两所CSP的混合方法评估来为文献做出贡献,一所在两年制技术学院,另一所在四年制大学。定性数据由研究小组通过学生和工作人员访谈收集。定量数据由CSP项目工作人员提供,包括参与CSP的SEFC的项目实施和管理结果数据(即平均绩点、课程学分完成情况)。还为比较学生组提供了结果数据:(a)所有本科生,(b)所有第一代本科生,以及(c)在联邦学生资助免费申请中勾选“法院病房”的所有本科生。分析表明,本研究中的两个CSP为SEFC提供了重要支持,但许多障碍阻碍了服务充分发挥其潜力。大多数接受采访的大学生都分享了CSP的积极经验,但许多人也提出了改进建议。行政数据显示了CSP的前景,SEFC在学术上的表现与一些同龄人相似或更好;然而,研究的设计和数据的局限性阻碍了本研究提出疗效声明。提供了政策和实践建议,以及研究人员如何与CSP合作进行项目评估。
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引用次数: 0
The Effects of Psychological Resilience, Self-efficacy and Metacognition on Cyberbullying Among Adolescents 心理弹性、自我效能和元认知对青少年网络欺凌的影响
IF 1.7 4区 医学 Q1 Social Sciences Pub Date : 2023-09-23 DOI: 10.1007/s10560-023-00946-9
Merve Güçlü-Aydogan, Pınar Ünal-Aydın, Orkun Aydın

Cyberbullying, which has become more widespread with individuals’ increased use of technology, occurs when someone or a group of people intentionally harms by using technology. Millions of adolescents spend time in the online environment, yet little is known about the effects of psychological resilience, self-efficacy, and metacognition on the risk of cyberbullying. A total of 574 high school students were recruited and instructed on the Sociodemographic Questionnaire, Cyberbullying Scale (CBS), Child and Youth Psychological Resilience Scale (CYPRS), Self-Efficacy Questionnaire for Children (SEQ-C), and Metacognitions Questionnaire for Children and Adolescents (MCQ-C). A negative correlation was found between education level, the CYPRS, the SEQ-C and the CBS. All subtests of the MCQ-C was positively correlated with the CBS. Regression analysis revealed that CYPRS and the negative meta-worry subtest of the MCQ-C predict the CBS. Our study revealed the importance of psychological resilience and negative meta-worry in cyberbullying among adolescents. Strengthening psychological resilience may be a useful strategy for reducing the detrimental impacts of cyberbullying on adolescents. Metacognitive psychotherapy models that focus on negative meta-worry and improving psychological resilience by psychotherapeutic methods may be a useful strategy for reducing the detrimental impacts of cyberbullying on adolescents. Further longitudinal studies are required to foster the established association between these constructs.

随着个人对技术使用的增加,网络欺凌变得更加普遍,当某人或一群人故意使用技术进行伤害时,就会发生网络欺凌。数以百万计的青少年在网络环境中度过,但人们对心理弹性、自我效能和元认知对网络欺凌风险的影响知之甚少。共对574名高中生进行了社会形态问卷、网络欺凌量表(CBS)、儿童和青少年心理弹性量表(CYPRS)、儿童自我效能感问卷(SEQ-C)和儿童和青少年元认知问卷(MCQ-C)的招募和指导。受教育程度、CYPRS、SEQ-C和CBS呈负相关。MCQ-C的所有亚测验均与CBS呈正相关。回归分析显示,CYPRS和MCQ-C的负元担忧亚测验可预测CBS。我们的研究揭示了心理弹性和负面元担忧在青少年网络欺凌中的重要性。加强心理弹性可能是减少网络欺凌对青少年不利影响的有用策略。专注于负面元担忧并通过心理治疗方法提高心理弹性的元认知心理治疗模型可能是减少网络欺凌对青少年有害影响的有用策略。需要进一步的纵向研究来促进这些构建体之间建立的联系。
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引用次数: 0
Young Children’s Lives at Domestic Violence Shelters: Mothers’ Perspectives on Their Children’s Experiences 儿童在家庭暴力庇护所的生活:母亲对孩子经历的看法
IF 1.7 4区 医学 Q1 Social Sciences Pub Date : 2023-09-22 DOI: 10.1007/s10560-023-00948-7
Linda Arnell, Sara Thunberg

Purpose

The aim of this study is to analyze mothers’ narratives about their children’s life situation while living at domestic violence shelters in Sweden. More precisely, the analysis focuses on determining what aspects are highlighted as being most important for the children’s living situation during their stay.

Method

This study is based on interviews with mothers who have experience of living at a domestic violence shelter together with their young child/ren. Thematic analysis was used to analyze the narratives.

Results

The analysis resulted in seven themes important for the children’s lives during their shelter stay. These are: safety, isolation, a child-friendly environment, shared living space, social relations at the shelter, children’s health during their stay, and support at the shelter.

Conclusion

In the narratives, safety was highlighted as the most important issue, and as something that also affects other aspects of the children’s lives during their time at the shelter. A child-friendly environment, access to activities and support, and positive social relations at the shelter are also important. In addition, positive experiences regarding these aspects can be understood to counteract the feeling of isolation and improve children’s ability to process their experiences.

目的本研究旨在分析瑞典家庭暴力庇护所中母亲对其子女生活状况的叙述。更确切地说,分析的重点是确定哪些方面对儿童在其逗留期间的生活状况最为重要。方法本研究基于对有过与年幼子女一起在家庭暴力庇护所生活经历的母亲的访谈。运用主题分析法对叙事进行分析。结果分析得出了七个对儿童在收容所里生活至关重要的主题。这些指标包括:安全、隔离、儿童友好环境、共享生活空间、收容所的社会关系、儿童在收容期间的健康以及收容所的支持。在叙述中,安全被强调为最重要的问题,同时也影响着孩子们在庇护所生活的其他方面。对儿童友好的环境、参加活动和获得支持的机会以及庇护所内积极的社会关系也很重要。此外,关于这些方面的积极经验可以被理解为抵消孤立感,提高儿童处理经验的能力。
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引用次数: 0
Facilitators and Barriers: Engagement, Retention, and Treatment of Young Children in Outpatient Mental Health Services 促进因素和障碍:门诊心理健康服务中幼儿的参与、保留和治疗
IF 1.7 4区 医学 Q1 Social Sciences Pub Date : 2023-09-15 DOI: 10.1007/s10560-023-00945-w
Beth A. Tripi, Annette Semanchin Jones

This study aimed to enhance understanding of barriers and facilitators to engagement and retention of children and families in outpatient mental health care from the perspective of young children, parents/caregivers, and clinicians as reflected in clinical treatment charts using an exploratory sequential mixed-methods design. Secondary data collaboratively recorded by the clinician in 100 charts representing cases of young children at the time of assessment and treatment planning was extracted from a partnering agency’s electronic medical record. The data was first analyzed qualitatively to identify themes describing facilitators and barriers as collaboratively documented in the sample charts, followed by quantitative analysis of the frequency of the themes as well as to determine any significant relationships among themes and the identified race group or presenting problems in cases. Results include the child’s own natural strengths, inclusion of the family and the child’s larger support system, and a strong therapeutic alliance as key facilitators. Significant barriers identified are challenges associated with externalized behaviors, trauma exposure, family stress, and readiness to change. Implications of this study emphasize the need for social work interventions, service delivery models, and reimbursement models that accommodate both the individual child and the role of family and systemic supports as part of core interventions, as well as ensuring attention to trauma and readiness for change as part of assessment.

本研究采用探索性顺序混合方法设计,旨在从幼儿、父母/照顾者和临床医生的角度,提高对儿童和家庭参与和保留门诊精神卫生保健的障碍和促进因素的理解,这些障碍和促进因素反映在临床治疗图表中。从合作机构的电子医疗记录中提取了临床医生在评估和制定治疗计划时共同记录在100张图表中的二级数据,这些图表代表幼儿的病例。首先对数据进行定性分析,以确定在样本图表中协作记录的描述促进因素和障碍的主题,然后对主题的频率进行定量分析,并确定主题与确定的种族群体或案例中呈现的问题之间的任何重要关系。结果包括儿童自身的自然优势,包括家庭和儿童更大的支持系统,以及作为关键促进者的强大治疗联盟。确定的重大障碍是与外化行为、创伤暴露、家庭压力和改变的准备相关的挑战。本研究的意义在于强调社会工作干预、服务提供模式和补偿模式的必要性,这些模式应兼顾儿童个体、家庭和系统支持的作用,作为核心干预措施的一部分,并确保将对创伤的关注和对变化的准备作为评估的一部分。
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引用次数: 0
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Child and Adolescent Social Work Journal
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