BEREAVEMENT AND MENTAL HEALTH ISSUES FOR INSTITUTIONALIZED CHILDREN

Asif Ali, Fuziah Shaffie
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Abstract

The loss of a caregiver or loved one is a tragic moment, which can have psychosocial impact on a child. Children inside institutions either in foster or residential care are prevalence to the experience of neglect and parental loss bereavement. Bereavement endures a variety of factors that influence negatively on child mental health. The purpose of this concept paper is to explain noteworthy contributions with regards to information on bereavement among children and their psychosocial problems in institutions and residential cares. The attachment theory is significant to explain the association of bereavement and institutions, which supported the evidence that bereavement among vulnerable population inside institution, are at high risk of social deterioration. The theory implies a cause-effect relationship between early attachments. Children are potentially psychologically affected by any traumatic events, which caused them to experience prolong mental developmental delay that are associated with different psychological disorders. Institutionalized children can easily become victim of their psychosocial inability to defend themselves from ruthless violence. Research had examined the differentiating factors of certain symptoms in normal grief and bereavement within the context of depressive disorders, including self-guiltiness, death thoughts, maltreatment, and worthlessness. Experiences of bereavement may occur over the loss, which then shifted to transient withdrawal. Parental loss is one of the most extreme social deprivations that a child can experience Therefore responses to parental loss may be age-specific, related to temperament and to culture. The literature indicated that bereavement in institutional settings has the potential to cause significant risks of mental health with the most prevalent impact related to psychological issues. To cope with the consequences of child maltreatment, prolonged effective interventions should be encouraged. Noteworthy, studies related to bereavement and stress to explain the psychological health issues of children due to parental loss in institutional care are limited, especially within the context of developing countries.
被收容儿童的丧亲和心理健康问题
失去照顾者或亲人是一个悲剧性的时刻,这可能对儿童产生心理社会影响。寄养或寄宿照料机构内的儿童普遍遭受忽视和父母失去亲人的痛苦。丧亲之痛有多种因素对儿童的心理健康产生负面影响。本概念文件的目的是解释关于儿童丧失亲人及其在机构和寄宿照料中的社会心理问题的信息方面值得注意的贡献。依恋理论在解释丧亲之痛与制度之间的关系方面具有重要意义,支持了制度内弱势群体的丧亲之痛具有较高社会恶化风险的证据。该理论暗示了早期依恋之间的因果关系。儿童可能受到任何创伤性事件的心理影响,这使他们经历与各种心理障碍相关的长期精神发育迟缓。被收容的儿童很容易成为受害者,因为他们在心理上没有能力保护自己免受无情暴力的侵害。研究已经检查了在抑郁症的背景下,正常悲伤和丧亲之痛的某些症状的区别因素,包括内疚、死亡念头、虐待和毫无价值。痛失亲人的经历可能发生在失去亲人之后,然后转变为短暂的戒断。失去父母是一个孩子可能经历的最极端的社会剥夺之一,因此对失去父母的反应可能是特定年龄的,与气质和文化有关。文献表明,机构环境中的丧亲之痛有可能造成重大的心理健康风险,其中最普遍的影响与心理问题有关。为了处理虐待儿童的后果,应鼓励长期有效的干预措施。值得注意的是,特别是在发展中国家,有关丧亲之痛和压力的研究有限,无法解释由于父母失去照料机构而造成的儿童心理健康问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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