Applying Findings to Practice

S. Praeger
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Abstract

The number of children of Latino descent in the United States represents one of the fastest growing populations in the U.S. foster care system in certain states and regions. However, little is known about the mental health status of these children, especially those in the welfare system. This study analyzed national data related to the incidence and severity of depression among children of Puerto Rican, Mexican, and other Latin and South American descent. The researchers hypothesized that caregivers who had resided in the United States more than 10 years would have higher rates of stress-related disorders, which would result in higher rates of depression among their children. The researchers conducted a secondary analysis of data from National Survey on Child and Adolescent Well-Being. Data from 385 children of Latino descent, aged 7 to 14 years, who had contact with the public child welfare system were analyzed. The average age of the children was 10.5 years, and 56% were girls. Most (78%) lived in homes with their caregivers; 40% reported speaking Spanish regularly in the home; and 47% were receiving child welfare services. Caregivers had an average of four biological children, 30% were married, and 16% had earned a high school degree or equivalent. The majority had incomes less than US$20,000. The Child Depression Inventory was administered at three intervals over 18 months. The researchers found that levels of child depression decreased over time (11% were clinically depressed at the onset, but only 4% were depressed by the third measurement after 18 months). When other variables were analyzed, older children were more likely to be clinically depressed than younger children, and children of Mexican and Puerto Rican descent were more likely to be depressed than children from other Latino origins.
将发现应用于实践
在美国某些州和地区,拉丁裔儿童的数量是美国寄养系统中增长最快的人口之一。然而,人们对这些儿童的心理健康状况知之甚少,尤其是那些生活在福利体系中的儿童。这项研究分析了与波多黎各、墨西哥和其他拉丁裔和南美裔儿童抑郁症发病率和严重程度相关的国家数据。研究人员假设,在美国居住超过10年的看护人患压力相关疾病的几率更高,这将导致他们的孩子患抑郁症的几率更高。研究人员对全国儿童和青少年健康调查的数据进行了二次分析。研究人员分析了385名7至14岁的拉丁裔儿童的数据,这些儿童与公共儿童福利系统有联系。这些儿童的平均年龄为10.5岁,其中56%是女孩。大多数(78%)与照顾者一起住在家中;40%的人在家里经常说西班牙语;47%的儿童接受儿童福利服务。照顾者平均有四个亲生子女,30%已婚,16%获得高中或同等学历。大多数人的收入低于2万美元。儿童抑郁量表在18个月内分三次进行。研究人员发现,儿童抑郁水平随着时间的推移而下降(11%的儿童在开始时临床表现为抑郁,但在18个月后的第三次测量中,只有4%的儿童表现为抑郁)。当分析其他变量时,年龄较大的儿童比年龄较小的儿童更容易临床上抑郁,墨西哥和波多黎各血统的儿童比其他拉丁裔儿童更容易抑郁。
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