{"title":"难民父母及其子女心理健康之间的关系:澳大利亚纵向数据调查","authors":"Katie Tills, Justine Dandy","doi":"10.1007/s10903-024-01657-8","DOIUrl":null,"url":null,"abstract":"<p><p>We investigated the relationship between parent and child mental health, including parents' general psychological distress, among refugees resettled in Australia. We utilised longitudinal data from a sample (N = 602 children and 377 parents) of recently settled refugees from the Building a New Life in Australia Survey). Parent psychological distress and post-traumatic stress symptoms (PTSS) were measured by the Kessler 6 and PTSD-8, respectively. Harsh and Warm parenting behaviours were also measured to explore the mechanisms underlying the parent-child mental health relationship. Child mental health was measured using the SDQ. Using path analysis, we found that increases in parent psychological distress directly contribute to harsher parenting practices, which in turn increase child mental health difficulties as reported by parents. Parent psychological distress at Waves 1 and 3 also directly impacted child emotional and conduct difficulties, whilst parent PTSS was indirectly associated with all measured child mental health problems. While both parent PTSS and psychological distress indirectly impacted child mental health, only psychological distress directly impacted on any area of child mental health difficulty and overall explained more variance in the final model. Our findings highlight that non-trauma specific symptoms warrant attention in refugee parents' and children's mental health. Clinicians should assess for general psychological symptoms in addition to trauma-specific symptoms, and we recommend that parental mental health is assessed and treated simultaneously when working with refugee children. Moreover, to reduce the impact of other stressors in refugees' lives, community sector organisations should be resourced adequately to support refugee families in settlement.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Relationship between the Mental Health of Refugee Parents and Their Children: An Investigation of Australian Longitudinal Data.\",\"authors\":\"Katie Tills, Justine Dandy\",\"doi\":\"10.1007/s10903-024-01657-8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>We investigated the relationship between parent and child mental health, including parents' general psychological distress, among refugees resettled in Australia. We utilised longitudinal data from a sample (N = 602 children and 377 parents) of recently settled refugees from the Building a New Life in Australia Survey). Parent psychological distress and post-traumatic stress symptoms (PTSS) were measured by the Kessler 6 and PTSD-8, respectively. Harsh and Warm parenting behaviours were also measured to explore the mechanisms underlying the parent-child mental health relationship. Child mental health was measured using the SDQ. Using path analysis, we found that increases in parent psychological distress directly contribute to harsher parenting practices, which in turn increase child mental health difficulties as reported by parents. Parent psychological distress at Waves 1 and 3 also directly impacted child emotional and conduct difficulties, whilst parent PTSS was indirectly associated with all measured child mental health problems. While both parent PTSS and psychological distress indirectly impacted child mental health, only psychological distress directly impacted on any area of child mental health difficulty and overall explained more variance in the final model. Our findings highlight that non-trauma specific symptoms warrant attention in refugee parents' and children's mental health. Clinicians should assess for general psychological symptoms in addition to trauma-specific symptoms, and we recommend that parental mental health is assessed and treated simultaneously when working with refugee children. 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引用次数: 0
摘要
我们调查了在澳大利亚定居的难民中父母与子女心理健康之间的关系,包括父母的一般心理困扰。我们利用了 "在澳大利亚建设新生活调查"(Building a New Life in Australia Survey)中最近定居的难民样本(602 名儿童和 377 名父母)的纵向数据。父母的心理困扰和创伤后应激症状(PTSS)分别通过 Kessler 6 和 PTSD-8 进行测量。此外,还对父母的严厉和温暖养育行为进行了测量,以探索亲子心理健康关系的内在机制。儿童心理健康采用 SDQ 进行测量。通过路径分析,我们发现父母心理困扰的增加直接导致了父母更严厉的养育行为,而父母的严厉养育行为反过来又增加了父母所报告的儿童心理健康困难。家长在第一波和第三波的心理困扰也直接影响到儿童的情绪和行为障碍,而家长的心理创伤后遗症则与所有测量的儿童心理健康问题间接相关。虽然家长的创伤后应激障碍和心理困扰都会间接影响儿童的心理健康,但只有心理困扰会直接影响儿童心理健康方面的任何困难,并且在最终模型中总体解释了更多的方差。我们的研究结果强调,难民父母和儿童的心理健康应关注非创伤性症状。临床医生除了评估创伤特异性症状外,还应评估一般心理症状,我们建议在为难民儿童提供服务时,同时评估和治疗父母的心理健康。此外,为减少难民生活中其他压力因素的影响,社区部门组织应获得充足的资源,以支持难民家庭的安置工作。
The Relationship between the Mental Health of Refugee Parents and Their Children: An Investigation of Australian Longitudinal Data.
We investigated the relationship between parent and child mental health, including parents' general psychological distress, among refugees resettled in Australia. We utilised longitudinal data from a sample (N = 602 children and 377 parents) of recently settled refugees from the Building a New Life in Australia Survey). Parent psychological distress and post-traumatic stress symptoms (PTSS) were measured by the Kessler 6 and PTSD-8, respectively. Harsh and Warm parenting behaviours were also measured to explore the mechanisms underlying the parent-child mental health relationship. Child mental health was measured using the SDQ. Using path analysis, we found that increases in parent psychological distress directly contribute to harsher parenting practices, which in turn increase child mental health difficulties as reported by parents. Parent psychological distress at Waves 1 and 3 also directly impacted child emotional and conduct difficulties, whilst parent PTSS was indirectly associated with all measured child mental health problems. While both parent PTSS and psychological distress indirectly impacted child mental health, only psychological distress directly impacted on any area of child mental health difficulty and overall explained more variance in the final model. Our findings highlight that non-trauma specific symptoms warrant attention in refugee parents' and children's mental health. Clinicians should assess for general psychological symptoms in addition to trauma-specific symptoms, and we recommend that parental mental health is assessed and treated simultaneously when working with refugee children. Moreover, to reduce the impact of other stressors in refugees' lives, community sector organisations should be resourced adequately to support refugee families in settlement.
期刊介绍:
Journal of Immigrant and Minority Health is an international forum for the publication of peer-reviewed original research pertaining to immigrant health from contributors in many diverse fields including public health, epidemiology, medicine and nursing, anthropology, sociology, population research, immigration law, and ethics. The journal also publishes review articles, short communications, letters to the editor, and notes from the field.