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IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-03-19 DOI:10.1016/j.chiabu.2025.107426

Emma F. McKenzie, Carleen M. Thompson, James M. Ogilvie, Stacy Tzoumakis, Emily Hurren

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引用次数: 0

摘要

背景：以人群为基础，对跨代虐待儿童的不同模式下心理健康（MH）服务使用情况的研究十分有限，而这对于了解其中的联系和适当的应对措施至关重要：目的：研究跨代虐待群体使用心理健康服务的发生率、频率、时间和类型：父母受虐待、子女受虐待（周期维持者），父母受虐待、子女未受虐待（周期打破者），父母未受虐待、子女受虐待（周期启动者），以及两代人中均未受虐待（对比组）：数据来自澳大利亚昆士兰州的一个纵向行政数据储存库（n = 32,494）。代际虐待通过儿童保护系统（CPS）的接触来衡量。通过社区精神卫生服务使用情况和入院时的精神疾病诊断来衡量与精神卫生服务的接触情况：对全部样本进行多项式逻辑回归，以评估与精神健康服务接触的差异。二元逻辑回归仅限于虐待组（即排除无虐待对比组）。绘制了按年龄分列的社区精神卫生接触和精神卫生入院次数的平均值：与中断治疗者相比，维持治疗者更有可能接触过社区精神卫生服务（OR = 4.18），更有可能住过 3 次以上精神卫生医院（OR = 5.85），也更有可能住过精神病院（OR = 3.39）。与中断者相比，发起者也更有可能接触过社区精神卫生工作者（OR = 2.35）、3 次以上精神卫生入院（OR = 3.17）和住过精神病院（OR = 2.28）：与精神卫生和儿童保护机构的接触有很大的重叠，这表明有必要进行持续研究，并综合考虑这两个系统中精神卫生和家庭的风险和需求，以支持积极的代际结果。

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Examining mental health service use across intergenerational patterns of child protection system contact: A case for cross-sector supports

Background

There is limited population-based research examining mental health (MH) service use across distinct patterns of intergenerational child maltreatment, which is crucial to understand links and appropriate responses.

Objectives

To examine the prevalence, frequency, timing, and types of MH service use across the intergenerational maltreatment groups: maltreated parents with maltreated children (cycle maintainers), maltreated parents with non-maltreated children (cycle breakers), non-maltreated parents with maltreated children (cycle initiators), and no maltreatment in either generation (comparison group).

Participants and settings

Data were drawn from a longitudinal administrative data repository from Queensland, Australia (n = 32,494). Intergenerational maltreatment was measured using child protection system (CPS) contacts. MH contacts were measured using community MH service usage and mental illness diagnoses upon hospital admissions.

Methods

Multinomial logistic regressions were conducted with the full sample to assess differences in MH contacts. Binary logistic regressions were conducted limited to the maltreatment groups (i.e., excluding the no maltreatment comparison group). The mean counts of community MH contacts and MH hospital admissions by age were plotted.

Results

Compared with breakers, maintainers were more likely to have community MH contact (OR = 4.18), 3+ MH hospital admissions (OR = 5.85), and a psychiatric ward admission (OR = 3.39). Compared with breakers, initiators were also more likely to have community MH contact (OR = 2.35), 3+ MH hospital admissions (OR = 3.17), and a psychiatric ward admission (OR = 2.28).

Conclusions

The significant overlaps between MH and CPS contact suggest a need for ongoing research, and integrated consideration of MH and family risks and needs in both systems, to support positive intergenerational outcomes.

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.