Lawrence Catherine R, Carlson Elizabeth A, Egeland Byron
University of Minnesota, 51 East River Road, Minneapolis, MN 55455, USA.
Dev Psychopathol. 2006 Winter;18(1):57-76. doi: 10.1017/S0954579406060044.
Foster care is a protective intervention designed to provide out of home placement to children living in at-risk home environments. This study employs prospective longitudinal data (N = 189) to investigate the effects of foster care on the development of child behavior and psychological functioning taking into account baseline adaptation prior to placement and socioeconomic status at the time of placement. Comparisons were made among three groups: children who experienced foster care, those who were maltreated but remained in the home, and children who had not experienced foster care or maltreatment despite their similarly at-risk demographic characteristics. In the current sample, children placed in out of home care exhibited significant behavior problems in comparison to children who received adequate care, and using the same pre- and postplacement measure of adaptation, foster care children showed elevated levels of behavior problems following release from care. Similarly, children placed into unfamiliar foster care showed higher levels of internalizing problems compared with children reared by maltreating caregivers, children in familiar care, and children who received adequate caregiving. Findings suggest that outcomes related to foster care may vary with type of care and beyond the effects associated with maltreatment history, baseline adaptation, and socioeconomic status.
寄养照料是一种保护性干预措施,旨在为生活在高危家庭环境中的儿童提供家庭外安置。本研究采用前瞻性纵向数据(N = 189),考虑到安置前的基线适应情况和安置时的社会经济地位,调查寄养照料对儿童行为发展和心理功能的影响。对三组儿童进行了比较:经历过寄养照料的儿童、遭受虐待但仍留在家里的儿童,以及尽管人口统计学特征相似但未经历过寄养照料或虐待的儿童。在当前样本中,与得到充分照料的儿童相比,接受家庭外照料的儿童表现出显著的行为问题,并且使用相同的安置前后适应度测量方法,寄养照料儿童在离开照料机构后行为问题水平有所升高。同样,与由虐待性照料者抚养的儿童、接受熟悉照料的儿童以及得到充分照料的儿童相比,被安置到不熟悉寄养环境中的儿童表现出更高水平的内化问题。研究结果表明,与寄养照料相关的结果可能因照料类型而异,并超出与虐待史、基线适应情况和社会经济地位相关的影响。