Rishel Carrie W, Greeno Catherine G, Marcus Steven C, Anderson Carol
Division of Social Work at West Virginia University, Morgantown, West Virginia 26506, USA. carrie.rishel@mail,wvu.edu
Psychiatr Serv. 2006 May;57(5):716-9. doi: 10.1176/ps.2006.57.5.716.
Many mothers bringing children for community mental health treatment need mental health services themselves. Moreover, children of mothers with mental health problems enter treatment with more severe symptomatology than do other children. However, little is known about how maternal mental health problems affect children's response to treatment. This study examined the impact of maternal mental health status on the child's treatment response.
The mental health of 272 mother-child pairs was assessed twice, when children entered treatment at three community mental health clinics and again three months later. Analysis of variance was used to examine the impact of maternal mental health status on children's rate of improvement.
Children of mothers with mental health problems had significantly greater behavior problems (F=34.54, p<.001) and demonstrated less improvement over time (F=4.44, p=.04) than children of mentally healthy mothers.
These findings suggest that treatment for mothers as well as children could be beneficial for this population.
许多带孩子接受社区心理健康治疗的母亲自身也需要心理健康服务。此外，有心理健康问题的母亲的孩子在接受治疗时症状比其他孩子更严重。然而，对于母亲的心理健康问题如何影响孩子对治疗的反应知之甚少。本研究考察了母亲心理健康状况对孩子治疗反应的影响。
对272对母婴的心理健康状况进行了两次评估，一次是在孩子进入三家社区心理健康诊所接受治疗时，另一次是在三个月后。采用方差分析来考察母亲心理健康状况对孩子改善率的影响。
与心理健康母亲的孩子相比，有心理健康问题的母亲的孩子存在明显更多的行为问题（F=34.54，p<.001），且随着时间推移改善较少（F=4.44，p=.04）。
这些发现表明，对母亲和孩子都进行治疗可能对这一群体有益。
