Bodden Denise H M, Deković Maja
Child and Adolescent Studies, University of Utrecht, Utrecht, the Netherlands.
Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, the Netherlands.
Fam Process. 2016 Mar;55(1):31-47. doi: 10.1111/famp.12144. Epub 2015 Mar 7.
The purpose of this study was threefold, namely (1) to differentiate between multiproblem families and control families on characteristics and processes within the family based on a theoretical framework, (2) to identify multiproblem families by establishing cut-off scores on various questionnaires, and (3) to categorize multiproblem families into subtypes by cluster analyses. Various questionnaires were administered to multiproblem families (n = 85) and control families (n = 150). Results showed that what we propose to refer to as multiproblem families present a broad range of problems on seven domains: (1) child factors, (2) parental factors, (3) childrearing problems (inadequate or inconsistent parenting), (4) family functioning problems, (5) contextual problems, (6) social network problems, and (7) mental health care problems. Further, reliable cut-off scores were established for various questionnaires. Finally, three types of families were found: (1) community-problem families, (2) multiproblem families, and (3) child-focused mild-problem families. This paper looks to advance an evidence-based definition and assessment of "multiproblem families" suggesting the possible value of defining and assessing multiproblem families in relation to these seven dimensions. Moreover, the classification of multiproblem families stresses the importance of providing tailored treatments.
本研究目的有三，即：（1）基于理论框架，在家庭特征和过程方面区分多问题家庭与对照家庭；（2）通过在各种问卷上设定临界分数来识别多问题家庭；（3）通过聚类分析将多问题家庭分为不同亚型。对多问题家庭（n = 85）和对照家庭（n = 150）进行了各种问卷调查。结果显示，我们提议称为多问题家庭的群体在七个领域存在广泛问题：（1）儿童因素；（2）父母因素；（3）育儿问题（育儿不足或不一致）；（4）家庭功能问题；（5）背景问题；（6）社会网络问题；（7）精神卫生保健问题。此外，还为各种问卷确定了可靠的临界分数。最后，发现了三种类型的家庭：（1）社区问题家庭；（2）多问题家庭；（3）以儿童为重点的轻度问题家庭。本文旨在推进基于证据的“多问题家庭”定义和评估，表明从这七个维度定义和评估多问题家庭可能具有的价值。此外，多问题家庭的分类强调了提供量身定制治疗的重要性。
