1 Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Sweden.
3 Clinical Epidemiology, Department of Medicine, Karolinska Institutet, Sweden.
Scand J Public Health. 2019 Mar;47(2):137-145. doi: 10.1177/1403494818769173. Epub 2018 Apr 12.
Joint physical custody, children spending equal time in each parents' respective home after a parental divorce, is particularly common in Nordic compared with other Western countries. Older children have been shown to fare well in this practice but for young children there are few existing studies. The aim of this paper is to study psychological problems in 2- to 9-year-old Nordic children in different family forms.
Total symptom score according to the Strengths and Difficulties Questionnaire as well as scores showing externalizing problems were compared among 152 children in joint physical custody, 303 in single care and 3207 in nuclear families through multiple linear regression analyses.
Children in single care had more psychological symptoms than those in joint physical custody (B = 1.08; 95% CI 0.48 to 1.67) and those in nuclear families had the least reported symptoms (B = -0.53; 95% CI -0.89 to -0.17). Externalizing problems were also lower in nuclear families (B = -0.28, 95% CI -0.52 to -0.04) compared with joint physical custody after adjusting for covariates.
Young children with non-cohabiting parents suffered from more psychological problems than those in intact families. Children in joint physical custody had a lower total problem score than those in single care after adjusting for covariates. Longitudinal studies with information on family factors before the separation are needed to inform policy of young children's post-separation living arrangements.
父母离婚后,孩子在双方各自的家中平等地度过时间,这种共同的身体监护权在北欧国家比其他西方国家更为常见。研究表明,年龄较大的孩子在这种做法中表现良好,但对于年幼的孩子,目前的研究很少。本文旨在研究不同家庭形式中 2 至 9 岁北欧儿童的心理问题。
通过多元线性回归分析,比较了 152 名共同身体监护权儿童、303 名单亲照护儿童和 3207 名核心家庭儿童的总体症状得分(根据《长处和困难问卷》)以及表现出外化问题的得分。
与共同身体监护权儿童(B=1.08;95%CI0.48 至 1.67)和核心家庭儿童(B=-0.53;95%CI-0.89 至-0.17)相比,单亲照护儿童的心理症状更多。在调整了协变量后,与共同身体监护权相比,核心家庭的外化问题也较少(B=-0.28,95%CI-0.52 至-0.04)。
与完整家庭的孩子相比,非同居父母的年幼孩子遭受更多的心理问题。在调整了协变量后,与单亲照护相比,共同身体监护权的儿童总问题得分较低。需要进行有关于分离前家庭因素的纵向研究,以为年幼孩子的分离后生活安排提供政策依据。