MRC/CSO Social and Public Health Sciences Unit.
J Fam Psychol. 2018 Oct;32(7):894-903. doi: 10.1037/fam0000438. Epub 2018 Aug 9.
Support for mothers may improve children's socioemotional adjustment, yet few studies have considered the benefits of formal support (from health and social work professionals) in addition to social support (from family and friends) or explored the mechanisms. These issues were addressed using a birth cohort ( = 2,649) to explore how mothers' perceptions of social and formal support when children were ages 10-22 months predicted trajectories of children's externalizing and internalizing problems from 58 to 122 months. We tested mediating pathways from support to child adjustment via 3 family stressors measured at 46-58 months (maternal distress, economic strain, and dysfunctional parenting) and examined whether support buffered effects of stressors on child adjustment. Social and formal support were simultaneously associated with lower child externalizing and internalizing problem trajectory intercepts at 90 months but did not predict trajectory slopes. Social support effects were mediated mainly via lower maternal distress, which then reduced children's problems via lower dysfunctional parenting, or more directly. Additional indirect effects involved lower economic strain. Formal support effects were mediated to a lesser extent by reduced dysfunctional parenting. Two buffering effects were found: social support reduced effects of economic strain on internalizing problems, and formal support reduced effects of dysfunctional parenting on internalizing problems. Findings suggest measures promoting families' social integration should benefit children's socioemotional adjustment via improved parental psychological and economic resources and by buffering impacts of economic strain. Enhancing access to health and welfare services through greater awareness and trust should benefit children's adjustment, via improved parenting and by buffering impacts of dysfunctional parenting. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
支持母亲可能会改善儿童的社会情感适应,但很少有研究考虑到除了社会支持(来自家庭和朋友)之外,正式支持(来自健康和社会工作专业人员)的好处,也没有探讨这些机制。本研究使用一个出生队列(=2649)来解决这些问题,以探讨当孩子 10-22 个月大时,母亲对社会和正式支持的看法如何预测孩子从 58 到 122 个月时的外化和内化问题轨迹。我们通过在 46-58 个月时测量的 3 个家庭压力源(母亲困扰、经济压力和功能失调的养育)来检验支持对儿童适应的中介途径,并检查支持是否缓冲了压力源对儿童适应的影响。社会和正式支持与较低的儿童外化和内化问题轨迹截距相关,但与轨迹斜率无关。社会支持的作用主要通过降低母亲困扰来介导,进而通过降低功能失调的养育或更直接地降低儿童的问题。额外的间接效应涉及较低的经济压力。正式支持的作用在较小程度上通过降低功能失调的养育来介导。发现了两种缓冲效应:社会支持降低了经济压力对内化问题的影响,正式支持降低了功能失调的养育对内化问题的影响。研究结果表明,促进家庭社会融合的措施应该通过改善父母的心理和经济资源,并通过缓冲经济压力的影响,使儿童的社会情感适应受益。通过提高认识和信任来增强获得卫生和福利服务的机会,应该通过改善养育和缓冲功能失调的养育的影响,使儿童的适应受益。(PsycINFO 数据库记录(c)2018 APA,保留所有权利)。