Berg Kristin L, Medrano Jonathon, Acharya Kruti, Lynch Amy, Msall Michael E
Kristin L. Berg, AM, PhD, is Assistant Professor, Department of Social Work, School of Health Sciences, University of South Dakota, Sioux Falls;
Jonathon Medrano, PhD, is Assistant Professor of Pediatrics and Training Associate, Center for Disabilities, University of South Dakota School of Medicine, Sioux Falls.
Am J Occup Ther. 2018 Sep-Oct;72(5):7205195040p1-7205195040p9. doi: 10.5014/ajot.2018.023622.
We investigated the mental health impact of participation for youth with disabilities (YWD) in the child welfare system who had experienced victimization in the previous year.
Nationally representative data were obtained from the second National Survey of Child and Adolescent Well-Being. Our sample consisted of 247 YWD ages 11-17 yr. Multivariable probit regression analysis and a robust variance estimator were used to test the relationships among disability status, participation, and clinical depression.
The probability of reporting clinical depression was 4 times higher for victimized YWD who reported lower breadth of participation than for victimized YWD who reported higher breadth of participation (6% vs. 26%; p = .03).
Occupational therapy aimed at increasing opportunities for engagement in activities may enhance the mental health of the most vulnerable YWD. Participation in meaningful activities can improve both overall health and transition to independence for vulnerable YWD.
我们调查了儿童福利系统中残疾青年（YWD）参与活动对其心理健康的影响，这些残疾青年在前一年遭受过侵害。
从第二次全国儿童和青少年幸福调查中获取具有全国代表性的数据。我们的样本包括247名年龄在11至17岁的残疾青年。使用多变量概率回归分析和稳健方差估计器来检验残疾状况、参与度和临床抑郁症之间的关系。
报告参与度较低的受害残疾青年报告临床抑郁症的概率比报告参与度较高的受害残疾青年高4倍（6%对26%；p = 0.03）。
旨在增加参与活动机会的职业治疗可能会增强最脆弱残疾青年的心理健康。参与有意义的活动可以改善脆弱残疾青年的整体健康状况并向独立过渡。
