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压力性生活事件与不同移民和难民群体中儿童和家庭情感及行为健康的关联。

Stressful life events and associations with child and family emotional and behavioral well-being in diverse immigrant and refugee populations.

机构信息

Department of Family Medicine and Community Health, University of Minnesota Medical School.

Department of Psychiatry, University of Minnesota Medical School.

出版信息

Fam Syst Health. 2020 Dec;38(4):380-395. doi: 10.1037/fsh0000524. Epub 2020 Aug 27.

Abstract

Although stressful life events (SLEs) have been suggested to be associated with child well-being, few studies have examined SLEs with child and family behavioral and emotional well-being, especially within diverse populations. The current study examined the associations between SLEs and child behavioral and emotional outcomes, in addition to family-level measures of well-being. Children 5-7 years old and their families ( = 150) from 6 racial and ethnic groups ( = 25 each for African American, Hispanic, Hmong, Native American, Somali, White families) participated in this mixed-methods study. Participants were recruited through primary care clinics. Results showed that all racially and ethnically diverse immigrant and refugee families were experiencing SLEs. The majority of diverse children were experiencing emotional and behavioral problems (i.e., hyperactivity, emotional) in the face of SLEs (i.e., combined SLE score, health-related events), with Somali children being at highest risk. Additionally, the majority of diverse families did not experience lower family functioning in response the SLEs, except regarding certain SLEs (i.e., health-related, legal). However, specific families (i.e., Somali) experienced lower family functioning in the face of multiple SLEs. Health care practitioners should consider screening and providing extra resources for reducing stress in children, given all children in the study had some emotional and behavioral problems in the face of SLEs. Additionally, it would be important for practitioners to know which families are at greatest risk for experiencing SLEs (i.e., African American, Native American, Somali families) to ensure they are provided with the resources necessary to mitigate the impact of SLEs. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

尽管有研究表明生活应激事件(SLE)与儿童福祉有关,但很少有研究调查 SLE 与儿童和家庭行为及情绪健康之间的关系,尤其是在不同人群中。本研究考察了 SLE 与儿童行为和情绪结果之间的关联,以及家庭层面的幸福感衡量指标。来自 6 个种族和族裔群体(每个群体有 25 个非裔美国人、西班牙裔、苗族、美洲原住民、索马里裔和白人家庭)的 5-7 岁儿童及其家庭(n=150)参与了这项混合方法研究。参与者通过初级保健诊所招募。结果表明,所有不同种族和族裔的移民和难民家庭都经历过 SLE。面对 SLE(即综合 SLE 得分、与健康相关的事件),大多数不同族裔的儿童都表现出情绪和行为问题(即多动、情绪),其中索马里儿童的风险最高。此外,大多数不同族裔的家庭在面对 SLE 时并没有经历家庭功能下降,除了某些 SLE(即与健康相关的、法律相关的)。然而,某些家庭(如索马里家庭)在面对多个 SLE 时经历了家庭功能下降。鉴于研究中的所有儿童在面对 SLE 时都存在一些情绪和行为问题,医疗保健从业者应该考虑进行筛查并提供额外资源来减轻儿童的压力。此外,了解哪些家庭面临最大的 SLE 风险(即非裔美国人、美洲原住民、索马里家庭)非常重要,以便为他们提供减轻 SLE 影响所需的资源。

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