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父母赌博问题与儿童福祉:证据的系统评价与综合。

Parental problem gambling and child wellbeing: Systematic review and synthesis of evidence.

机构信息

Institute of Child Protection Studies, Australian Catholic University, Australia; Research School of Population Health, The Australian National University, Australia.

Institute of Child Protection Studies, Australian Catholic University, Australia.

出版信息

Addict Behav. 2022 Mar;126:107205. doi: 10.1016/j.addbeh.2021.107205. Epub 2021 Dec 6.

DOI:10.1016/j.addbeh.2021.107205
PMID:34890890
Abstract

BACKGROUND

Children living with a problem gambling parent are at risk of harm but no previous systematic reviews have specifically focused on the relationship of parental problem gambling and child wellbeing outcomes. The current review aimed to redress this gap by reviewing all available empirical evidence on parental problem gambling and child wellbeing.

METHOD

Articles were identified by searching PsychINFO, CINAHL, Medline and Scopus. The search included terminology pertaining to parents, problem gambling and children and we included all peer-reviewed articles that reported parental problem gambling and child wellbeing outcome(s).

RESULTS

Overall, 35 studies reporting a relationship between parental problem gambling and child wellbeing were included. Child wellbeing outcomes were reported across six domains: (1) psychological (k = 14); (2) family relationships (k = 17); (3) violence (k = 9); (4) behavioural (k = 7); (5) financial (k = 9); and (6) physical health (k = 3). The included studies were mostly unequivocal about negative impacts of parental problem gambling across the six domains. Sixteen studies provided evidence of negative child outcomes that were directly attributed to parental problem gambling (e.g., as a result of your parent's problematic gambling, you felt depressed). Nineteen studies reported evidence of the association of child negative outcomes and parental problem gambling but child outcomes were not directly attributed to parental problem gambling (e.g., parent is a problem gambler, child is depressed). Evidence was particularly robust on child distress and family dysfunction directly attributed to parental problem gambling.

CONCLUSION

This is the first systematic review focusing exclusively on specific intra- and interpersonal problems experienced by children whose parents have a gambling problem.

摘要

背景

有问题赌博父母的孩子有受到伤害的风险,但之前没有专门的系统评价来关注父母的问题赌博与孩子幸福结果之间的关系。本综述旨在通过审查所有关于父母问题赌博与儿童健康结果的现有实证证据来弥补这一空白。

方法

通过搜索 PsychINFO、CINAHL、Medline 和 Scopus 来确定文章。搜索包括与父母、问题赌博和儿童相关的术语,我们纳入了所有报告父母问题赌博和儿童健康结果的同行评议文章。

结果

总体而言,纳入了 35 项报告父母问题赌博与儿童健康结果之间关系的研究。儿童健康结果在六个领域报告:(1)心理(k=14);(2)家庭关系(k=17);(3)暴力(k=9);(4)行为(k=7);(5)财务(k=9);(6)身体健康(k=3)。纳入的研究大多一致认为父母问题赌博对六个领域的儿童健康结果有负面影响。16 项研究提供了直接归因于父母问题赌博的儿童不良结果的证据(例如,由于你父母的问题赌博,你感到沮丧)。19 项研究报告了儿童不良结果与父母问题赌博之间的关联的证据,但儿童结果不是直接归因于父母问题赌博(例如,父母是问题赌徒,孩子抑郁)。证据特别有力的是直接归因于父母问题赌博的儿童痛苦和家庭功能障碍。

结论

这是第一项专门关注父母有赌博问题的孩子所经历的特定的内部和人际问题的系统评价。

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