Department of Applied Pedagogy and Educational Psychology, University of the Balearic Islands, Palma de Mallorca, Spain.
Institute of Research and Innovation in Education (IRIE), University of the Balearic Islands, Palma de Mallorca, Spain.
Health Soc Care Community. 2022 Nov;30(6):e4840-e4849. doi: 10.1111/hsc.13891. Epub 2022 Jun 28.
Social intervention with children with disabilities and their families should be understood through the principles of family-centred practice. In Spain, early intervention is understood as interventions aimed at children from 0 to 6 years old and their families. Professionals carry out the reception, assessment and intervention. This study aims to analyse the relationship between mental and physical health, caregivers' levels of anxiety and depression and the child's development during the fostering and assessment phase. The sample is made up of 135 families using child development centres in the Balearic Islands. Four questionnaires were completed: Health-Related Quality of Life SF-12, Anxiety and Depression Scale, Child Behaviour Checklist (CBCL 1½-5) and socio-demographic questionnaire. The results show that parents of children with disabilities have higher levels of mental health impairment than physical health impairment. They also score higher on anxiety than on depression. It is worth noting that professional discipline is a variable to be taken into account in relation to parents' perception of their child's developmental improvement. In addition, the association between the developmental subscales, where the more the child is affected, the more the parents' mental health is affected. The same pattern occurs with caregivers' levels of anxiety and depression. In short, we propose a reflection on the application of family-centred practices during interventions, understanding the lack of professional training as a predictor of the quality of early intervention.
通过以家庭为中心的实践原则来理解针对残疾儿童及其家庭的社会干预。在西班牙，早期干预被理解为针对 0 至 6 岁儿童及其家庭的干预措施。专业人员负责接待、评估和干预。本研究旨在分析在寄养和评估阶段儿童的心理健康和身体健康、照顾者的焦虑和抑郁水平以及儿童的发育之间的关系。该样本由使用巴利阿里群岛儿童发展中心的 135 个家庭组成。完成了四个问卷：健康相关生活质量 SF-12、焦虑和抑郁量表、儿童行为检查表（CBCL 1½-5）和社会人口学问卷。结果表明，残疾儿童的父母心理健康受损程度高于身体健康受损程度。他们的焦虑得分也高于抑郁得分。值得注意的是，专业学科是与父母对其子女发育改善的感知相关的一个变量。此外，发展子量表之间存在关联，儿童受影响越大，父母的心理健康受影响越大。照顾者的焦虑和抑郁水平也存在同样的模式。总之，我们提出了在干预过程中应用以家庭为中心的实践的反思，理解专业培训的缺乏是早期干预质量的预测因素。
