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有年幼子女的在押父母未得到满足的心理健康需求。

Unmet Mental Health Needs of Jailed Parents with Young Children.

作者信息

Milavetz Zoe, Pritzl Kaitlyn, Muentner Luke, Poehlmann-Tynan Julie

机构信息

University of Wisconsin-Madison.

出版信息

Fam Relat. 2021 Feb;70(1):130-145. doi: 10.1111/fare.12525. Epub 2020 Dec 15.

Abstract

OBJECTIVE

Mental health symptoms in jailed parents with young children were examined, including relations to gender, race, trauma, and supports.

BACKGROUND

Most U.S. incarceration occurs in jails, and it is a significant stressor for families because most incarcerated individuals are parents. Although jails are notorious for housing people with mental health problems, few studies focus on the mental health of jailed parents or supports that might mitigate such problems.

METHOD

165 jailed parents with young children (2-6 years) completed an interview and self-administered questionnaires. Relative Risk analyses determined symptom severity relative to normative samples, and multivariate analysis of variance tested differences in white and nonwhite mothers and fathers. Ordinary least squares regression analyses examined predictors of mental health symptoms.

RESULTS

Depression and Thought Problems (hallucinations, strange thoughts/behaviors, self-harm) were the most common problems. Jailed mothers reported more thought problems, depression, anxiety, and drug abuse than fathers, and also more childhood sexual abuse and neglect. Incarcerated parents experiencing childhood physical abuse were more likely to be depressed, anxious, and use drugs than those who not experiencing physical abuse, and parents who reported more current family support exhibited less depression and anxiety.

CONCLUSION

Jailed parents experienced 3 to 5 times the odds of symptoms compared to normative samples, with a high rate of serious symptoms and comorbidities relative to the low proportion of jailed parents who received any mental health treatment.

IMPLICATIONS

Mental health interventions for jailed parents are needed, especially gender responsive, trauma informed services that foster positive family connections.

摘要

目的

研究有年幼子女的在押父母的心理健康症状,包括与性别、种族、创伤和支持的关系。

背景

美国大多数监禁发生在监狱中,这对家庭来说是一个重大压力源,因为大多数被监禁者都是父母。尽管监狱因关押有心理健康问题的人而臭名昭著,但很少有研究关注在押父母的心理健康或可能减轻此类问题的支持措施。

方法

165名有年幼子女(2至6岁)的在押父母完成了一次访谈和自填式问卷。相对风险分析确定了相对于正常样本的症状严重程度,多变量方差分析测试了白人及非白人父母之间的差异。普通最小二乘法回归分析检验了心理健康症状的预测因素。

结果

抑郁和思维问题(幻觉、奇怪的想法/行为、自我伤害)是最常见的问题。与父亲相比,在押母亲报告有更多的思维问题、抑郁、焦虑和药物滥用,也有更多的童年性虐待和忽视经历。经历过童年身体虐待的在押父母比未经历过身体虐待的父母更有可能抑郁、焦虑和使用药物,报告当前家庭支持更多的父母抑郁和焦虑程度更低。

结论

与正常样本相比,在押父母出现症状的几率高出3至5倍,相对于接受任何心理健康治疗的在押父母比例较低的情况,严重症状和共病的发生率较高。

启示

需要对在押父母进行心理健康干预,特别是提供针对性别、考虑创伤因素的服务,以促进积极的家庭联系。

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