Stein E, Rae-Grant N, Ackland S, Avison W
Department of Psychiatry, University of Western Ontario, London.
Can J Psychiatry. 1994 Aug;39(6):341-7. doi: 10.1177/070674379403900605.
This paper examines psychiatric symptoms and disorders in children in the care of a Children's Aid Society. Youth, caretaker and teacher scores on the Standardized Clinical Information System questionnaire were correlated with demographic and maltreatment data gathered from the files of children from a Children's Aid Society. Mean externalizing and internalizing scores for the study group were significantly elevated above the norm on the youth, caretaker and teacher reports; externalizing more so than internalizing. Forty-one percent to 63% of the children studied scored in the pathological range for one or more disorders. Conduct disorder was the most common disorder (30% to 50%). Within the study sample, temporary wards and children with a history of having been abused had more elevated scores. The authors conclude that children in foster care have significant psychiatric morbidity reflective of the extreme adversity and maltreatment they have experienced.
本文研究了儿童援助协会照料下儿童的精神症状和障碍。青少年、照料者和教师在标准化临床信息系统问卷上的得分与从儿童援助协会儿童档案中收集的人口统计学和虐待数据相关。研究组在青少年、照料者和教师报告中的外化和内化平均得分显著高于正常水平；外化得分比内化得分更高。41%至63%的被研究儿童在一种或多种障碍的病理范围内得分。品行障碍是最常见的障碍（30%至50%）。在研究样本中，临时受监护人以及有受虐史的儿童得分更高。作者得出结论，寄养儿童有显著的精神疾病发病率，反映出他们所经历的极端逆境和虐待。
