国際養子縁組の行動問題と精神的健康の紹介:メタ分析
Femmie Juffer1, Marinus H van Ijzendoorn
1Centre for Child and Family Studies, Leiden University, Leiden, The Netherlands. juffer@fsw.leidenuniv.nl
JAMA
|May 26, 2005
まとめ
国際養子縁組の子どもは,養子縁組の子どもよりも行動上の問題や精神的健康への紹介を多く経験するが,国内養子縁組の子どもよりも少ない. ほとんどの国際養子縁組は,養子縁組前の逆境にもかかわらず,順調に適応しています.
科学分野:
- 児童心理学 児童心理学について
- 養子縁組研究 養子縁組研究
- メンタルヘルス研究 メンタルヘルス研究
背景:
- 国際養子縁組は,毎年100カ国以上で4万人以上の子供に影響を与えています.
- 国際養子縁組は,しばしば,無視や不十分な医療など,養子縁組前の逆境に直面します.
研究 の 目的:
- 行動上の問題に対する国際養子の影響を評価する.
- 国際養子縁組者の間で精神保健の紹介率を評価する.
主な方法:
- メンタルヘルスの紹介に関する34の記事と行動の問題に関する64の記事の包括的なメタ分析.
- MEDLINE,PsychLit,ERICのデータベース (1950-2005) で検索し,専門家に相談した.
- 国際養子縁組,養子縁組前の逆境,および計算された効果サイズ (d) についての抽出したデータ.
主要な成果:
- 国際養子縁組では,行動障害がわずかに多い (d,0.07-0.11) が,養子縁組を受けていない対照群と比較して,精神衛生サービスの利用率が著しく高かった (d,0.72).
- 国際養子縁組は,国内養子縁組よりも行動の問題が少なく,メンタルヘルスの紹介率が低いことを示した.
- 養子縁組前の逆境は,国際養子縁組の人の行動障害の増加と相関していた.
結論:
- 国際養子縁組のほとんどは順調に適応していますが,養子縁組を受けていない同級生よりも頻繁に精神保健サービスを利用しています.
- 国際養子縁組は,一般的に,国内養子縁組と比較して,行動問題や精神疾患の紹介に関して,より良い成績を収めています.
- 養子縁組前の逆境は,国際養子縁組の福祉に影響を与える重要な要因です.
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