国际收养的行为问题和心理健康转诊:一个元分析
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
概括
国际收养的孩子比非收养的孩子有更多的行为问题和心理健康转诊,但比国内收养的孩子少. 大多数国际收养者尽管在收养前遇到逆境,但适应性很好.
科学领域:
- 儿童心理学 儿童心理学
- 收养研究 收养研究
- 心理健康研究 心理健康研究
背景情况:
- 国际收养每年在100多个国家影响超过4万名儿童.
- 国际收养者经常面临收养前的逆境,包括忽视和医疗护理不足.
研究的目的:
- 评估国际收养对行为问题的影响.
- 评估国际收养者中心理健康转诊率.
主要方法:
- 对34篇关于心理健康转诊的文章和64篇关于行为问题的文章进行了全面的元分析.
- 搜索了MEDLINE,PsychLit和ERIC数据库 (1950-2005) 并咨询了专家.
- 提取了关于国际收养,收养前逆境和计算效果大小 (d) 的数据.
主要成果:
- 与未被收养的对照人群相比,国际收养者表现出稍微更多的行为问题 (d,0.07-0.11),但与未被收养的对照人群相比,心理健康服务的使用量显著增加 (d,0.72).
- 国际收养者比国内收养者表现出较少的行为问题和较低的心理健康转诊率.
- 收养前的逆境与国际收养者的行为问题增加有关.
结论:
- 虽然大多数国际收养者适应良好,但他们比未收养的同龄人更频繁地使用心理健康服务.
- 与国内收养相比,国际收养者在行为问题和心理健康转诊方面通常表现更好.
- 收养前的逆境是影响国际收养者的福祉的一个重要因素.
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