留守儿童心理健康状况影响因素分析及对策思考

留守儿童是一个需要予以高度重视的群体,其心理健康问题检出率较高,心理健康状况令人堪忧;其心理问题是学校、社会、父母、监护人与留守儿童自身等多种因素交互作用的产物;通过多元互动,即加强社区、学校、父母、监护人与留守儿童的互动,可促进留守儿童心理健康发展。     

留守儿童心理健康状况影响因素分析及对策思考

留守儿童是一个需要予以高度重视的群体,其心理健康问题检出率较高,心理健康状况令人堪忧;其心理问题是学校、社会、父母、监护人与留守儿童自身等多种因素交互作用的产物;通过多元互动,即加强社区、学校、父母、监护人与留守儿童的互动,可促进留守儿童心理健康发展.     

流动儿童歧视知觉与心理健康关系的元分析

本研究基于心理健康双因素模型,通过运用元分析技术探讨流动儿童歧视知觉与各项心理健康指标的关系,以及调节变量对二者关系的影响,以期为提升流动儿童心理健康提供有效借鉴。经过文献检索和筛选,共纳入原始文献3篇,含49个独立样本,被试总数达到40351名。根据同质性检验结果,选择随机效应模型分析发现,流动儿童歧视知觉与积极心理健康指标存在中等程度的负相关(r=-0.323,95%CI为[-0.378,-0.266]),与消极心理健康指标存在中等程度的正相关(r = 0.41, 95%CI为[0.36,0.458])。流动儿童歧视知觉测量工具、学龄段对流动儿童歧视知觉与积极心理健康的关系存在显著的调节效应,而对流动儿童歧视知觉与消极心理健康的关系不存在显著的调节效应。同时,元回归分析结果发现,性别对二者的关系不存在显著的调节效应。后续研究应该进一步探索流动儿童歧视知觉与心理健康间的调节变量,结合中国流动儿童心理发展特点, 探索提升流动儿童心理健康水平的新路径。     

亲子关系对贫困儿童问题行为的影响

以247名贫困儿童为被试进行问卷调查,构建家庭社会经济地位和亲子关系对贫困儿童问题行为的多重中介模型,得到抑郁、自我控制的中介作用。结果显示,亲子关系和社会经济地位分别通过中介路径影响贫困儿童问题行为,与亲子关系有关的中介路径为91.25%,与抑郁有关的中介效应为57.60%,与自我控制有关的中介效应为57.15%. 结论：良好的亲子关系或成为贫困儿童的保护因子;应关注贫困儿童心理健康,增加有效心理疏导机制;注重培养贫困儿童的自我控制能力。     

不同留守类型儿童的心理健康状况调查

改革开放以来产生了大量的留守儿童,引起社会方泛关注,为了了解留守儿童的心理健康状况,采用心理健康诊断测验(MHT)对西部某省两所中学和两所小学,以4~8年级的学生作为被试,共320名儿童的心理健康状况进行调查。结果发现,非留守儿童的健康状况好于留守儿童,留守儿童在心理问题阳性检出率中占81.8%,而非留守儿童仅占心理健康问题阳性检出率的18.2%;不同类型的留守儿童在心理健康问题在MHT的不同维度上都显著地高于非留守儿童;留守儿童在心理健康水平上还存在着学段差异和性别差异;初中留守儿童心理健康问题得分均显著高于小学留守儿童(p0.05),且差异有统计学意义;女性留守儿童显著高于男性留守儿童(p0.05),且差异有统计学意义。可见,留守儿童心理健康水平较低,留守经历对儿童心理影响具有长期效应,父母外出务工时应当尽量留下一方在家照顾子女。     

小学儿童心理障碍状况调查和心理健康教育思考

孩子健康成长,是党和国家的殷切期望,是家庭学校和社会所追求的重要目标。世界卫生组织认为:“健康不仅指没有疾病,而且包括体格、心理和社会适应的缝全状态。”小学儿童健康的心理状态,是他们整个身心健康的重要组成部分。现代科学研究表明,儿童心理健康与否,对儿童身体健康、身体发育、精神文明和学习影响极大,对教育教学工作的影响也极大。所以,重视和增进小学儿童的心理健康,是关系到儿童少年德智体美全面发展和个性健全发展、毕业心理健康发展和中华民族素质提高的一件大事,务必引起广大家长、教师和社会各方面的关注。     

影响儿童心理健康的因素例述

依据发展心理学的理论,在对儿童个体发展起作用的遗传、环境、教育等三个方面中,教育是起决定作用的,在学前时期和小学阶段,儿童的心理刚刚开始发展,生理机能发育没有定型,外界对儿童的身心成长影响极大,尤其是家庭教育和学校教育的影响极其重大。这两方面教育适当与否就会看到儿童心理健康的状况如何。所以儿童的心理健康问题也必须首先从教育的角度去研究和引导。     

家庭氛围对农村留守儿童心理健康的影响:“养”“育”割裂?

该研究采用家庭氛围问卷、青少年心理弹性量表及心理健康诊断测验对江西省5个乡镇的410名小学五、六年级及初中学生进行问卷调查,探讨农村留守儿童家庭氛围与心理健康的关系及心理弹性的中介作用。结果显示,家庭氛围及其维度,心理弹性及其维度均对留守儿童心理健康产生显著影响,并且留守儿童自身的心理弹性在家庭氛围与心理健康之间起到了部分中介作用。验证了即便父亲或母亲外出打工,他们不仅在经济生活上"养"了留守儿童,同时也能"育"留守儿童。     

学习不良儿童的心理行为问题

学习不良儿童的心理行为问题已成为人们关注的一个焦点。从心理健康的角度考察,学习不良儿童心理行为问题主要表现在生活和社会适应、学习和违纪,以及焦虑、抑郁和自杀等方面;造成上述现象的主要原因要有自我概念较低、家庭因素的不良影响,以及社会认知方面存在的缺陷。可以通过干预和矫正学习不良儿童的心理行为问题,从而提高他们的心理健康水平。     

浅析小学儿童孤独感的因素及辅导

孤独感是一种消极的情感体验,是影响小学儿童心理健康的重要因素。本文将从同伴关系、教养方式、自我意识、人格和社会行为等几个方面,讨论影响儿童孤独感的心理因素并提出一些减少儿童孤独感的建议,提高儿童的心理健康水平。     

Refusing to be Marginalized: Groupwork in Mental Health Services for Women Survivors of Childhood Sexual Abuse

Childhood sexual abuse is a major aetiological factor in the development of mental health difficulties experienced by women. Although this conclusion is supported by two decades of extensive research, it has had little impact on the provision of mainstream mental health services. It remains exceptional for there to be specialist therapy or counselling provision for women survivors of childhood sexual abuse within statutory mental health services. This represents a serious gap in service provision and, it is argued, results in extended and inappropriate treatment for women survivors using mental health services. In this article, the development of a multi-agency approach to the provision of groupwork for women survivors of childhood sexual abuse within mental health service is described. A women-centred model of groupwork is outlined. Evaluation and funding are discussed. It is argued that, as a time-limited and effective treatment option, groupwork for women survivors of childhood sexual abuse should form a central part of service provision within statutory adult mental health services.     

Impact of maternal adverse childhood experiences on child socioemotional function in rural Kenya: Mediating role of maternal mental health

Mothers in low‐ and middle‐income countries (LMIC) suffer heightened vulnerability for adverse childhood experiences (ACEs), which is exacerbated by the multitude of risk factors associated with poverty and may lead to increased risk of psychiatric disorder. The constellation of complex, co‐occurring biological, environmental, social, economic and psychological risk factors are in turn transmitted to her child, conferring vulnerability for adverse development. This study examines the association between maternal intra‐ and extra‐familial ACEs, maternal education and the mental health of her child, mediated by maternal mental health. Mother‐child dyads (n = 121) in Machakos, Kenya were examined cross‐sectionally using self‐report measures of ACEs, maternal mental health and child internalizing and externalizing mental health problems. The four models proposed to examine the relationship between intra‐ and extra‐familial maternal ACEs and child internalizing and externalizing problems demonstrated indirect pathways through maternal mental health. These effects were found to be conditional on levels of maternal education, which served as a protective factor at lower levels of maternal ACEs. These models demonstrate how the impact of ACEs persists across the lifespan resulting in a negative impact on maternal mental health and conferring further risk to subsequent generations. Elucidating the association between ACEs and subsequent intergenerational sequelae, especially in LMIC where risk is heightened, may improve targeted caregiver mental health programs for prevention and intervention.     

贫困问题:基于心理学的视角

贫困心理学,是在心理学视角下研究贫困问题的一种新研究取向,是心理学在贫困领域的最新运用。现阶段贫困心理学研究主要集中在主观幸福感、心理健康、行为决策等三个方面。贫困文化理论、稀缺理论、自我损耗论分别从贫困文化、稀缺心态以及意志力资源视角解释了贫困产生的心理机制。在摆脱贫困过程中需要打破贫困循环,未来贫困心理学研究需要进一步探讨贫困的产生机制、神经生理机制,贫困心理学的本土化研究以及心理学在扶贫工作中的应用等。     

Education and Training of Children's Mental Health Professionals: The Existing and Potential Role of Schools of Public Health

Since the early 1980s, increasing attention has been devoted in the literature to the conceptualization, development, and implementation of integrated and comprehensive mental health systems of care for children and adolescents. In establishing this new children's mental health paradigm of community-based systems of care, there are presently very few well-trained professionals and leaders focused on collaborative (including interagency) initiatives in the delivery of children's mental health services. Nevertheless, the field of public health offers an interdisciplinary setting for the education and training of individuals in children's mental health services. This national survey of all 27 accredited schools of public health in the United States and Puerto Rico examined the existing capacity for and potential to expand educational and training opportunities in the organization, financing, and delivery of children's mental health services.     

The Role of Schools in Outcomes for Youth: Implications for Children's Mental Health Services Research

We explore the role of schools in children's mental health services research. Recent literature has suggested that schools play an important role in delivering services to children and adolescents with emotional and behavioral problems. Research in services research, though, has taken a fairly narrow view of which dimensions of school environments are relevant for inclusion in studies. We suggest that a broader view of school environments is appropriate and potentially beneficial to the field. Using Bronfenbrenner's ecological model as a guide, we conceptualize schools as microsystems. Such an approach suggests that all aspects of school environments (treatment as well as non-treatment) are likely to influence many of the outcomes that children's mental health services research frequently targets (e.g., behavioral problems, problematic peer relationships, academic achievement, school attendance). We review literature from a variety of disciplines to suggest relevant features of schools, with particular attention to the role of peer dynamics within schools. We conclude with implications of this expanded conceptualization of schools for children's mental health services research.     

The effects of poverty on the mental, emotional, and behavioral health of children and youth: implications for prevention

This article considers the implications for prevention science of recent advances in research on family poverty and children's mental, emotional, and behavioral health. First, we describe definitions of poverty and the conceptual and empirical challenges to estimating the causal effects of poverty on children's mental, emotional, and behavioral health. Second, we offer a conceptual framework that incorporates selection processes that affect who becomes poor as well as mechanisms through which poverty appears to influence child and youth mental health. Third, we use this conceptual framework to selectively review the growing literatures on the mechanisms through which family poverty influences the mental, emotional, and behavioral health of children. We illustrate how a better understanding of the mechanisms of effect by which poverty impacts children's mental, emotional, and behavioral health is valuable in designing effective preventive interventions for those in poverty. Fourth, we describe strategies to directly reduce poverty and the implications of these strategies for prevention. This article is one of three in a special section (see also Biglan, Flay, Embry, & Sandler, 2012; Mu?oz, Beardslee, & Leykin, 2012) representing an elaboration on a theme for prevention science developed by the 2009 report of the National Research Council and Institute of Medicine.     

Poverty and Serious Mental Illness: Toward Action on a Seemingly Intractable Problem

This paper examines the issue of poverty among people with serious mental illness (SMI), positioning it as a key issue to be confronted by community mental health systems and practitioners. The paper reviews three perspectives on poverty, considering how each sheds light on poverty among people with SMI, and their implications for action: (a) monetary resources, (b) basic needs, and (c) capabilities. The paper argues that community mental health programs and systems are currently unable to address poverty as they are overly focused on individual‐level interventions that, on their own, cannot raise people out of poverty. The paper calls for a social justice value, informed by the concept of citizenship, as a necessary complement to the recovery concept that has informed community mental health practice for almost 25 years. Finally, the paper argues that community psychologists, with their concepts, methods, and values, are well positioned to contribute to this important issue. However, it also contends that addressing poverty requires collaboration from community psychologists with researchers and practitioners from other fields and domains of expertise to begin to make progress.     

Partnering with Children Diagnosed with Mental Health Issues: Contributions of a Sociology of Childhood Perspective to Participatory Action Research

This paper explores the use of participatory action research (PAR) with children diagnosed with mental health issues. We argue that critiques from the sociology of childhood are useful for guiding PAR with children. First, we describe and critique values and assumptions that underlie research and practice with children who experience mental health issues. Second, we outline key qualities of the sociology of childhood, discuss their implications for PAR with children diagnosed with mental health issues, and touch on ethical issues. Five themes are explored: (a) values, (b) ontology/epistemology, (c) views about children, (d) agency/power in children’s relationships with adults, and (e) intervention/change focus. We conclude by encouraging community psychologists to consider PAR with children diagnosed with mental health issues.     

Evaluating children's mental health service systems: An analysis of critical behaviors and events

A lack of studies which evaluate system change by tracking client outcomes is noted in the children's mental health area. This deficit may be a result of the inability of researchers to define outcomes and to draw conclusions about which measures reflect the efficacy of services and service delivery systems. This paper reviews five social validation surveys which examined children's mental health outcome measures. Based on the results of the five surveys, a model of critical behaviors and events is presented. This model will assist evaluators and researchers in understanding which critical events and behaviors should be measured to assess the impact of community-based mental health services for children.     

An overview of issues in research on consumer satisfaction with child and adolescent mental health services

Research that focusses on consumer satisfaction with child and adolescent mental health services is reviewed. Satisfaction is broadly conceived to include any study where the perspectives of children, adolescents or their parents about mental health services were gathered and presented. Important conceptual issues in research on consumer satisfaction with children's mental health services are discussed. Some of the general methodological issues that have faced satisfaction researchers are also considered. The wide range of methodological variations that have been used to investigate this topic area are outlined. The most significant findings of previous research are presented and critiqued. In conclusion, suggestions are made about the most fruitful directions for future research.