The aim of this study was to conduct a nationwide survey in Japan of prefectural health centers, which were responsible for providing guidance to municipalities. The survey was performed in order to clarify the follow...The aim of this study was to conduct a nationwide survey in Japan of prefectural health centers, which were responsible for providing guidance to municipalities. The survey was performed in order to clarify the following issues: 1) the current level of support provided by prefectural centers for pre-and post-natal mental health;2) the structures in place for providing consultation services for an “unwanted pregnancy” and the support available for high-risk cases;and 3) the advice available on postpartum maternal psychological screening, and interpretation of results of such screening. Questionnaires were sent by post to 394 prefectural health centers, of which 277 (70.3%) responded. A total of 32% of prefectural health centers confirmed that they had offered support to high-risk cases during pregnancy, and 72% had offered support post-partum. Regarding offering support to high-risk mothers, those prefectural health centers that did provide consultation services (n = 59) reported providing introductions and information about available facilities (P < 0.001) and conducting case conferences (P < 0.002). This was significantly different than prefectural health centers that did not provide consultation services (n = 198). At the prefectural health centers that “follow up on” the results of the mental health screening, psychiatry consultations were reported twice as often as the prefectural health centers that did “not follow up on” the results of mental health screening. These findings indicate that childcare support systems for postpartum mental health and the prevention of child abuse were established. However, the lack of prenatal health and support systems for the prenatal period remains an issue.展开更多
Background: Intimate partner violence has long-term and negative effects on the health of mothers and children worldwide. This study aimed to identify the mental and behavioral effects of past exposure to intimate par...Background: Intimate partner violence has long-term and negative effects on the health of mothers and children worldwide. This study aimed to identify the mental and behavioral effects of past exposure to intimate partner violence among children and examine their associations with the children’s visits with their fathers who perpetrated the intimate partner violence. Methods: A cross-sectional study of women who had been abused by their intimate partners and had one or more children aged 4 - 18 years old was conducted from March 2015 to December 2016. Questionnaires were used to collect (1) demographic data about the mothers and children, (2) information about the children’s visits with the mother’s former partner (i.e., father), and (3) psychological data using the Hospital Anxiety and Depression Scale and the Child Behavior Checklist/4 - 18. Results: The average scores and rates of internalizing, externalizing, and total problems among the children who had been exposed to intimate partner violence were: 10.8 (SD = 10.4), 26 (51.0%);9.0 (SD = 9.0), 14 (27.5%);and 26.3 (SD = 21.5), 15 (29.4%), respectively. Children’s visits with fathers who were IPV perpetrators were significantly associated with the internalizing (AOR = 12.6, β = 0.56;p β = 0.48;p Conclusion: Attention should focus on traumatized children exposed to intimate partner violence, and thorough and cautious assessments and decisions regarding visits with their fathers who are IPV perpetrators are essential to safeguard and improve their mental and behavioral health.展开更多
目的从青少年人格-家庭环境交互作用的视角,考察亲子关系及环境敏感性对青少年心理问题的共同作用。方法2023年3月-5月在陕西省西安市6个地区随机选取12所中学开展横断面研究,以7010名青少年为研究对象,采用高敏感儿童量表(Highly Sensi...目的从青少年人格-家庭环境交互作用的视角,考察亲子关系及环境敏感性对青少年心理问题的共同作用。方法2023年3月-5月在陕西省西安市6个地区随机选取12所中学开展横断面研究,以7010名青少年为研究对象,采用高敏感儿童量表(Highly Sensitive Child Scale,HSC),病人健康问卷(Patient Health Questionnaire-9,PHQ-9),长处和困难问卷(Strengths and Difficulties Questionnaire,SDQ)和幸福指数量表分别评估青少年的环境敏感性及心理健康水平。结果①女生与男生相比,对环境更加敏感(t=-7.504,P<0.01);②在预测青少年抑郁情绪和外化问题时,亲子冲突、支持和环境敏感性主效应显著(b=-0.263、0.237、0.332,P<0.001;b=0.201、0.220,P<0.001),同时亲子冲突与环境敏感性的交互作用显著(b=-0.072,P<0.05;b=0.092,P<0.05);③Widaman’s的验证和竞争分析发现,亲子冲突与环境敏感性对抑郁情绪和外化行为的交互作用分别支持差异敏感和素质-压力模型(BIC=2170.98、2162.6)。结论高环境敏感性的青少年更易受与父母更多冲突关系的负面影响,也更易从低水平冲突关系中获益,环境敏感性可能是一种易感因素而非脆弱因素。展开更多
The recent proliferation of empirically-supported treatments(ESTs)into the private sector has led to more U.S.children and families receiving high quality treatments and improved treatment outcomes.However,there remai...The recent proliferation of empirically-supported treatments(ESTs)into the private sector has led to more U.S.children and families receiving high quality treatments and improved treatment outcomes.However,there remains a significant dearth of evidence-based clinics,service providers,and training programs nationally,particularly in more remote communities.The Child&Family Institute(CFI)was founded in 2011 as the world’s first Clinical Dissemination Practice and training institute,comprising five core unifying stages and initiatives:(1)Dissemination Through Training,(2)Dissemination Through Community Partnership,(3)Dissemination Through Integrated Behavioral Health,(4)Dissemination Through Technology,and(5)Dissemination Through Multi-State,Multi-Site Program Development and Implementation,all with a common goal of raising awareness and leveraging local and national resources to disseminate and implement accessible,affordable,evidence-based care to children,families,and communities across the United States,and beyond.Perhaps most central and unique to CFI’s five initiatives,and its overall core values and mission,is the accessibility and affordability of services for each and every child.Preliminary feedback from patients,students,collaborators,local politicians and stakeholders,partner organizations,and the broader communities in the regions served has been enthusiastic,and several grant submissions and research partnerships are underway,to test the effectiveness of CFI programming and evidence-based treatments in“real-world”clinics nationwide.展开更多
文摘The aim of this study was to conduct a nationwide survey in Japan of prefectural health centers, which were responsible for providing guidance to municipalities. The survey was performed in order to clarify the following issues: 1) the current level of support provided by prefectural centers for pre-and post-natal mental health;2) the structures in place for providing consultation services for an “unwanted pregnancy” and the support available for high-risk cases;and 3) the advice available on postpartum maternal psychological screening, and interpretation of results of such screening. Questionnaires were sent by post to 394 prefectural health centers, of which 277 (70.3%) responded. A total of 32% of prefectural health centers confirmed that they had offered support to high-risk cases during pregnancy, and 72% had offered support post-partum. Regarding offering support to high-risk mothers, those prefectural health centers that did provide consultation services (n = 59) reported providing introductions and information about available facilities (P < 0.001) and conducting case conferences (P < 0.002). This was significantly different than prefectural health centers that did not provide consultation services (n = 198). At the prefectural health centers that “follow up on” the results of the mental health screening, psychiatry consultations were reported twice as often as the prefectural health centers that did “not follow up on” the results of mental health screening. These findings indicate that childcare support systems for postpartum mental health and the prevention of child abuse were established. However, the lack of prenatal health and support systems for the prenatal period remains an issue.
文摘Background: Intimate partner violence has long-term and negative effects on the health of mothers and children worldwide. This study aimed to identify the mental and behavioral effects of past exposure to intimate partner violence among children and examine their associations with the children’s visits with their fathers who perpetrated the intimate partner violence. Methods: A cross-sectional study of women who had been abused by their intimate partners and had one or more children aged 4 - 18 years old was conducted from March 2015 to December 2016. Questionnaires were used to collect (1) demographic data about the mothers and children, (2) information about the children’s visits with the mother’s former partner (i.e., father), and (3) psychological data using the Hospital Anxiety and Depression Scale and the Child Behavior Checklist/4 - 18. Results: The average scores and rates of internalizing, externalizing, and total problems among the children who had been exposed to intimate partner violence were: 10.8 (SD = 10.4), 26 (51.0%);9.0 (SD = 9.0), 14 (27.5%);and 26.3 (SD = 21.5), 15 (29.4%), respectively. Children’s visits with fathers who were IPV perpetrators were significantly associated with the internalizing (AOR = 12.6, β = 0.56;p β = 0.48;p Conclusion: Attention should focus on traumatized children exposed to intimate partner violence, and thorough and cautious assessments and decisions regarding visits with their fathers who are IPV perpetrators are essential to safeguard and improve their mental and behavioral health.
文摘目的从青少年人格-家庭环境交互作用的视角,考察亲子关系及环境敏感性对青少年心理问题的共同作用。方法2023年3月-5月在陕西省西安市6个地区随机选取12所中学开展横断面研究,以7010名青少年为研究对象,采用高敏感儿童量表(Highly Sensitive Child Scale,HSC),病人健康问卷(Patient Health Questionnaire-9,PHQ-9),长处和困难问卷(Strengths and Difficulties Questionnaire,SDQ)和幸福指数量表分别评估青少年的环境敏感性及心理健康水平。结果①女生与男生相比,对环境更加敏感(t=-7.504,P<0.01);②在预测青少年抑郁情绪和外化问题时,亲子冲突、支持和环境敏感性主效应显著(b=-0.263、0.237、0.332,P<0.001;b=0.201、0.220,P<0.001),同时亲子冲突与环境敏感性的交互作用显著(b=-0.072,P<0.05;b=0.092,P<0.05);③Widaman’s的验证和竞争分析发现,亲子冲突与环境敏感性对抑郁情绪和外化行为的交互作用分别支持差异敏感和素质-压力模型(BIC=2170.98、2162.6)。结论高环境敏感性的青少年更易受与父母更多冲突关系的负面影响,也更易从低水平冲突关系中获益,环境敏感性可能是一种易感因素而非脆弱因素。
文摘The recent proliferation of empirically-supported treatments(ESTs)into the private sector has led to more U.S.children and families receiving high quality treatments and improved treatment outcomes.However,there remains a significant dearth of evidence-based clinics,service providers,and training programs nationally,particularly in more remote communities.The Child&Family Institute(CFI)was founded in 2011 as the world’s first Clinical Dissemination Practice and training institute,comprising five core unifying stages and initiatives:(1)Dissemination Through Training,(2)Dissemination Through Community Partnership,(3)Dissemination Through Integrated Behavioral Health,(4)Dissemination Through Technology,and(5)Dissemination Through Multi-State,Multi-Site Program Development and Implementation,all with a common goal of raising awareness and leveraging local and national resources to disseminate and implement accessible,affordable,evidence-based care to children,families,and communities across the United States,and beyond.Perhaps most central and unique to CFI’s five initiatives,and its overall core values and mission,is the accessibility and affordability of services for each and every child.Preliminary feedback from patients,students,collaborators,local politicians and stakeholders,partner organizations,and the broader communities in the regions served has been enthusiastic,and several grant submissions and research partnerships are underway,to test the effectiveness of CFI programming and evidence-based treatments in“real-world”clinics nationwide.
基金上海市公共卫生体系建设三年行动计划(2020—2022年)重点学科建设计划项目(GWV-10.1-XK18)China Medical Board(CMB)资助(Grant#22-472)+1 种基金上海市卫生健康委项目(202040248)上海市嘉定区公共卫生优秀人才培养计划—学科后备带头人项目。
