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Better Support Services for Better Mental Health?—The Case of Depression among Parents on Welfare

机译:更好的支持服务以改善心理健康?-以父母在福利方面的抑郁为例

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The present study aims to investigate independent and interactive impacts of risk and protective factors influencing depression among parents receiving welfare. The study uses panel data from the first two waves of the nationally representative Longitudinal Study of Australian Children. The analytic sample included 1204 parents of children aged 4 - 5 years who participated in both of the waves and received government payments as their main income source in Wave 1. At Wave 2, twenty seven percent of all participant parents have income support as their main income source, and one-third of these parents reported having depressive symptoms during the 4 weeks prior to the interview. In hierarchical regression analysis, specific stressful events in the past 12 months (relationship breakdown, financial hardship, substance abuse, and death of a love one) have emerged as significant risk factors of depression. Parenting self-efficacy, timely access to support services and neighborhood belonging were found to be significant protective factors of depression. The most unique and key finding is that parents experiencing stressful events were less likely to report depression if they had adequate access to support services at times of adversity, and these results remain largely unchanged above and beyond the effects of the control variables. These findings have important implications for inculcating resilience in families on welfare in particular, through driving an institutional change that is responsive to ongoing and emergent needs. It is important that policy and health services delivery are designed in conjunction to provide maximum support for disadvantaged families at times of adversity.
机译:本研究旨在调查在接受福利的父母中影响抑郁症的风险和保护因素的独立和互动影响。该研究使用了全国代表性的澳大利亚儿童纵向研究的前两波的面板数据。分析样本包括1204名4-5岁儿童的父母,他们参加了两次浪潮,并在浪潮1中获得了政府付款作为他们的主要收入来源。在浪潮2中,所有参加活动的父母中有27%的父母以收入支持为主要收入来源。收入来源,其中三分之一的父母在面试前4周内报告有抑郁症状。在分层回归分析中,过去12个月中特定的压力事件(关系破裂,财务困难,药物滥用和爱人死亡)已成为抑郁症的重要危险因素。育儿的自我效能感,及时获得支持服务和社区归属感是抑郁症的重要保护因素。最独特和关键的发现是,经历压力事件的父母如果在逆境中有足够的机会获得支持服务,就不太可能报告抑郁,并且这些结果在控制变量的影响范围之外基本保持不变。这些发现特别是通过推动对当前和紧急需求做出响应的机构变革,特别是向家庭灌输韧性方面的重要意义。重要的是,政策和卫生服务的提供必须结合起来设计,以便在逆境中为处境不利的家庭提供最大的支持。

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