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Child and Adolescent Psychiatric Clinics of North America

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Social and Relational Health Risks and Common Mental Health Problems Among US Children : The Mitigating Role of Family Resilience and Connection to Promote Positive Socioemotional and School-Related Outcomes - 18/11/21

Doi : 10.1016/j.chc.2021.08.001 
Christina D. Bethell, PhD, MBA, MPH a, ⁎ , Andrew S. Garner, MD, PhD b, Narangerel Gombojav, MD, PhD a, Courtney Blackwell, PhD c, Laurence Heller, PhD d, Tamar Mendelson, PhD a
a Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA 
b Partners in Pediatrics and Case Western Reserve University School of Medicine, Cleveland, OH, USA 
c Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA 
d NeuroAffective Relational Model Training Institute, Inc, Littleton, CO, USA 

∗Corresponding author. 615 North Wolfe Street, Room E4152, Baltimore, MD 21205.615 North Wolfe Street, Room E4152BaltimoreMD21205

Résumé

Nearly 70% (67.6%) of US children with mental, emotional, and behavioral problems (MEB) experienced significant social health risks (SHR) and/or relational health risks (RHR). Shifts are needed in child mental health promotion, prevention, diagnosis, and treatment to address both RHR and SHR. Public health approaches are needed that engage families, youth, and the range of child-serving professionals in collaborative efforts to prevent and mitigate RHR and SHR and promote positive mental health at a community level. Building strong family resilience and connection may improve SR and, in turn, academic and social outcomes among all US children with or without MEB.

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Keywords : Food insecurity, Economic hardship, Neighborhood violence, Racial discrimination, Relational health, Parent mental health, Parental stress, Family resilience


Plan

Key points
Introduction
Methods
Data and Population
Key measures
Mental, Emotional, and Behavioral Conditions
Social Health Risks and Relational Health Risks Variables
Child health outcomes and family protective factors
Child Self-regulation
Engagement in School
Missed School
Bullying Victimization and/or Perpetration
Parent-Child Connection
Family Resilience Index
Other Child Characteristics
Analytical procedures
Prevalence of Social Health Risks and Relational Health Risks and Variations in Mental, Emotional, and/Or Behavioral Health Problems Among all US Children by Their Social Health Risks and Relational Health Risks (Study Aim 1 and 2)
Evaluating Associations Between Child’s Self-regulation Skills and Their School Engagement, Missed School and Bullying/Bullied Outcomes by Social Health Risks and Relational Health Risks (Study Aim 3)
Estimating Associations Between Children’s Self-regulation and Their Family Resilience and Parent-Child Connection Status Across Social Health Risks and Relational Health Risks Subgroups (Study Aim 4)
Results
Prevalence of Social Health Risks and Relational Health Risks Among US Children with Mental, Emotional, and/or Behavioral Health Problems (Study Aim 1)
Variations in Mental, Emotional, and/or Behavioral Health Problems Prevalence by the Social Health Risks and Relational Health Risks Status of Children (Study Aim 2)
School-Related Outcomes Among Children with Mental, Emotional, and/Or Behavioral Health Problems by Their Self-regulation and Social Health Risks and Relational Health Risks Status (Study Aim 3)
Self-regulation Among Children with Mental, Emotional, and/or Behavioral Health Problems by Their Family Resilience, Parent-Child Connection and Social Health Risks and Relational Health Risks Status (Study Aim 4)
Limitations
Discussion
Funding source

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Vol 31 - N° 1

P. 45-70 - janvier 2022 Retour au numéro
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