Divorce and Mental Health Sequelae for Children: A Two-Year Follow-up of a Nationwide Sample

Guidubaldi, John; Perry, Joseph D.

doi:10.1016/s0002-7138(09)60053-4

Cited by 137 publications

(95 citation statements)

References 24 publications

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“…2,3 Similar effects of child separation from a parent have been documented in a variety of settings, including divorce and parental incarceration, migration, or hospitalization. [4][5][6][7][8][9] In a 2006 survey of military spouses, 20% of parents reported that their children coped poorly during military deployments. 10 Children of deployed parents exhibit more internalizing and externalizing behaviors, especially when a parent deploys to a combat zone.…”

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confidence: 99%

Wartime Military Deployment and Increased Pediatric Mental and Behavioral Health Complaints

2010

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WHAT'S KNOWN ON THIS SUBJECT:Military deployment of a parent influences children's behavior in a variety of settings. The clinical significance of these deployment-associated behavior changes has not been determined. WHAT THIS STUDY ADDS:Children experiencing separation from a parent due to wartime military deployment have an 11% increase in outpatient visits for mental and behavioral health complaints, which contrasts with a general deploymentassociated decrease in health care visits in all other diagnostic categories.abstract BACKGROUND: Children of military personnel face stress when a parent deploys. OBJECTIVE: Our goal was to determine the effect of parental military deployment on the relative rate of outpatient visits for mental and behavioral health disorders in children aged 3 to 8 years. METHODS:This was a retrospective cohort study. Records of children of active-duty personnel during fiscal years 2006 and 2007 were linked with their parent's deployment records. Mental and behavioral health visits were identified by using International Classification of Diseases, Ninth Revision, codes. The incidence rate ratio (IRR) of visits per year according to parental deployment status was determined with random-effects negative binomial regression modeling with longitudinal data analysis. RESULTS: A total of 642 397 children aged 3 to 8 years and 442 722 military parents were included. Mean child age was 5.0 years (SD: 1.9 years); 50.6% were male, and 68.0% were white. Ninety percent of the parents were male, and 90.5% were married; 32.0% of the parents were deployed during the study. There were 1 049 081 person-years with 611 115 mental and behavioral health visits (0.6 visit per year). The IRR of mental and behavioral health visits for children with a deployed parent compared with when a parent was home was 1.11 (95% confidence interval [CI]: 1.07-1.14; P Ͻ .001). IRRs of pediatric anxiety, behavioral, and stress disorders when a parent deployed were 1.14 (95% CI: 0.98 -1.32; P ϭ .095), 1.19 (95% CI: 1.07-1.32; P Ͻ .001), and 1.18 (95% CI: 1.10 -1.26; P Ͻ .001), respectively. Older children and children with military fathers and married parents had larger increases in rates of mental and behavioral health visits during parental deployments. In contrast, the overall outpatient rate and rates of visits for other diagnoses decreased when a parent was deployed. CONCLUSIONS: Mental and behavioral health visits increased by 11% in these children when a military parent deployed; behavioral disorders increased 19% and stress disorders increased 18%. Rates especially increased in older children and children of married and male military parents.

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confidence: 99%

Wartime Military Deployment and Increased Pediatric Mental and Behavioral Health Complaints

2010

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“…Ces facteurs incluent, sur le plan ontosystémique : les habiletés de résolution de problèmes (Dubow et Tisak, 1989), l'estime de soi et un foyer de contrôle interne (Hetherington, 1989) ; sur le plan microsystémique : le degré de collaboration parentale de même que l'intensité, la durée et le mode de résolution des conflits entre les parents (Emery, 1994;Amato et Keith, 1991 ;Camara et Resnick, 1988 ;Guidubaldi, Perry et Nastasi, 1987 ;Emery, 1982), le maintien de contacts fréquents et prévisibles avec les deux parents (Guidubaldi, Perry et Nastasi, 1987 ;Wallerstein et Kelly, 1980), la qualité des relations avec chaque parent (Emery, 1994;Guidubaldi, Perry et Nastasi, 1987) et le degré d'ajustement psychologique des parents (Guidubaldi et Perry, 1985); sur le plan mésosystémique : la stabilité et la densité du réseau social (Bouchard et Drapeau, 1991) ; sur le plan macrosystémique : le niveau socio-économique (Emery, 1994 ;Bouchard et Drapeau, 1991 ;Guidubaldi, Perry et Nastasi, 1987). Nous verrons, cependant, que les stratégies d'intervention utilisées par les groupes d'enfants se concentrent surtout sur les facteurs ontosystémiques et microsystémiques de l'ajustement.…”

Section: Facteurs D'ajustementunclassified

Les groupes d’enfants de parents séparés et la participation des parents

Gagnon¹

2008

nps

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Ce texte compare cinq formules de groupe d'enfants du primaire ayant vécu la séparation de leurs parents (trois groupes américains et deux groupes québécois) et présente les résultats de l'évaluation de ces programmes. Une attention particulière est accordée au degré de participation des parents et aux conséquences possibles de cette participation pour les résultats de l'intervention. Ce texte discute également de l'apport des groupes d'enfants dans le domaine de la prévention et de la promotion en santé mentale, tout en les situant dans une perspective écologique

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“…Es conocido, al respecto, que la mayor proporción de ellos tiene una media de edad de seis años o menos en el momento de la ruptura, de cuyo conjunto una gran parte muestra más desajustes psicológicos a lo largo de su vida que los que pertenecen a familias intactas, si bien tales desajustes no siempre alcanzan niveles clínicos (8,9,10).…”

Section: El Impacto Psicológico De La Separación O El Divorcio En Losunclassified

Separación o divorcio: Trastornos psicológicos en los padres y los hijos

Orellana

Vallejo²,

Vallejo

2004

Rev. Asoc. Esp. Neuropsiq.

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Divorce and Mental Health Sequelae for Children: A Two-Year Follow-up of a Nationwide Sample

Cited by 137 publications

References 24 publications

Wartime Military Deployment and Increased Pediatric Mental and Behavioral Health Complaints

Wartime Military Deployment and Increased Pediatric Mental and Behavioral Health Complaints

Les groupes d’enfants de parents séparés et la participation des parents

Separación o divorcio: Trastornos psicológicos en los padres y los hijos

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