青年有慢性健康问题：他们在主流辅导计划中表现如何？

Youth with chronic health problems: how do they fare in main-stream mentoring programs?

机构信息

Department of Psychiatry and Behavioural Neurosciences, Offord Centre for Child Studies, McMaster University, McMaster Innovation Park, Suite 201A, 1280 Main St. West, Hamilton, ON, L8S 4K1, Canada.

Department of Epidemiology and Biostatistics, Western University, 1151 Richmond St, London, ON, N6A 3K7, Canada.

出版信息

BMC Public Health. 2018 Jan 5;18(1):102. doi: 10.1186/s12889-017-5003-3.

DOI:10.1186/s12889-017-5003-3

PMID:29304853

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5755442/

Abstract

BACKGROUND

Youth with chronic physical health problems often experience social and emotional problems. We investigate the relationship between participation in the Big Brothers Big Sisters of Canada community-based mentoring programs (BBBS) and youth social and mood outcomes by youth health status.

METHODS

Youth newly enrolled in BBBS were classified by health status (one or more chronic physical health problems without activity limitation, n = 191; one or more chronic physical health problems with activity limitation, n = 94; no chronic health problem or activity limitation, n = 536) and mentoring status (yes/no) at 18 month follow-up. Youth outcomes measured at follow-up were social anxiety, depressed mood, and peer self-esteem.

RESULTS

Youth with chronic health problems and activity limitation were more likely to live with two biological parents, use mental health or social services, and have parents who reported difficulties with depressed mood, social anxiety, family functioning and neighbourhood problems. At 18 month follow-up, mentored youth in this health status group experienced fewer symptoms of social anxiety and higher peer self-esteem compared to non-mentored youth. Mentored youth with chronic health problems without activity limitation and mentored youth with no health problems or limitations did not show significant improvements in social anxiety and peer self-esteem. Regardless of their health status, mentored youth reported fewer symptoms of depressed mood than non-mentored youth.

CONCLUSIONS

Youth with chronic health problems, particularly those with activity limitation as well, demonstrate a capacity to experience social and mood benefits associated with mentoring.

摘要

背景

患有慢性身体健康问题的年轻人通常会经历社交和情绪问题。我们通过年轻人的健康状况来调查参与加拿大兄弟姐妹会（Big Brothers Big Sisters of Canada）社区指导计划与年轻人社交和情绪结果之间的关系。

方法

在 18 个月的随访中，根据健康状况（无活动限制的一种或多种慢性身体健康问题，n=191；有活动限制的一种或多种慢性身体健康问题，n=94；无慢性健康问题或活动限制，n=536）和指导状况（是/否）对新加入 BBBS 的年轻人进行分类。随访时测量的年轻人结果包括社交焦虑、抑郁情绪和同伴自尊。

结果

有慢性健康问题和活动限制的年轻人更有可能与两位亲生父母一起生活，使用心理健康或社会服务，并且父母报告有抑郁情绪、社交焦虑、家庭功能和邻里问题方面的困难。在 18 个月的随访中，与未接受指导的年轻人相比，处于这种健康状况组的接受指导的年轻人社交焦虑症状较少，同伴自尊较高。没有活动限制的慢性健康问题青年和没有健康问题或限制的青年接受指导后，在社交焦虑和同伴自尊方面并没有显著改善。无论其健康状况如何，接受指导的年轻人报告的抑郁情绪症状都比未接受指导的年轻人少。