The Prevalence of Mental Disorders Among Care Leavers

被引:0
作者
Seker, Suheyla [1 ,2 ]
Burgin, David [1 ,3 ]
Boonmann, Cyril [1 ,4 ]
d'Huart, Delfine [1 ,5 ]
Jenkel, Nils [1 ]
Beck, Katharina [1 ]
Leiting, Milou [1 ]
Crivelli, Alison [1 ]
Burgin, Dina [1 ]
Fegert, Jorg M. [6 ]
Schmeck, Klaus [7 ]
Schmid, Marc [1 ]
机构
[1] Univ Basel, Univ Psychiat Kliniken Basel, Kinder & Jugendpsychiat Forschungsabteilung, Basel, Switzerland
[2] Stockholm Univ, Dept Social Work, Stockholm, Sweden
[3] Univ Zurich, Jacobs Ctr Prod Youth Dev, Zurich, Switzerland
[4] Leiden Univ, Med Ctr LUMC Curium, Dept Child & Adolescent Psychiat, LUMC Curium, Leiden, Netherlands
[5] Univ Basel, Univ Psychiat Kliniken Basel, Jugendforens, Basel, Switzerland
[6] Univ klinikum Ulm, Klin Kinder & Jugendpsychiat Psychotherapie, Ulm, Germany
[7] Univ Basel, Med Fak, Dept Klin Forsch, Basel, Switzerland
来源
ZEITSCHRIFT FUR KINDER-UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE | 2025年 / 53卷 / 03期
关键词
Care Leaver; young adulthood; out-of-home placement; mental disorders; personality disorders; care leaver; OF-HOME CARE; NATIONAL COMORBIDITY SURVEY; INSTITUTIONAL YOUTH CARE; SUBSTANCE-USE DISORDERS; YOUNG-ADULTS; LIFETIME PREVALENCE; RESIDENTIAL CARE; HEALTH PROBLEMS; FOSTER-CARE; CHILDREN;
D O I
10.1024/1422-4917/a001012
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: Formerly out-of-home placed young adults (i. e., care leavers) were exposed to a variety of cumulative psychosocial stress factors during their childhood. However, the knowledge about the prevalence of mental disorders among care leavers in German-speaking countries is scarce. This article addresses the prevalence of mental disorders among care leavers and discusses the implications for care systems. Method: Mental disorders, including personality disorders, were assessed using structured clinical interviews among 175 Swiss care leavers (mean age = 26.53 years, 32.00 % women). Descriptive information was presented as absolute and relative frequencies, and correlations and group comparisons were calculated using t-tests and chi 2-tests. Results: 58.29 % of participants met the diagnostic criteria for at least one mental disorder, with substance use disorders (37.71 %), personality disorders (35.43 %), and attention-deficit/hyperactivity disorder (19.43 %) being the most common diagnoses. In comparison, women were more likely to have anxiety disorders and Cluster C personality disorders, while men were more likely to have alcohol use disorders. Conclusions: Our results indicate that approximately half of the Swiss care leavers meet the criteria for the diagnosis of at least one mental disorder in young adulthood. Young adulthood thus represents a sensitive phase for care leavers regarding mental disorders - similar to their peers in the general population. This poses a challenge for residential care institutions and psychiatric care systems to design and further expand preventive services for care leavers with high mental health burdens throughout the transition to adulthood.
引用
收藏
页码:139 / 154
页数:16
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