Psychosocial issues have been recognized as important factors in children's health for decades. This study documents the relation among several important psychosocial variables (e.g., mothers' depressive symptoms) and a new instrument that assesses parents' perception of their communities' social capital. Mothers were recruited from their children's primary care (PC) pediatricians' offices within the Southwestern Ohio Ambulatory Research Network or from a children's hospital developmental clinic (DC). Mothers completed a questionnaire that included the Social Capital Scale (SCS), Children with Special Health Care Needs Screener (CSHCNS), Pediatric Quality of Life Inventory, Maternal Social Support Index and the Center for Epidemiologic Studies Depression Scale (CES-D). Mothers were sorted into three subgroups based on site of recruitment (PC or DC) and results of the CSHCNS. The sample (N = 620) was also sorted into terciles based on SCS scores. Mean SCS was about 73 for each of the three subgroups. Compared to mothers in the highest SCS tercile, mothers in the lowest SCS tercile reported lower education, lower income and higher CES-D median scores. The SCS subscale "sense of belonging" had an inverse correlation with CES-D scores (r = -.248, p < 0.001). Mothers from primary care and sub-specialty clinics had similar perceptions about their communities' social capital. Compared to mothers in the highest one third of SCS scores, mothers in the lowest one third were more likely to report less education and income as well as more depressive symptoms. A decreased sense of belonging in their communities was also correlated with more depressive symptoms. The SCS is a new useful tool for investigators and clinicians who work with children and their families.

译文

:几十年来,社会心理问题已被视为影响儿童健康的重要因素。这项研究记录了几个重要的社会心理变量(例如母亲的抑郁症状)之间的关系以及一种评估父母对社区社会资本感知的新工具。母亲是从其在西南俄亥俄非卧床研究网络内的儿童初级保健(PC)儿科医生办公室或儿童医院发展诊所(DC)招募的。母亲们完成了一个问卷调查,包括社会资本量表(SCS),有特殊保健需求筛查的儿童(CSHCNS),儿科生活质量量表,孕产妇社会支持指数和流行病学研究抑郁量表(CES-D)。根据招聘地点(PC或DC)和CSHCNS的结果,将母亲分为三个亚组。样本(N = 620)也根据SCS分数分为三等分。三个亚组中的每个亚组的平均SCS约为73。与南卡罗来纳州最高的母亲相比,南卡罗来纳州最低的母亲教育程度较低,收入较低且CES-D中位数得分较高。 SCS分量表的「归属感」与CES-D分数呈反比关系(r =-。248,p <0.001)。来自初级保健和专科诊所的母亲对社区的社会资本有相似的看法。与SCS得分最高的三分之一的母亲相比,收入最低的三分之一的母亲更有可能报告较少的教育和收入,以及更多的抑郁症状。在他们的社区中归属感的下降也与抑郁症的症状有关。对于与孩子及其家庭一起工作的研究人员和临床医生,SCS是一种新的有用工具。

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