ABSTRACT
【Objective】 To explore the influencing factors of adolescent runaway and its correlation with family health so as to provide epidemiological evidence for future comprehensive interventions. 【Methods】 Using the quota sampling method, 1 065 adolescents aged 12-18 years old were surveyed by Questionnaire Star in 120 cities in China from July to September 2021. A well-developed electronic questionnaire was used to collect information about demographic characteristics, psychological characteristics, family health, social support, and behavior of running away from home. Univariate analysis and Logistic regression were used to explore the influencing factors of adolescent runaway and its correlation with family health. 【Results】 A total of 1 065 adolescents were investigated, among whom 334 were the only children (31.36%) and 442 were boys (41.50%). Univariate analysis revealed that 7.6% of teenagers had the experience of running away from home in the last 30 days. Participants who were ethnic minorities (P=0.031) and had education of technical school or junior college (P=0.029) and a low family income (P<0.001) were more likely to have running away behavior. Adolescents with low self-efficacy (P=0.005), depression (P<0.001), anxiety (P<0.001), and more stress had higher detection rates of runaway behavior. However, adolescents with higher family health and social support were less likely to run away from home (P<0.01). Multivariate analysis showed that compared with adolescents with low family health, adolescents with high (OR=0.16, 95% CI: 0.06-0.46) and moderate (OR=0.27, 95% CI: 0.14-0.55) family health had a significantly lower risk of runaway behavior. 【Conclusion】 The family is of great significance in preventing teenagers from running away from home. Parents should build a good parent-child relationship and create a happy family atmosphere to reduce the occurrence of teenagers running away from home.
ABSTRACT
Participou do processo terapêutico um menino de seis anos, que foi trazido à clínica por sua mãe. A principal queixa estava relacionada com as perguntas que o menino fazia sobre a forma como o pai morreu. O pai suicidou-se quando o cliente tinha dois anos de idade após um longo período de adoecimento. As perguntas do cliente sobre como o pai havia falecido foram relatadas pela mãe como fonte de angústia para ela, pois não sabia se deveria contar. Com isso, o objetivo terapêutico principal foi ampliar o conhecimento que o cliente tinha acerca do pai. Também foram planejadas sessões de intervenção com a mãe. O conteúdo das perguntas sobre o pai e as respostas da mãe foram tomadas como as medidas comportamentais observadas. No total foram realizadas 25 sessões, sendo 12 com a criança e 13 com a mãe. Foi observado que o conteúdo das perguntas do menino mudou de foco durante o processo terapêutico. Concluiu-se que as perguntas iniciais do cliente em relação a morte do pai eram mantidas pela falta de informações sobre ele em decorrência da apresentação de um comportamento de esquiva da mãe quando o cliente solicitava tais informações.(AU)
Participated in the therapeutic process a six-year-old male child, who was brought to the clinic by his mother. The main complaint was related to the boy's questions about how his father died. The father committed suicide when the boy was two years old due to a long period of illness. The client's questions about how the father had died were reported by the mother as a source of distress for her, as she did not know if she should tell him. With this, the main therapeutic goal was to increase the client's knowledge about the father. Mother intervention sessions were also planned. The content of the questions about the father and the responses of the mother was taken as the behavioral measures observed. Overall 25 sessions were held, 12 with the child and 13 with the mother. It was observed that the content of the boy's questions shifted focus during the therapeutic process. It was concluded that the client's initial questions regarding the father's death were maintained by the lack of information about him as a result of the mother's evasive behavior when the client requested such information.(AU)