This study used the 1987 Finnish Birth Cohort, which included all children born in Finland in 1987 (N=59,476), to investigate psychiatric diagnoses as grounds for disability pensions (DPs) among child welfare clients and explored the background factors associated with such diagnoses. Descriptive statistics show that DP is substantially more common among child welfare clients than among other children. Logistic regressions revealed that the factors most strongly related to psychiatric diagnoses among girls were mother’s somatic DP, child protection history, and parental social assistance. Psychiatric diagnoses among boys were most strongly related to mother’s psychiatric DP, child protection history, and parental divorce. The factors related to DP among girls included child protection history, father’s psychiatric DP, father’s somatic DP, and parental social assistance. DP among boys was related to child protection history, mother’s psychiatric DP, parental social assistance, father’s somatic DP, and father’s psychiatric care in specialised hospitals. A child welfare history that includes out-of-home care indicates that there were severe problems in the home environment during upbringing. Detailed investigations should therefore be undertaken, such as examining the role of mediating and moderating factors, including the ability of social and educational services to ameliorate the effects of challenging childhood conditions.

中文翻译：

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精神科诊断是前儿童福利客户中获得残疾抚恤金的理由

这项研究使用了1987年的芬兰出生队列，其中包括1987年在芬兰出生的所有孩子（N = 59,476），以精神病学诊断作为儿童福利客户中获得残疾抚恤金（DP）的依据，并探讨了与此类诊断相关的背景因素。描述性统计数据表明，DP在儿童福利客户中比在其他儿童中更为普遍。Logistic回归显示，与女孩中的精神病诊断最相关的因素是母亲的躯体DP，儿童保护史和父母的社会援助。男孩的精神病诊断与母亲的精神病DP，儿童保护史和父母离婚关系最密切。与女孩中的DP有关的因素包括儿童保护史，父亲的精神科DP，父亲的躯体DP，以及父母的社会援助。男孩中的DP与儿童保护史，母亲的精神科DP，父母的社会救助，父亲的躯体DP和父亲在专门医院的精神科护理有关。包含户外护理的儿童福利历史记录表明，抚养期间家庭环境存在严重问题。因此，应该进行详细的调查，例如研究调解和调节因素的作用，包括社会和教育服务改善挑战性童年状况的影响的能力。包含户外护理的儿童福利历史记录表明，抚养期间家庭环境存在严重问题。因此，应该进行详细的调查，例如研究调解和调节因素的作用，包括社会和教育服务改善挑战性童年状况的影响的能力。包含户外护理的儿童福利历史记录表明，抚养期间家庭环境存在严重问题。因此，应进行详细的调查，例如研究调解和调节因素的作用，包括社会和教育服务改善挑战性童年状况的影响的能力。