Revisión Sistemática sobre el Impacto de la Separación de Padres e Hijos en la Salud Mental y el Desarrollo Infantil
DOI:
https://doi.org/10.5944/rdp.v36i130.44134Palabras clave:
Toma de decisiones en los tribunales de familia, apego, adopción, separación familiar, trauma infantilResumen
Un gran número de niños de todo el mundo son separados de sus padres por decisión de los servicios sociales o de los propios padres. Las causas son múltiples e incluyen la violencia infantil, el abandono parental, la inmigración ilegal, el encarcelamiento de los padres, etc. El objetivo del presente estudio es revisar la investigación científica sobre los efectos que la separación de los padres tiene en los niños. Para ello, se ha llevado a cabo una revisión sistemática utilizando la declaración PRISMA en las bases de datos científicas DOAJ, Scielo y Redalyc. Se han incluido artículos de acceso abierto en inglés. El filtrado, cribado y selección final se expresan en un diagrama de flujo y tablas. Según el análisis, se identificó que los efectos no son específicos del tipo de separación e incluyen una alta incidencia de cambios neurológicos como resultado de traumas psicológicos, desarrollo sexual temprano, abuso físico y sexual, deserción escolar, bajo rendimiento académico, relaciones conflictivas con los pares, síntomas de trastornos psicosomáticos y psiquiátricos, así como conductas de tipo internalizante y externalizante. También se asocia a ansiedad, depresión, delincuencia, abuso de sustancias, comportamiento sexual inadecuado y autolesiones. La evidencia sugiere que la separación puede dar lugar a ciclos continuos de separación familiar. Las investigaciones han demostrado que los niños corren mayor riesgo entre los 9 meses y los 9 años de edad.
Descargas
Citas
Acion, L., Ramirez, M. R., Jorge, R. E., & Arndt, S. (2013). Increased risk of alcohol and drug use among children from deployed military families. Addiction, 108(8), 1418-1425. https://doi.org/10.1111/add.12161
*Alfano, C. A., Lau, S., Balderas, J., Bunnell, B. E., & Beidel, D. C. (2016). The impact of military deployment on children: Placing developmental risk in context. Clinical Psychology Review, 43, 17-29. https://doi.org/10.1016/j.cpr.2015.11.003
*Amuedo-Durantes, C., & Arenas-Arroyo, E. (2019). Immigration enforcement and children's living arrangements. Journal of Policy Analysis and Management, 38(1), 11-40. https://doi.org/10.1002/pam.22106
*Auersperg, F., Vlasak, T., Ponocny, I., & Barth, A. (2019). Long-term effects of parental divorce on mental health - A meta-analysis. Journal of Psychiatric Research, 119, 107-115. https://doi.org/10.1016/j.jpsychires.2019.09.011
*Bald, A., Chyn, E., Hastings, J. S., & Machelett, M. (2019). The causal impact of removing children from abusive and neglectful homes. National Bureau of Economic Research. https://www.nber.org/system/files/working_papers/w25419/w25419.pdf
*Barajas-Gonzalez, R. G., Ayon, C., & Torres, F. (2018). Applying a community violence framework to understand the impact of immigration enforcement threat on Latino children. SRCD Social Policy Report, 31(3). https://srcd.onlinelibrary.wiley.com/doi/10.1002/sop2.1
*Bell, T., & Romano, E. (2017). Permanency and safety among children in foster family and kinship care: A scoping review. Trauma, Violence, & Abuse, 18(3), 268-286. https://doi.org/10.1177/1524838015611673
*Bergström, M., Fransson, E., Modin, B., Berlin, M., Gustafsson, P. A., & Hjern, A. (2015). Fifty moves a year: is there an association between joint physical custody and psychosomatic problems in children? Journal of Epidemiology and Community Health, 69(8), 769-774. https://doi.org/10.1136/jech-2014-205058
*Bergström, M., Salari, R., Hjern, A., Hognas, R., Bergqvist, K., & Fransson, E. (2021). Importance of living arrangements and coparenting quality for young children's mental health after parental divorce: a cross-sectional parental survey. BMJ Paediatrics Open, 5(1), e000657. https://doi.org/10.1136/bmjpo-2020-000657
*Biehal, N., Sinclair, I., & Wade, J. (2015). Reunifying abused or neglected children: Decision- making and outcomes. Child Abuse & Neglect, 49, 107-118. https://doi.org/10.1016/j.chiabu.2015.04.014
*Boyle, C. (2015). ‘What is the impact of birth family contact on children in adoption and long- term foster care?’ A systematic review. Child and Family Social Work, 22(S1), 22-33. https://doi.org/https://doi.org/10.1111/cfs.12236
Brown, A., Waters, C. S., & Shelton, K. H. (2017). A systematic review of the school performance and behavioural and emotional adjustments of children adopted from care. Adoption & Fostering, 41(4), 346-368. https://doi.org/10.1177/0308575917731064
Child Welfare Information Gateway. (2019). Long term consequences of child abuse and neglect. https://www.childwelfare.gov/pubPDFs/long_term_consequences.pdf
*Côté, S. M., Orri, M., Marttila, M., & Ristikari, T. (2018). Out-of-home placement in early childhood and psychiatric diagnoses and criminal convictions in young adulthood: a population-based propensity score-matched study. The Lancet Child & Adolescent Health, 2(9), 647-653. https://doi.org/10.1016/s2352-4642(18)30207-4
Crittenden, P. (2016). Raising parents: Attachment, representation and treatment. Routledge. https://doi.org/10.4324/9781315726069
*Crittenden, P. M., & Spieker, S. J. (2023). The effects of separation from parents on children. In K. Diann Cameron (Ed.), Child abuse and neglect - perspectives and research (pp. 1-23). IntechOpen. https://doi.org/10.5772/intechopen.1002940
*Culpin, I., Heron, J., Araya, R., & Joinson, C. (2015). Early childhood father absence and depressive symptoms in adolescent girls from a UK cohort: The mediating role of early menarche. Journal of Abnormal Child Psychology, 43(5), 921-931. https://doi.org/10.1007/s10802-014-9960-z
Desmond, M., Kimbro, R. T., & Gault, S. (2020). Child welfare systems and parental separation: Trends in foster care placements. Social Work Research, 44(3), 219–229. https://doi.org/10.1093/swr/svaa003
*Doyle, J. J. (2013). Causal effects of foster care: An instrumental-variables approach. Children and Youth Services Review, 35(7), 1143-1151. https://doi.org/https://doi.org/10.1016/j.childyouth.2011.03.014
*Edyburn, K. L., & Meek, S. (2021). Seeking safety and humanity in the harshest immigration climate in a generation: A review of the literature on the effects of separation and detention on migrant and asylum-seeking children and families in the United States during the Trump administration. SRCD Social Policy Report, 34(1). https://srcd.onlinelibrary.wiley.com/doi/full/10.1002/sop2.12
*Fisher, P. A. (2015). Review: Adoption, fostering, and the needs of looked-after and adopted children. Child and Adolescent Mental Health, 20(1), 5-12. https://doi.org/10.1111/camh.12084
*Friborg, O., Sørlie, T., Schei, B., Javø, C., Sørbye, Ø., & Hansen, K. L. (2020). Do childhood boarding school experiences predict health, well-being and disability pension in adults? A SAMINOR study. Journal of Cross-Cultural Psychology, 51(10), 848-875. https://doi.org/10.1177/0022022120962571
*Fujisawa, T. X., Shimada, K., Takiguchi, S., Mizushima, S., Kosaka, H., Teicher, M. H., & Tomoda, A. (2018). Type and timing of childhood maltreatment and reduced visual cortex volumen in Children and adolescents with reactive attachment disorder. Neuroimage: Clinical, 20, 216–221. https://doi.org/10.1016/j.nicl.2018.07.018
Goemans, A., van Geel, M., & Vedder, P. (2015). Over three decades of longitudinal research on the development of foster children: A meta-analysis. Child Abuse & Neglect, 42, 121-134. https://doi.org/10.1016/j.chiabu.2015.02.003
*Khan, M. R., Scheidell, J. D., Rosen, D. L., Geller, A., & Brotman, L. M. (2018). Early age at childhood parental incarceration and STI/HIV-related drug use and sex risk across the young adult lifecourse in the US: Heightened vulnerability of black and Hispanic. Drug and Alcohol Dependence 183, 231-239. https://doi.org/10.1016/j.drugalcdep.2017.11.006
Kopan, T. (2018). Thousands of children separated from their parents at the border. CNN. Available in: https://edition.cnn.com/2018/06/18/politics/us-border-family-separations/index.html
Lester, P., Peterson, K., Reeves, J., Knauss, L., Glover, D., Mogil, C., Duan, N., Saltzman, W., Pynoos, R., Wilt, K., & Beardslee, W. (2010). The long war and parental combat deployment: effects on military children and at-home spouses. Journal of the Academy of Child & Adolescent Psychiatry, 49(4), 310-320. https://www.ncbi.nlm.nih.gov/pubmed/20410724
*MacLean, S. A., Agyeman, P. O., Walther, J., Singer, E. K., Baranowski, K. A., & Katz, C. L. (2020). Characterization of the mental health of immigrant children separated from their mothers at the U.S.-Mexico border. Psychiatry Research, 286, 112555. https://doi.org/10.1016/j.psychres.2019.112555
* McIntosh, J., Smyth, B. M., & Kelaher, M. (2013). Overnight care patterns following parental separation: Associations with emotion regulation in infants and young children. Journal of Family Studies, 19(3), 224-239. https://doi.org/10.5172/jfs.2013.19.3.224
* Miller, A., Hess, J. M., Bybee, D., & Goodkind, J. R. (2018). Understanding the mental health consequences of family separation for refugees: Implications for policy and practice. American Journal of Orthopsychiatry, 88(1), 26-37.
Milozzi, S., & Marmo, J. (2022). Revisión sistemática de la relación entre apego y regulación emocional [Systematic review of the relationship between attachment and emotional regulation]. Revista Psicología UNEMI, 6(11), 70-86. https://doi.org/10.29076/issn.2602-8379vol6iss11.2022pp70-86p
*Mok, P. L. H., Astrup, A., Carr, M. J., Antonsen, S., Webb, R. T., & Pedersen, C. B. (2018). Experience of child-parent separation and later risk of violent criminality. American Journal of Preventive Medicine, 55(2), 178-186. https://doi.org/10.1016/j.amepre.2018.04.008
Munive-Rojas, S., & Gutiérrez-Garibay, M. (2015). Cómo realizar una revisión sistemática y meta-análisis [How to conduct a systematic review and meta-analysis]. Revista de cardiología del Cuerpo Médico del Instituto Nacional Cardiovascular, 2, 32-37.
Nguyen, D. R., Ee, J., Berry-Caban, C. S., & Hoedebecke, K. (2014). The effects of military deployment on early child development. The Army Medical Department Journal, 81-86.
*Paksarian, D., Eaton, W. W., Mortensen, P. B., Merikangas, K. R., & Pedersen, C. B. (2015). A population-based study of the risk of schizophrenia and bipolar disorder associated with parent-child separation during development. Psychological Medicine, 45(13), 2825-2837. https://doi.org/10.1017/s0033291715000781
*Poitras, K., Tarabulsy, G. M., & Pulido, N. V. (2021). Contact with biological parents following placement in foster care: Associations with preschool child externalizing behavior. Clinical Child Psychology and Psychiatry, 13591045211049295. https://doi.org/10.1177/13591045211049295
Rubin, D. M., O'Reilly, A. L., Luan, X., & Localio, A. R. (2007). The impact of placement stability on behavioral well-being for children in foster care. Pediatrics, 119(2), 336-344. https://doi.org/10.1542/peds.2006-1995
Ryan, J. P., & Testa, M. F. (2005). Child maltreatment and juvenile delinquency: Investigating the role of placement and placement instability. Children and Youth Services Review, 27(3), 227-249. https://doi.org/https://doi.org/10.1016/j.childyouth.2004.05.007
*Running Bear, U., Croy, C. D., Kaufman, C. E., Thayer, Z. M., Manson, S. M., & The, A. I. S. T. (2018). The relationship of five boarding school experiences and physical health status among Northern Plains Tribes. Quality of Life Research, 27(1), 153-157. https://doi.org/10.1007/s11136-017-1742-y
*Sattler, K. M. P. & Font, S. A. (2021). Predictors of adoption and guardianship dissolution: The role of race, age, and gender among children in foster care. Child Maltreatment, 26(2), 216-227. https://doi.org/10.1177/1077559520952171
*Shi, H., Wang, Y., Li, M., Tan, C., Zhao, C., Huang, X., Dou, Y., Duan, X., Du, Y., Wu, T., Wang, X., & Zhang, J. (2021). Impact of parent-child separation on children's social-emotional development: a cross-sectional study of left-behind children in poor rural areas of China. BMC Public Health, 21(1), 823. https://doi.org/10.1186/s12889-021-10831-8
*Siegel, B. S., & Davis, B. E. (2013). Health and mental health needs of children in US military families. Pediatrics, 131(6), e2002-e2015. https://doi.org/10.1542/peds.2013-0940
*Smith, M., González-Pasarín, L., Salas, M. D., & Bernedo, I. M. (2020). Review of benefits and risks for children in open adoption arrangements. Child & Family Social Work, 25(4), 761-774. https://doi.org/https://doi.org/10.1111/cfs.12753
*Turney, K., & Wildeman, C. (2016). Mental and physical health of children in foster care. Pediatrics, 138(5). https://doi.org/10.1542/peds.2016-1118
U.K. Department of Education. (2017). Children looked after in England (including adoption), year ending 31 March 2017 (SFR 50/2017). https://assets.publishing.service.gov.uk/media/5a81c34340f0b62305b90ad7/SFR50_2017-Children_looked_after_in_England.pdf
Urrútia, G., & Bonfill, X. (2010). Declaración Prisma: una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis [Prisma declaration: a proposal to improve the publication of systematic review and meta-analyses. Medicina Clínica, 135(11), 507-511. https://bmjopen.bmj.com/content/bmjopen/suppl/2013/06/10/bmjopen-2012-002330.DC1/bmjopen-2012-002330supp_PRISMA-2010.pdf
U.S. Department of Health and Human Services., & Administration for Children and Families. (2022). The AFCARS Report (No. 29). https://www.acf.hhs.gov/cb/report/afcars-report-29
*Wall-Wieler, E., Roos, L. L., Nickel, N. C., Chateau, D., & Brownell, M. (2018). A discordant sibling analysis. American Journal of Epidemiology, 187(6), 1182-1188. https://doi.org/10.1093/aje/kwy062
*Whittle, S., Dennison, M., Vijayakumar, N., Simmons, J. G., Yücel, M., Lubman, D. I., Pantelis, C., & Allen, N. B. (2013). Childhood maltreatment and psychopathology affect brain development during adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 52(9), 940-952.e941. https://doi.org/10.1016/j.jaac.2013.06.007
*Wildeman, C., Goldman, A. W., & Turney, K. (2018). Parental incarceration and child health in the United States. Epidemiologic Reviews, 40(1), 146-156. https://doi.org/10.1093/epirev/mxx013
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2025 Revista de Psicoterapia

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.