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童年和青少年时期生活在再婚家庭对后期适应的影响。

Effects on later adjustment of living in a stepfamily during childhood and adolescence.

作者信息

Nicholson J M, Fergusson D M, Horwood L J

机构信息

School of Public Health, Queensland University of Technology, Brisbane, Australia.

出版信息

J Child Psychol Psychiatry. 1999 Mar;40(3):405-16.

Abstract

This paper examines the effects of living in a stepfamily during childhood and adolescence on a range of psychosocial outcomes at age 18 years. Data collected during an 18-year longitudinal study were used to examine a sample of 907 children with respect to: exposure to living in a stepfamily during the period from age 6 to 16 years; measures of psychosocial outcomes including mental health, antisocial behaviour, substance use, restricted life opportunities, and sexual risk-taking at age 18 years; and measures of prospectively collected confounding factors. The analyses revealed that children exposed to living in a stepfamily for the first time between ages 6-16 years had elevated risks of a range of psychosocial outcomes at 18 years. These included elevated risks of: (1) juvenile offending; (2) nicotine dependence; (3) abuse or dependence on illicit substances; (4) leaving school without qualifications; (5) early onset of sexual activity; and (6) multiple sexual partners. However, these risks were reduced substantially when psychosocial outcomes were adjusted for the confounding effects of antecedent factors such as: family socioeconomic characteristics: family history of instability, adversity, and conflict; mother's age, religiosity, and smoking; child gender; and preexisting child conduct and attentional problems. After adjustment, the odds ratios between exposure to a stepfamily and adolescent outcomes were nonsignificant. Additional analysis revealed that there were no significant differences in outcomes for boys and girls exposed to stepfamilies. It was concluded that although young people exposed to living in a stepfamily had increased risks of poor psychosocial outcomes, much of this association appeared to be spurious, and arose from confounding social, contextual, and individual factors that were present prior to the formation of the stepfamily.

摘要

本文探讨了童年和青少年时期生活在再婚家庭对18岁时一系列心理社会结果的影响。在一项为期18年的纵向研究中收集的数据,用于考察907名儿童的以下方面:6至16岁期间生活在再婚家庭的经历;18岁时心理社会结果的测量指标,包括心理健康、反社会行为、物质使用、受限的生活机会和性冒险行为;以及前瞻性收集的混杂因素的测量指标。分析显示,6至16岁首次生活在再婚家庭的儿童在18岁时出现一系列心理社会结果的风险升高。这些风险包括:(1)青少年犯罪;(2)尼古丁依赖;(3)滥用或依赖非法物质;(4)未取得资格证书就离开学校;(5)性活动过早开始;(6)多个性伴侣。然而,当对心理社会结果进行调整,以考虑诸如以下先前因素的混杂影响时,这些风险会大幅降低:家庭社会经济特征;家庭不稳定、逆境和冲突的历史;母亲的年龄、宗教信仰和吸烟情况;孩子的性别;以及孩子先前存在的行为和注意力问题。调整后,生活在再婚家庭与青少年结果之间的优势比无显著意义。进一步分析显示,生活在再婚家庭中的男孩和女孩在结果上没有显著差异。研究得出结论,虽然生活在再婚家庭中的年轻人出现不良心理社会结果的风险增加,但这种关联似乎大多是虚假的,是由再婚家庭形成之前存在的混杂社会、背景和个体因素导致的。

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