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预防/干预试验与发展理论:对“快车道”特刊的评论

Prevention/Intervention trials and developmental theory: commentary on the Fast Track special section.

作者信息

Hinshaw Stephen P

机构信息

Department of Psychology, University of California, Berkeley 94720-1650, USA.

出版信息

J Abnorm Child Psychol. 2002 Feb;30(1):53-9. doi: 10.1023/a:1014279015195.

Abstract

Well-conducted prevention and intervention research has the potential to serve the dual ends of enhancing children's adaptive outcomes and elucidating important developmental processes and mechanisms related to change. Admirably, the Fast Track preventive intervention was conceived in accord with explicit developmental theory related to the development of conduct problems. Herein, I consider how the present reports of grade-3 outcomes allow examination of causal processes and developmental mechanisms related to the effects uncovered, featuring the constructs of prediction, moderation, and particularly mediation. The multifaceted, intensive nature of the Fast Track preventive intervention is at once a clinical strength and a liability in terms of isolating causal processes underlying child change. I also consider issues related to the random assignment of the investigation and to policies that may emerge from the findings. In all, research that aims to identify relevant developmental and causal processes must incorporate both experimental and nonexperimental paradigms that are conceptualized from the outset with explanatory purposes in mind.

摘要

开展良好的预防与干预研究有潜力实现双重目标,即提升儿童的适应性结果,并阐明与变化相关的重要发育过程和机制。值得称赞的是,“快车道”预防干预措施的构想符合与行为问题发展相关的明确发育理论。在此,我将探讨三年级结果的当前报告如何有助于检验与所发现的效果相关的因果过程和发育机制,重点关注预测、调节尤其是中介等概念。“快车道”预防干预措施的多方面、高强度性质,在隔离儿童变化背后的因果过程方面,既是一项临床优势,也是一个不利因素。我还将考虑与该调查的随机分配以及可能从研究结果中产生的政策相关的问题。总之,旨在识别相关发育和因果过程的研究必须将实验性和非实验性范式结合起来,这些范式从一开始就要在脑海中有解释性目的的情况下进行概念化。

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