Andreas Jasmina Burdzovic, O'Farrell Timothy J
Department of Community Health, Center for Health and Clinical Epidemiology, Brown University, 121 South Main St., Providence, RI 02912, USA.
J Subst Abuse Treat. 2009 Jan;36(1):87-100. doi: 10.1016/j.jsat.2008.05.006. Epub 2008 Aug 20.
We investigated longitudinal associations between alcohol-dependent fathers' 12-step treatment involvement and their children's internalizing and externalizing problems (N = 125, M(age) = 9.8 +/- 3.1), testing the hypotheses that fathers' greater treatment involvement would benefit later child behavior and that this effect would be mediated by fathers' posttreatment behaviors. The initial association was established between fathers' treatment involvement and children's externalizing problems only, whereas Structural Equation Modeling (SEM) results supported mediating hypotheses. Fathers' greater treatment involvement predicted children's lower externalizing problems 12 months later, and fathers' posttreatment behaviors mediated this association: Greater treatment involvement predicted greater posttreatment Alcoholics Anonymous attendance, which in turn predicted greater abstinence. Finally, fathers' abstinence was associated with lower externalizing problems in children. Theoretical and practical implications of these findings are discussed.
我们调查了酒精依赖型父亲参与12步治疗与其子女内化和外化问题之间的纵向关联（N = 125，平均年龄M(age) = 9.8 ± 3.1），检验了以下假设：父亲更多地参与治疗将有益于孩子日后的行为，且这种影响将通过父亲治疗后的行为来介导。最初仅在父亲的治疗参与和孩子的外化问题之间建立了关联，而结构方程模型（SEM）结果支持了介导假设。父亲更多地参与治疗预示着12个月后孩子的外化问题会减少，并且父亲治疗后的行为介导了这种关联：更多地参与治疗预示着治疗后参加戒酒互助会的次数会增加，而这反过来又预示着更高的戒酒率。最后，父亲的戒酒与孩子较低的外化问题相关。讨论了这些发现的理论和实际意义。
