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“新起点”计划对青少年适应结果的发展级联效应。

Developmental cascade effects of the New Beginnings Program on adolescent adaptation outcomes.

机构信息

Prevention Research Center, Psychology North, Arizona State University, Tempe, AZ 85287-6005, USA.

出版信息

Dev Psychopathol. 2010 Nov;22(4):771-84. doi: 10.1017/S0954579410000453.

Abstract

Using data from a 6-year longitudinal follow-up sample of 240 youth who participated in a randomized experimental trial of a preventive intervention for divorced families with children ages 9-12, the current study tested alternative cascading pathways by which the intervention decreased symptoms of internalizing disorders, symptoms of externalizing disorders, substance use, and risky sexual behavior and increased self-esteem and academic performance in mid- to late adolescence (15-19 years old). It was hypothesized that the impact of the program on adolescent adaptation outcomes would be explained by progressive associations between program-induced changes in parenting and youth adaptation outcomes. The results supported a cascading model of program effects in which the program was related to increased mother-child relationship quality that was related to subsequent decreases in child internalizing problems, which then was related to subsequent increases in self-esteem and decreases in symptoms of internalizing disorders in adolescence. The results were also consistent with a model in which the program increased maternal effective discipline that was related to decreased child externalizing problems, which was related to subsequent decreases in symptoms of externalizing disorders, less substance use, and better academic performance in adolescence. There were no significant differences in the model based on level of baseline risk or adolescent gender. These results provide support for a cascading pathways model of child and adolescent development.

摘要

利用一项为期 6 年的纵向随访样本数据,该样本包含 240 名参加针对 9-12 岁离异家庭儿童的预防干预随机实验的青年,本研究检验了干预减少内化障碍症状、外化障碍症状、物质使用和风险性行为以及增加自尊心和学业成绩的替代级联途径在青少年中期到后期(15-19 岁)。研究假设,该计划对青少年适应结果的影响将通过计划引起的父母教养方式变化与青年适应结果之间的渐进关联来解释。研究结果支持了计划效果的级联模型,该模型表明计划与增加母子关系质量有关,而母子关系质量与随后儿童内化问题的减少有关,进而与青少年自尊心的提高和内化障碍症状的减少有关。研究结果也与计划增加母亲有效纪律有关,该纪律与儿童外化问题的减少有关,而外化问题的减少又与外化障碍症状、物质使用减少和青少年学业成绩提高有关。基于基线风险水平或青少年性别,该模型没有显著差异。这些结果为儿童和青少年发展的级联途径模型提供了支持。

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