University of Southern California, School of Social Work, Los Angeles, California 90089, USA.
J Adolesc Health. 2011 Oct;49(4):350-6. doi: 10.1016/j.jadohealth.2011.01.006. Epub 2011 May 25.
To examine separate mediational models linking (a) menarcheal status or (b) pubertal timing to internalizing and externalizing problems through competence.
This study involved cross-sectional analyses of 262 adolescent girls (age: 11-17 years; mean = 14.93, standard deviation = 2.17) enrolled in a longitudinal study examining the association of psychological functioning and smoking with reproductive and bone health. Measures of menarcheal status (pre/post), pubertal timing (early, on-time, or late), internalizing and externalizing behavior, and perceived competence (parent and adolescent report) were obtained. Structural equation modeling was used for analyses.
Perceived competence was found to fully mediate the association between menarcheal status and parent report of internalizing and externalizing problems. For adolescent report, there was a full mediation effect for internalizing problems but a partial mediation effect for externalizing problems. Being menarcheal was related to lower competence, which was in turn related to higher internalizing and externalizing problems. Models including pubertal timing were not significant.
Perceived competence is important in understanding the associations between menarcheal status and internalizing and externalizing problems. Interventions targeting competence, particularly in postmenarcheal girls, may reduce or prevent problem behaviors.
通过能力检验,分别考察月经初潮状况或青春期时间与内化和外化问题之间的中介模型。
本研究为横断研究,共纳入 262 名少女(年龄:11-17 岁;平均=14.93,标准差=2.17),这些少女参加了一项纵向研究,该研究旨在调查心理功能与吸烟与生殖和骨骼健康之间的关联。采用的测量方法包括月经初潮状况(初潮前/后)、青春期时间(早、中、晚)、内化和外化行为以及感知能力(父母和青少年报告)。采用结构方程模型进行分析。
感知能力完全中介了月经初潮状况与父母报告的内化和外化问题之间的关联。对于青少年报告,内化问题存在完全中介效应,而外化问题存在部分中介效应。初潮与较低的能力相关,而较低的能力又与更高的内化和外化问题相关。包括青春期时间的模型没有显著意义。
感知能力对于理解月经初潮状况与内化和外化问题之间的关联很重要。针对能力的干预措施,特别是针对初潮后的女孩,可能会减少或预防问题行为。