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兄弟姐妹很特别:预防青少年行为问题新方法的初步测试。

Siblings are special: initial test of a new approach for preventing youth behavior problems.

机构信息

Prevention Research Center, College of Health and Human Development, The Pennsylvania State University, University Park, PA, USA.

出版信息

J Adolesc Health. 2013 Aug;53(2):166-73. doi: 10.1016/j.jadohealth.2012.10.004. Epub 2012 Nov 20.

Abstract

PURPOSE

A growing body of research documents the significance of siblings and sibling relationships for development, mental health, and behavioral risk across childhood and adolescence. Nonetheless, few well-designed efforts have been undertaken to promote positive and reduce negative youth outcomes by enhancing sibling relationships.

METHODS

Based on a theoretical model of sibling influences, we conducted a randomized trial of Siblings Are Special (SIBS), a group-format afterschool program for fifth graders with a younger sibling in second through fourth grades, which entailed 12 weekly afterschool sessions and three Family Nights. We tested program efficacy with a pre- and post-test design with 174 families randomly assigned to condition. In home visits at both time points, we collected data via parent questionnaires, child interviews, and observer-rated videotaped interactions and teachers rated children's behavior at school.

RESULTS

The program enhanced positive sibling relationships, appropriate strategies for parenting siblings, and child self-control, social competence, and academic performance; program exposure was also associated with reduced maternal depression and child internalizing problems. Results were robust across the sample, not qualified by sibling gender, age, family demographics, or baseline risk. No effects were found for sibling conflict, collusion, or child externalizing problems; we will examine follow-up data to determine if short-term impacts lead to reduced negative behaviors over time.

CONCLUSIONS

The breadth of the SIBS program's impact is consistent with research suggesting that siblings are an important influence on development and adjustment and supports our argument that a sibling focus should be incorporated into youth and family-oriented prevention programs.

摘要

目的

越来越多的研究文献证明了兄弟姐妹及其关系对儿童期和青春期发展、心理健康和行为风险的重要性。尽管如此,很少有经过精心设计的努力通过加强兄弟姐妹关系来促进积极的结果和减少消极的青年结果。

方法

基于兄弟姐妹影响的理论模型,我们对 Siblings Are Special(SIBS)进行了一项随机试验,这是一个为五六年级学生设计的小组式课后计划,他们有一个二至四年级的弟弟妹妹。该计划包括 12 周的课后课程和 3 个家庭之夜。我们采用预测试和后测试设计,对 174 个家庭进行了随机分组。在两次家访中,我们通过家长问卷、儿童访谈、观察评估的录像互动以及教师对孩子在校行为的评估收集数据。

结果

该计划增强了积极的兄弟姐妹关系、适当的育儿策略以及儿童的自我控制、社交能力和学业成绩;计划的参与也与母亲抑郁和儿童内化问题的减少有关。结果在整个样本中是稳健的,不受兄弟姐妹性别、年龄、家庭人口统计学或基线风险的限制。对于兄弟姐妹冲突、勾结或儿童外化问题,没有发现效果;我们将检查后续数据,以确定短期影响是否会随着时间的推移导致负面行为的减少。

结论

SIBS 计划的广泛影响与研究一致,表明兄弟姐妹对发展和适应有重要影响,并支持我们的论点,即应该将兄弟姐妹的关注点纳入青年和面向家庭的预防计划中。

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