Brody Gene H, Yu Tianyi, Chen Edith, Miller Gregory E
Center for Family Research, University of Georgia.
Department of Psychology, Northwestern University.
Health Psychol. 2014 Nov;33(11):1435-9. doi: 10.1037/hea0000072. Epub 2014 Mar 3.
The purpose of this study was to establish, using a quasi-experimental design, whether 2 family risk factors, parental psychological dysfunction and nonsupportive parenting, during preadolescence could longitudinally predict elevated sympathetic nervous system (SNS) activity 9 years later, and to determine whether participation in an efficacious family centered prevention program could moderate these associations if they emerged.
Rural African American preadolescents (N = 476) were assigned randomly to the Strong African American Families (SAAF) program or to a control condition. When youths were 11 years of age (M = 11.2 years), primary caregivers provided data on their own depressive symptoms and self-esteem, and youths provided data on their receipt of nonsupportive parenting. When the youths were 20 years of age, indicators of SNS activity, the catecholamines epinephrine and norepinephrine, were assayed from their overnight urine voids.
Parental psychological dysfunction and nonsupportive parenting forecast elevated catecholamine levels for youths in the control condition, but not for those in the SAAF condition.
The demonstration that a prevention program can induce reduction of catecholamine levels is important from both theoretical and public health perspectives, because it shows that the developmental progression from family risk factors to heightened sympathetic nervous system activity is not immutable.
本研究旨在采用准实验设计,确定青春期前的两个家庭风险因素,即父母心理功能障碍和不支持性养育方式,是否能够纵向预测9年后交感神经系统(SNS)活动增强,并确定如果出现这些关联,参与有效的以家庭为中心的预防项目是否能够调节这些关联。
农村非裔美国青少年(N = 476)被随机分配到“强大非裔美国家庭”(SAAF)项目组或对照组。当青少年11岁时(平均年龄M = 11.2岁),主要照顾者提供关于他们自己抑郁症状和自尊的数据,青少年提供关于他们接受不支持性养育方式的数据。当青少年20岁时,从他们夜间的尿液中检测SNS活动指标,即儿茶酚胺肾上腺素和去甲肾上腺素。
在对照组中,父母心理功能障碍和不支持性养育方式预测青少年儿茶酚胺水平升高,但在SAAF组中则不然。
从理论和公共卫生角度来看,证明一个预防项目能够降低儿茶酚胺水平很重要,因为这表明从家庭风险因素到交感神经系统活动增强的发展进程并非不可改变。