Casale Marisa, Cluver Lucie, Crankshaw Tamaryn, Kuo Caroline, Lachman Jamie M, Wild Lauren G
Health Economics and HIV/AIDS Research Division, University of KwaZulu-Natal, PO Box X54001, Durban, 4000, South Africa,
Am J Community Psychol. 2015 Jun;55(3-4):336-46. doi: 10.1007/s10464-015-9705-3.
Caregiver social support has been shown to be protective for caregiver mental health, parenting and child psychosocial outcomes. This is the first known analysis to quantitatively investigate the relationship between caregiver social support and adolescent psychosocial outcomes in HIV-endemic, resource-scarce Southern African communities. A cross-sectional household survey was conducted over 2009-2010 with 2,477 South African adolescents aged 10-17 and their adult caregivers (18 years or older) in one urban and one rural community in South Africa's KwaZulu-Natal province. Adolescent adjustment was assessed using adult caregiver reports of the Strengths and Difficulties questionnaire (SDQ), which measures peer problems, hyperactivity, conduct problems, emotional symptoms and child prosocial behavior. Hierarchical linear regressions and multiple mediation analyses, using bootstrapping procedures, were conducted to assess for: (a) direct effects of more caregiver social support on better adolescent psychosocial wellbeing; and (b) indirect effects mediated by better parenting and caregiver mental health. Direct associations (p < .001), and indirect associations mediated through better parenting, were found for all adolescent outcomes. Findings reinforce the importance of social support components within parenting interventions but also point to scope for positive intervention on adolescent psychosocial wellbeing through the broader family social network.
照顾者的社会支持已被证明对照顾者的心理健康、养育方式及儿童的心理社会结局具有保护作用。这是已知的第一项定量研究在艾滋病流行、资源匮乏的南部非洲社区中照顾者社会支持与青少年心理社会结局之间关系的分析。2009年至2010年期间，在南非夸祖鲁 - 纳塔尔省的一个城市社区和一个农村社区，对2477名年龄在10至17岁的南非青少年及其成年照顾者（18岁及以上）进行了一项横断面家庭调查。青少年的适应情况通过成年照顾者对长处和困难问卷（SDQ）的报告进行评估，该问卷测量同伴问题、多动、品行问题、情绪症状和儿童亲社会行为。使用自抽样程序进行分层线性回归和多重中介分析，以评估：（a）更多照顾者社会支持对青少年更好的心理社会幸福感的直接影响；以及（b）通过更好的养育方式和照顾者心理健康介导的间接影响。对于所有青少年结局，均发现了直接关联（p <.001）以及通过更好的养育方式介导的间接关联。研究结果强化了养育干预中社会支持成分的重要性，但也指出了通过更广泛的家庭社会网络对青少年心理社会幸福感进行积极干预的空间。
