Fowler Patrick J, McGrath Lauren M, Henry David B, Schoeny Michael, Chavira Dina, Taylor Jeremy J, Day Orin
Washington University in St. Louis, 1 Brookings Drive, Campus Box 1196, St. Louis, MO 63130, USA.
American University, 4400 Massachusetts Avenue, NW, Washington, DC 20016, USA.
Child Abuse Negl. 2015 Oct;48:104-18. doi: 10.1016/j.chiabu.2015.06.002. Epub 2015 Jul 14.
This study investigates the influence of housing instability on verbal and nonverbal cognitive development among at-risk children and adolescents involved in the child welfare system. Frequent residential changes threaten child mental health, especially among low-income families. Little is known regarding disruptions to cognitive growth, specifically the impact on verbal and nonverbal abilities. The study tests whether developmental timing of housing mobility affects cognitive development beyond individual and family risks. A nationally representative study of families (n=2,442) susceptible to housing and family instability tracked children and adolescents aged 4-14 years (M=8.95 years) over 36 months following investigation by the child welfare system. Youth completed standardized cognitive assessments while caregivers reported on behavior problems and family risk at three time points. Latent growth models examined change in cognitive abilities over time. Housing mobility in the 12 months prior to baseline predicts lower verbal cognitive abilities that improve marginally. Similar effects emerge for all age groups; however, frequent moves in infancy diminish the influence of subsequent housing mobility on verbal tasks. Housing instability threatened cognitive development beyond child maltreatment, family changes, poverty, and other risks. Findings inform emerging research on environmental influences on neurocognitive development, as well as identify targets for early intervention. Systematic assessment of family housing problems, including through the child welfare system, provides opportunities for coordinated responses to prevent instability and cognitive threats.
本研究调查了住房不稳定对儿童福利系统中处于风险的儿童和青少年言语及非言语认知发展的影响。频繁的居住变动会威胁儿童心理健康,尤其是在低收入家庭中。关于认知发展中断,特别是对言语和非言语能力的影响,我们所知甚少。该研究测试了住房流动的发展时机是否会对认知发展产生超出个体和家庭风险的影响。一项针对易受住房和家庭不稳定影响的家庭(n = 2442)的全国代表性研究,在儿童福利系统进行调查后的36个月内,追踪了4至14岁(平均年龄8.95岁)的儿童和青少年。青少年完成了标准化认知评估,而照顾者在三个时间点报告了行为问题和家庭风险。潜在增长模型研究了认知能力随时间的变化。基线前12个月的住房流动预示着言语认知能力较低,且仅有轻微改善。所有年龄组都出现了类似的影响;然而,婴儿期频繁搬家会减弱后续住房流动对言语任务的影响。住房不稳定对认知发展的威胁超过了儿童虐待、家庭变化、贫困和其他风险。研究结果为有关环境对神经认知发展影响的新兴研究提供了信息,同时也确定了早期干预的目标。对家庭住房问题进行系统评估,包括通过儿童福利系统进行评估,为采取协调应对措施以防止不稳定和认知威胁提供了机会。