University of California, Los Angeles (UCLA) Semel Institute for Neuroscience and Human Behavior.
UCLA David Geffen School of Medicine.
J Am Acad Child Adolesc Psychiatry. 2016 Jan;55(1):14-24. doi: 10.1016/j.jaac.2015.10.009. Epub 2015 Oct 30.
This study evaluates the longitudinal outcomes of Families OverComing Under Stress (FOCUS), a family-centered preventive intervention implemented to enhance resilience and to reduce psychological health risk in military families and children who have high levels of stress related to parental wartime military service.
We performed a secondary analysis of evaluation data from a large-scale service implementation of the FOCUS intervention collected between July 2008 and December 2013 at 15 military installations in the United States and Japan. We present data for 2,615 unique families (3,499 parents and 3,810 children) with completed intake and at least 1 postintervention assessment. Longitudinal regression models with family-level random effects were used to assess the patterns of change in child and parent (civilian and military) psychological health outcomes over time.
Improvement in psychological health outcomes occurred in both service member and civilian parents. Relative to intake, parental anxiety and depression symptoms were significantly reduced postintervention, and these reductions were maintained at 2 subsequent follow-up assessments. In addition, we identified an improvement over time in emotional and behavioral symptoms and in prosocial behaviors for both boys and girls. We observed reductions in the prevalence of unhealthy family functioning and child anxiety symptoms, as well as parental depression, anxiety, and posttraumatic stress symptoms from intake to follow-up.
Longitudinal program evaluation data show sustained trajectories of reduced psychological health risk symptoms and improved indices of resilience in children, civilian, and active duty military parents participating in a strength-based, family-centered preventive intervention.
本研究评估了“应对压力的家庭”(FOCUS)的纵向结果,这是一项以家庭为中心的预防干预措施,旨在增强军人家庭和儿童的适应力,并降低与父母战时兵役相关的心理健康风险,这些家庭和儿童的压力水平较高。
我们对 2008 年 7 月至 2013 年 12 月在美国和日本的 15 个军事设施进行的 FOCUS 干预大规模服务实施的评估数据进行了二次分析。我们为 2615 个独特的家庭(3499 名父母和 3810 名儿童)提供了数据,这些家庭完成了入组评估,并且至少有 1 次干预后评估。使用具有家庭水平随机效应的纵向回归模型来评估儿童和父母(军人和非军人)心理健康结果随时间的变化模式。
军人和非军人父母的心理健康结果都有所改善。与入组时相比,父母的焦虑和抑郁症状在干预后显著减轻,并且在随后的 2 次随访评估中保持稳定。此外,我们发现男孩和女孩的情绪和行为症状以及亲社会行为都随着时间的推移而有所改善。我们观察到,从入组到随访,不健康的家庭功能和儿童焦虑症状的发生率下降,以及父母的抑郁、焦虑和创伤后应激症状减少。
纵向项目评估数据表明,参加基于优势、以家庭为中心的预防干预的儿童、非军人和现役军人父母的心理健康风险症状持续减少,适应力的指标也有所提高。