Chazan-Cohen Rachel, Ayoub Catherine, Pan Barbara Alexander, Roggman Lori, Raikes Helen, Mckelvey Lorraine, Whiteside-Mansell Leanne, Hart Andrea
U.S. Department of Health and Human Services.
Harvard University.
Infant Ment Health J. 2007 Mar;28(2):151-170. doi: 10.1002/imhj.20127.
The Early Head Start Research and Evaluation Project, a random-assignment evaluation, found a broad pattern of positive impacts for children and families. However, there were no program impacts on depression or use of mental health services by the time children reached age 3, at the end of the Early Head Start (EHS) program. This paper presents recent findings from the follow-up study in the spring prior to the children entering kindergarten, when a positive program impact emerged for reducing maternal depression. Results show that earlier program impacts on children and parents (when children were 2 and 3 years of age) mediated, or led to, the delayed impact on maternal depression. The combination of the most promising child factors accounted for over 57% of the later impact on depression, while the most promising parent factors accounted for over 35% of the later impact on depression. Implications for EHS programs are discussed.
“早期开端研究与评估项目”是一项随机分配评估，该项目发现对儿童和家庭有着广泛的积极影响模式。然而，在“早期开端”（EHS）项目结束时，即儿童年满3岁时，该项目对抑郁或心理健康服务的使用并无影响。本文呈现了后续研究的最新发现，该研究是在儿童进入幼儿园之前的那个春季进行的，此时出现了该项目对减轻母亲抑郁的积极影响。结果表明，该项目早期对儿童和父母的影响（当儿童2岁和3岁时）介导了，或者说导致了对母亲抑郁的延迟影响。最有前景的儿童因素组合占了后期抑郁影响的57%以上，而最有前景的父母因素占了后期抑郁影响的35%以上。本文还讨论了该研究结果对EHS项目的启示。
